A client seeks medical attention for the onset of lower extremity paralysis after eating food prepared during a camping trip. Which disease process should the nurse anticipate planning care for this client?
1. Plague
2. Botulism
3. Typhoidal tularemia
4. Viral hemorrhagic fever
2
Rationale 1: The plague does not cause paralysis.
Rationale 2: Food-borne botulism is a muscle-paralyzing disease caused by an anaerobic gram-positive bacillus that produces a potent neurotoxin.
Rationale 3: Typhoidal tularemia does not cause paralysis.
Rationale 4: Viral hemorrhagic fever does not cause paralysis.
Global Rationale: Food-borne botulism is a muscle-paralyzing disease caused by an anaerobic gram-positive bacillus that produces a potent neurotoxin. The plague, typhoidal tularemia, and viral hemorrhagic fever do not cause paralysis.
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The nurse is working with a 3-year-old child in Bryant's traction for a fractured femur. A pain assessment scale such as the Oucher Scale can be useful to the nurse caring for this child because use of a pain assessment scale:
1. Provides continuity and consistency in assessing and monitoring the child's pain. 2. Decreases anxiety in the child. 3. Increases the child's comfort level. 4. Reduces the child's fear of painful procedures.
A critical care nurse is caring for a client with an endotracheal tube who is on a ventilator. The nurse knows that meticulous airway management of this patient is necessary. What is the main rationale for this?
A) Maintaining a patent airway B) Preventing the need for suctioning C) Maintaining the sterility of the patient's airway D) Increasing the patient's lung compliance
Leopold's maneuvers are used by practitioners to determine:
a. the best location to assess the fetal heart rate. b. cervical dilation and effacement. c. whether the fetus is in the posterior position. d. the status of the membranes.
A nurse conducting a review of the literature wants to narrow the search to traditional medical viewpoints on the topic. The nurse should do which of the following?
a. Refine the Internet search with filters b. Only visit libraries in research universities c. Ask the librarian what the traditional views are d. Read every article published over the last 20 years