When teaching the client and family about the disease myasthenia gravis, the nurse should include what information?
1. Methods to increase fluid intake
2. Signs and symptoms of cholinergic crisis
3. Strategies to improve memory
4. Signs and symptoms of fluid volume excess
Answer: 2
1. Increasing fluid intake is not a priority.
2. Cholinergic crisis is caused by overmedication with cholinergic medications. Symptoms will include excessive sweating, bradycardia, severe muscle weakness, cramps, and salivation.
3. Memory is not affected.
4. Fluid volume excess is not an issue.
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The nurse is planning a group to rehabilitate sex offenders in a forensic psychiatric hospital. Which of the following factors would most likely decrease the degree of trust and cohesion among the members?
1. One hour weekly sessions 2. Addition of new members 3. Confidentiality rights of victims 4. Member interaction outside the group
A nurse manager is educating unit staff on cultural competence. The manager knows that the teaching has been effective when one of the staff members states that cultural competence is (Select all that apply.)
a. "not important in health care.". b. "accepting and respecting cultural differ-ences.". c. "demonstrating knowledge of the patient's culture.". d. "demonstrating an understanding of the patient's culture.". e. "adapting care to be congruent with the patient's culture.".
A patient with Parkinson's disease is experiencing an increase in bradykinesia. What will the patient demonstrate with this manifestation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Slow speech 2. Difficulty chewing 3. Shuffling the feet when walking 4. Stooped posture 5. Lack of facial expression
A patient on the medical unit receives regular insulin at 7:00 a.m. The nurse is alert to a possible hypoglycemic reaction by which time?
a. 7:30 a.m. b. 9:00 a.m. c. 4:00 p.m. d. 8:00 p.m.