The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). Which assessment findings should the nurse anticipate? (Select all that apply.)
a. Hemiparesis
b. Bradykinesia
c. Pill-rolling tremor
d. Ascending paralysis
e. Progressive weakness
f. Decreased coordination of extremities
ANS: E, F
Primary symptoms of ALS include progressive muscle weakness and decreased coordination of arms, legs, and trunk. Atrophy of muscles and twitching (fasciculations) also occur. B. C. Pill-rolling tremor and bradykinesia are symptoms of Parkinson's disease. D. Ascending symptoms occur in Guillain-Barré syndrome. A. Paralysis on one side of the body occurs in strokes.
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The nurse is admitting a patient to the medical–surgical unit from the PACU. What should the nurse do to help the patient clear secretions and help prevent pneumonia?
A) Encourage the patient to eat a balanced diet that is high in protein. B) Encourage the patient to limit his activity for the first 72 hours. C) Encourage the patient to take his medications as ordered. D) Encourage the patient to use the incentive spirometer every 2 hours.
The acronym TEACH represents the components of a therapeutic relationship, including __________, __________, __________, __________, and __________
Fill in the blank(s) with correct word
A patient is receiving mebendazole (Vermox) as treatment for hookworm. Which of the follow-ing routes of drug elimination is applicable to this drug?
a. Liver b. Feces c. Urine d. Lungs
Which is an important nursing intervention when giving care to a patient withdrawing from a central nervous system (CNS) stimulant?
a. Make physical contact by frequently touching the patient. b. Offer intellectual activities requiring concentration. c. Avoid manipulation by denying the patient's requests. d. Observe for depression and suicidal ideation.