The nurse is caring for a pt newly diagnosed with MG. The nurse is vigilant for complications related to both myasthenic crisis and cholinergic crisis. what is the priority nursing assessment for this pt?
a. monitor cardiac rhythm and rate
b. assess respiratory status and function
c. monitor fatigue and activity levels
d. perform neurologic checks every 2-4 hours
Answer: b. assess respiratory status and function
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A nurse is caring for a 69-year-old client who is recovering from health problems. The physiotherapist has prescribed ambulatory exercise, for which the nurse needs to monitor and assist the client
Which of the following would the nurse assess most closely in order to determine if the activity is beyond the tolerance level of the client? A) Heart rate B) Oxygen saturation C) Body temperature D) Blood pressure
Which aspects of assessment are most important for a patient with diffuse Lewy body disease who is agitated? Select all that apply
a. Medications recently administered b. Objective signs of pain c. Sleep disturbances d. Urinary output e. Heart sounds
The nurse is caring for a patient who has an order to change a dressing twice a day, at 0600 and 1800. At 1400, the nurse notices that the dressing is saturated. What is the nurse's next action?
a. Wait and change the dressing at 1800 as ordered. b. Revise the plan of care and change the dressing now. c. Reassess the dressing and the wound in 1 hour. d. Discontinue the plan of care.
A patient is diagnosed with a disorder in which deoxygenated blood is having difficulty returning to the heart and lungs for reoxygenation. In which part of the peripheral vascular system is the origin of this patient's disorder?
A. Arteries B. Venules C. Arterioles D. Capillaries