A client is admitted with Guillain-Barré syndrome (GBS). What assessment takes priority?
a. Bladder control
b. Cognitive perception
c. Respiratory system
d. Sensory functions
ANS: C
Clients with GBS have muscle weakness, possibly to the point of paralysis. If respiratory muscles are paralyzed, the client may need mechanical ventilation, so the respiratory system is the priority. The nurse will complete urinary, cognitive, and sensory assessments as part of a thorough evaluation.
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A homeless man was screened for tuberculosis (TB) during a health consultation at a shelter, and the results indicate latent TB
The community health nurse who is liaising with the providers of the shelter would anticipate what component of this man's plan of care? A) The man will undergo conservative treatment for TB using adjuvant medications. B) The man will be treated for TB using first-line antitubercular drugs. C) The man will be monitored closely to determine if treatment is necessary. D) The man will be screened again in 10 to 12 weeks to determine whether he has developed active TB.
Which of the following intravenous solutions should the nurse prepare for a client who is going to be receiving a blood transfusion?
1. Dextrose 5% in water 2. Ringer's lactate 3. Normal saline 4. Dextrose 10% in water
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Indicate whether the statement is true or false
People are fearful of the West Nile virus. Which of the following statements could a nurse truthfully say to them?
a. "You should avoid forested areas to protect yourself." b. "Don't touch any dead birds or other small animals." c. "Wear insect repellent because the disease is spread by infected mosquitoes." d. "The disease is present in only isolated areas of the United States."