The nurse is admitting a patient to the unit with a diagnosis of ataxia-telangiectasia for clinical manifestations of the disorder. A clinical manifestation of ataxia-telangiectasia is ataxia
The nurse would recognize that the patient is exhibiting ataxia when she assesses the presence of what?
A) Peripheral edema
B) Uncoordinated muscle movement
C) Vascular lesions caused by dilated blood vessels
D) A condition marked by development of urticaria
Ans: B
Feedback: Ataxia refers to uncoordinated muscle movement and is a clinical manifestation of combined B-cell and T-cell deficiencies. Ataxia is not peripheral edema, vascular lesions, or urticaria.
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The nurse is reviewing risk factors for bladder infections with a female patient. Which patient statement indicates that teaching has been effective?
1. The urinary meatus in females is closer to the bladder than in most males. 2. The urinary meatus in females is farther from the anus than most males. 3. The pH of the female urethra is more conducive to infection. 4. Females urinate more frequently than males, increasing risk.
In what phase of the surgical experience would advance directives be discussed with the patient?
A) Preoperative B) Intraoperative C) Postoperative D) Recovery
When the client has been diagnosed as having an infection in the semicircular canals in the vestibular apparatus of the ear, the nurse should assess the client for:
A) instability when walking, because the semicircular canals maintain equilibrium. B) anxiety, because the semicircular canals maintain psychological understanding. C) ability to lift because the semicircular canals control gravitational pull. D) confusion, because the semicircular canals control understanding.
One way to suppress the symptoms of tardive dyskinesia is to:
A. increase the dose of the antipsychotic drug. B. administer supportive therapy. C. completely discontinue the use of the antipsychotic drug. D. taper the dose of the antipsychotic drug.