A pt with MG has "bulbar involvement". what is the nurse's priority assessment for this pt?
a. presence of pain in the extremities
b. loss of bowel and bladder function
c. ability to chew and swallow
d. quality and volume of the voice
Answer: c. ability to chew and swallow
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When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile fremitus most intensely over which location?
a. Between the scapulae b. Third intercostal space, MCL c. Fifth intercostal space, midaxillary line (MAL) d. Over the lower lobes, posterior side
The patient states, "My husband is the person you should talk with if I am not able to make decisions about my care." What should the nurse realize the spouse has been designated to be?
1. the person who has the patient's living will 2. the healthcare surrogate 3. the person with the durable power of attorney 4. nothing more than the spouse
The nurse is reviewing a patient's clinical record. Which teaching should the nurse identify as a priority for this patient?
1. Antibiotics should be taken as directed for 10 days. 2. The oral intake of warm liquids should be encouraged. 3. The diet can include toast, citrus juices, and pizza as preferred. 4. The patient should return to the clinic tomorrow for a flu immunization.
A new father states, "I know nothing about babies," but he seems to be interested in learning. The nurse should:
a. Continue to observe his interaction with the newborn. b. Tell him when he does something wrong. c. Show no concern because he will learn on his own. d. Include him in teaching sessions.