A client asks the nurse how skeletal muscle relaxants work. Which response should the nurse provide the client?
A. "They inhibit upper motor neuron activity within the central nervous system."
B. "They work primarily by stimulating the peripheral nervous system."
C. "They increase the amount of neurotransmitter within the muscles."
D. "They stimulate motor activity within the brainstem."
Answer: A
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While administering the flu vaccine via the intramuscular route, the nurse sees a blood return in the syringe barrel after aspirating 0.1 mL. What is the nurse's next step?
A) Inject the medication slowly. B) Remove the needle quickly and reinsert in a new site. C) Press down on the area with an alcohol pad. D) Withdraw the needle and prepare another injection.
The nurse is preparing to assess the thorax of an infant using the assessment technique of direct percussion. To correctly perform this assessment the nurse will use the:
1. hyperextended middle finger of the nondominant hand. 2. closed fist of dominant hand. 3. palm of the nondominant hand. 4. fingertips of the dominant hand.
An emergency department (ED) client's wife says, "I couldn't wake my husband up this morning. He was snoring so loudly. Why, he was so asleep he urinated in the bed. He has never done anything like this before and he is okay now."
Which question is the priority for the nurse to ask the client's wife? 1. "Does your husband have diabetes?" 2. "Was your husband especially active yesterday?" 3. "Has your husband ever had a seizure?" 4. "What kind of street drugs did your husband take last night?"
The nurse is contributing to a plan of care for a patient who has heart failure. What should be the major goal of nursing management for this patient?
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