The nurse is admitting a school-age child with suspected Guillain-Barré syndrome (GBS). Which nursing intervention is a priority in the care for this child?
a. Monitoring intake and output c. Placing on a telemetry monitor
b. Assessing respiratory efforts d. Obtaining laboratory studies
ANS: B
Treatment of GBS is primarily supportive. In the acute phase, patients are hospitalized because respiratory and pharyngeal involvement may require assisted ventilation, sometimes with a temporary tracheotomy. Treatment modalities include aggressive ventilatory support in the event of respiratory compromise, administration of intravenous immunoglobulin (IVIG), and sometimes steroids; plasmapheresis and immunosuppressive drugs may also be used. Monitoring intake and output, telemetry monitoring, and obtaining laboratory studies may be part of the plan of care but are not the priority.
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How is leadership role and management function associated with operational and strategic planning?
A) Articulating the unit philosophy in writing B) Assessing unit resources available for planning C) Developing unit policies and procedures that operationalize unit objectives D) Encouraging subordinates to be involved in policy formation
The nurse assesses a patient and notes difficulty seeing objects that are near. Which medical term will the nurse use when documenting this assessment finding in the medical record?
1) Astigmatism 2) Hyperopia 3) Myopia 4) Nystagmus
The school nurse is teaching a class of fourth-graders about bicycle safety. Which of the following instructions would be most appropriate?
a. Use additional caution when riding with a device that uses earphones b. When riding at night, wear reflective clothing c. Wear a helmet when riding on the pavement d. Never wear clothing that could be caught in the chain
Range-of-motion exercises that are performed by the staff are called ____________________.
Fill in the blank(s) with the appropriate word(s).