What alteration in laboratory data would the nurse expect to see in a client with myasthenia gravis?
A. Elevated serum calcium level
B. Decreased thyroid hormone level
C. Decreased complete blood count
D. Elevated acetylcholine receptor antibody levels
D
Testing for acetylcholine receptor (AChR) antibodies is important, because 80% to 90% of clients with the disease have elevated AChR antibodies.
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The nurse is teaching family members of a child getting ready for discharge how to administer medication via a G-tube for the child. Using the psychomotor domain of teaching, how does the nurse know the teaching was effective?
1. The family is able to give a return demonstration. 2. The family is able to repeat the instructions. 3. The family is able to tell the nurse how they feel about the instruction. 4. The family is able to understand what has been said by the nurse.
After a class discussion on moral evaluations, which characteristic if identified by the class would lead the instructor to determine that the discussion has been effective?
A) There is specificity that applies to an individual person. B) A special place is given to a person's own welfare. C) Other values cannot override the moral evaluation. D) The evaluation is one that an individual can understand.
A psychiatric nurse is working with a client who frequently makes remarks such as, "I know my boss is setting me up to be fired; she just won't admit it to me"
When the nurse calls this client to cancel a counseling appointment due to an emergency with another client, this client tells the nurse, "You really don't want to meet with me, do you? You don't like me very much." This client is MOST likely diagnosed with: a. obsessive-compulsive personality disorder b. paranoid personality disorder c. schizoid personality disorder d. schizotypal personality disorder
Which statement about assessment findings obtained from a comprehensive assessment would be identified as part of the general survey?
A) Hair neat clean with white and gray streaks; no scalp lesions noted B) Sclera white; conjunctiva slightly reddened without lesions C) Client alert and cooperative; sitting comfortably on chair with hands in lap D) Head symmetrically round; neck nontender with full range of motion