The nurse assesses a client who has Guillain-Barré syndrome. Which clinical manifestation does the nurse expect to find in this client?
a. Ophthalmoplegia and diplopia
b. Progressive weakness without sensory involvement
c. Progressive, ascending weakness and pa-resthesia
d. Weakness of the face, jaw, and sternoc-leidomastoid muscles
C
The most common clinical pattern of Guillain-Barré syndrome is the ascending variety. Weakness and paresthesia begin in the lower extremities and progress upward. The other manifestations are not associated with Guillain-Barré syndrome.
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A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes is known as a _____________ ___________
ANS:
The nurse is caring for a patient with neurogenic diabetes insipidus and administers what drug to treat the condition?
A) Dexamethasone (Decadron) B) Desmopressin (DDAVP, Stimate) C) Methylprednisolone (Solu-Medrol) D) Physostigmine (Antilirium)
The nurse is admitting and preparing the client for surgery. Following administration of Ativan 2 mg orally, one time dose, which safety measure is most appropriate?
A) Place the client in a semi-Fowler's position. B) Place the side rails in the up position. C) Remove the water pitcher from the bedside. D) Instruct the family to call for any client needs.
Following an abdominal laparascopic procedure to examine the pelvic cavity, a client is concerned because she is passing gas through her vagina. The nurse should offer which of the following responses:
A) "This is normal following the procedure you had done." B) "I'll give you some perineal pads in case fluid is also expelled." C) "As long as you don't have severe pain or bleeding, it should be okay." D) "That is quite unusual. I'll let your physician know."