A client presents with an acute exacerbation of multiple sclerosis. Which prescribed medication does the nurse prepare to administer?

a. Baclofen (Lioresal)
b. Interferon beta-1b (Betaseron)
c. Dantrolene sodium (Dantrium)
d. Methylprednisolone (Medrol)


D
Methylprednisolone is the drug of choice for acute exacerbations of the disease. The other medi-cations are not appropriate.

Nursing

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Which diagnostic test result should the nurse expect for a patient with polymyositis?

a. Muscle biopsy positive for muscle dege-neration b. Positive antinuclear antibody (ANA) blood test result c. Positive 24-hour urine test result for urate crystals d. Urate crystals in the synovial fluid

Nursing

The nurse is administering intramuscular glucagon to a diabetic client who is hypoglycemic and unable to swallow. Which precaution should the nurse institute for complications or res-ponses to this therapy?

A. Apply pressure to the injection site for 5 minutes. B. Position the client on his or her side. C. Have a padded tongue blade available. D. Elevate the head of the bed.

Nursing

A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. To decrease the risk for ventilator-associated pneumonia, which action will the nurse include in the plan of care?

a. Elevate head of bed to 30 to 45 degrees. b. Suction the endotracheal tube every 2 to 4 hours. c. Limit the use of positive end-expiratory pressure. d. Give enteral feedings at no more than 10 mL/hr.

Nursing

A patient who is unconscious and has a pulse is brought to the emergency department. The patient is wearing a Medic-Alert bracelet indicating type 1 diabetes mellitus. The nurse will anticipate an order to administer

a. cardiopulmonary resuscitation (CPR). b. glucagon. c. insulin. d. orange juice.

Nursing