An individual is brought to the emergency department (ED) by some concerned friends, who say they think she had a stroke. Upon assessment, she complains of blurred vision, has drooping eye-lids, slurred speech, and difficulty swallowing
The nurse suspects that she has _____________ and anticipates _____________. a. botulism poisoning; symmetric descending flaccid paralysis
b. tularemia; tender, enlarged, and inflamed lymph nodes
c. botulism poisoning; symmetric ascending flaccid paralysis
d. been exposed to ricin; lesions on the body
A
The clinical manifestations are consistent with botulism poisoning, which will be further charac-terized by symmetric, descending flaccid paralysis.
The signs and symptoms are not consistent with tularemia, which is manifested by acute, flulike symptoms.
The clinical manifestations are consistent with botulism poisoning; however, the paralysis is descending, not ascending.
Manifestations of ricin exposure vary, depending on the route of exposure, but they are not con-sistent with botulism symptoms.
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A nurse is researching the topic of edema during pregnancy. Which physiologic mechanism contributes to fluid retention?
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