A nurse is caring for a client with Guillain-Barré syndrome (GBS). The client also has an ascending paralysis. Knowing the complications of the disorder, the nurse should keep which of the following items always ready at the bedside?
A) Nebulizer and thermometer C) Blood pressure apparatus
B) Intubation tray and suction apparatus D) Incentive spirometer
B
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After assessing the older man in his bed, the nurse determines that he is at high risk for falls. The nurse leaves the room to get a fall risk sign and returns to find him on the floor pleading for help
Which of the following was the most important intervention the nurse should have implemented to prevent this event? a. Call for someone to bring the sign. b. Show the older man how to use the call bell. c. Provide a urinal and drinking water. d. Instruct the patient to call for help.
Nurses doing patient education often use motivators for learning with patients who are struggling with behavioral changes necessary to adhere to a treatment regimen. What is one motivator the nurse might use with a young adult?
A) A learning contract B) A star chart C) A point system D) A food-reward system
The nurse who assesses increased muscle size in a client would document this finding as being:
a. hypertrophy. c. atrophy. b. hypertonicity. d. hypotonicity.
The nurse was caring for an elderly 82-year-old gentleman who lives with his son. The nurse is concerned about elder abuse. Which of the following may well be the nurse's single most important intervention?
A. Counsel and recognize the son's efforts in relation to being a caregiver. B. Encourage the son to consider respite care or adult day care for his father if at all affordable. C. Give information to the son regarding nursing home placement. D. Suggest that other family members might be of some assistance with caregiving.