A patient has symptoms that are characteristic of multiple sclerosis (MS). Which diagnostic tests are likely to be ordered to aid in the diagnosis of this patient?
a. Cerebrospinal fluid (CSF) immunoglobulin G and magnetic resonance imaging (MRI)
b. CSF proteins and an angiography
c. Serum albumin and a computed tomography (CT) scan
d. Serum anti-acetylcholine antibodies and x-rays
ANS: A
Laboratory tests that may suggest MS include CSF IgG and MRI.
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What approach should the nurse take to assess the lung fields of a patient who is in a recumbent position?
A) Inform that physician that the patient is in a recumbent position and anticipate an order for a portable chest x-ray. B) Turn the patient to assess all lung fields so that dependent areas can be assessed for breath sounds. C) Avoid turning the patient, and assess the accessible breath sounds from the anterior chest wall. D) Obtain a pulse oximetry reading and if the reading is low, reposition the patient and auscultate breath sounds.
A nurse comes to the unit manager to report a coworker's behavioral changes
The nurse has noticed that the coworker's handwriting has become shaky and illegible, that the coworker has mood swings, and that the coworker has had increased tardiness. Which should be the manager's first action? 1. Meet with the coworker in private and discuss the behaviors. 2. Meet with other staff to determine if the coworker has issues at home. 3. Meet with human resources (HR) to determine the best method to terminate the employee. 4. Collect additional information regarding behaviors, absenteeism, and/or tardiness.
When developing a care plan for a patient with narcolepsy, the nursing diagnosis with the highest priority is:
A) risk for injury. B) insomnia. C) deficient knowledge. D) disturbed body image.
A client with leukemia has the nursing diagnosis Imbalanced Nutrition: Less Than Body Requirements. Which food offered by the nurse would the client be least likely to want?
a. A sandwich b. Cold applesauce c. Hot soup d. Vanilla milkshake