Because the most common symptoms of MG are related to involvement of the levator palpebrae or extraocular muscles, which assessment technique does the nurse use?
a. use a penlight and check for pupil size and response
b. observe for protrusion of the eyeballs
c. check accommodation by moving the finger toward the pt's nose
d. face the pt and direct him or her to open and close the eyelids
Answer: d. face the pt and direct him or her to open and close the eyelids
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A woman is in the family planning clinic seeking birth control information. She states that her breasts "change all month long" and that she is worried that this is unusual. What is the nurse's best response? The nurse should tell her that:
a. Continual changes in her breasts are unusual. The breasts of nonpregnant women usually stay pretty much the same all month long. b. Breast changes in response to stress are very common and that she should assess her life for stressful events. c. Because of the changing hormones during the monthly menstrual cycle, cyclic breast changes are common. d. Breast changes normally occur only during pregnancy and that a pregnancy test is needed at this time.
Your manic patient is being discharged on lithium. Which of the following would NOT be in the teaching plan?
A. Blood levels must be closely monitored. B. Continue to take lithium even when your manic symptoms are resolved. C. Restrict fluids while taking this drug. D. Contact your doctor if you experience side effects rather than stopping the drug.
Which is an example of a nursing diagnosis?
a. Pneumonia b. Diabetes mellitus c. Impaired skin integrity d. Congestive heart failure
You are the nurse trying to get a child to take his medication. The child refuses to take the medicine, saying, "I hate this medicine because it tastes yucky." Your best response is:
a. "Your daddy and mommy will be upset if you don't take this medicine. Your health care practitioner will be upset with you too." b. "You will not get well if you don't take this medicine. It is good for you and will make you well again." c. "Good boys and girls always take their medicine. If you are a good little child, you will take your medicine and Santa will bring you a present." d. "I understand that the medicine does not taste good and you don't want to take it, but I am so proud of you then you take it and you can be proud of yourself."