The nurse identifies which of the following manifestations is MOST characteristic of myasthenia
gravis? - ANS - Tiredness with slight exertion
Rationale: because of acetylcholine deficiency, transmission of nerve impul
...
The nurse identifies which of the following manifestations is MOST characteristic of myasthenia
gravis? - ANS - Tiredness with slight exertion
Rationale: because of acetylcholine deficiency, transmission of nerve impulses is limited; makes
it difficult to stimulate or initiate movement
The nurse cares for a patient suspected in having a seizure disorder. The patient tells the nurse, "I
smelled oranges today and there wasn't one on my tray." Which of the following responses by
the nurse is BEST? - ANS - "Have you experienced this sensation before?"
Rationale: nurse should suspect that the patient is describing an aura
The nurse cares for a client admitted to the medical/surgical unit diagnosed with a stroke. The
nurse plans care to prevent the client from experiencing sensory overload. The nurse determines
that which plan is most effective? - ANS - The nurse obtains vital signs and assists the patient
with am care in one visit.
Rationale: one visit will prevent patient from becoming fatigued. Schedule time for rest and
quiet.
The nurse instructs the family of a patient diagnosed with Parkinson's disease. Which of the
following statements by the family reflects a need for further education? - ANS - "We will buy
lots of soup for dad."
Rationale: thin liquids are difficult to swallow. Sit in an upright position and encourage thick
liquids
The nurse plans care for an older adult client recently admitted for acute pulmonary edema.
Which is the BEST intervention for the nurse to include in the client's plan of care to prevent
sensory deprivation? - ANS - Assess support system from the family
Rationale: encourage visitors to decrease isolation
[Show More]