An adult female in her 30s complains of numbness and tingling in the hands, fatigue, loss of coordination, incontinence, nystagmus, and ataxia. Which of the following health problems do these symptoms suggest to the nurse?
1. Brain tumor
2. Myasthenia gravis
3. Multiple sclerosis
4. Diabetes
3
Multiple sclerosis is more common in women of this age. These are symptoms, along with the age and sex of the patient, that are common to MS. These symptoms are not necessarily associated with a brain tumor. Weakness is the primary symptom associated with myasthenia gravis. Symptoms of diabetes include weight loss, blurred vision, excessive urination, thirst, and hunger.
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A) Increased urine output B) Decreased heart rate C) Hyperactive bowel sounds D) Cool, clammy skin
The nurse is caring for a client with frequent dizziness. The nurse is evaluating the client for postural hypotension. Which of the following symptoms would indicate a potential diagnosis?
A) A blood pressure elevation upon rising or activity B) A drop in systolic blood pressure (15 mm Hg) upon rising C) A pulsating headache D) A drop in diastolic blood pressure (25 mm Hg) upon rising
Which assessment finding of the skin of an 82-year-old woman should be explored further?
A. Discolored fingernails B. Areas of petechiae on the trunk and arms C. Mottled pigmentation on the neck, cheeks, and forehead D. Numerous cherry hemangiomas scattered across the anterior and posterior trunk
A chief nursing officer (CNO) is concerned about the ongoing nursing shortage and wants to implement strategies to keep it from getting worse. Which action by the CNO would best meet this goal?
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