The nurse recognizes the results in this laboratory report as consistent with which disorder?

1. Myasthenia gravis
2. Parkinson's disease
3. Amyotrophic lateral sclerosis (ALS)
4. Alzheimer's disease


1
Rationale 1: Laboratory results consistent with a diagnosis of myasthenia gravis include a positive edrophonium chloride (Tensilon) test, delayed nerve transmission during electromyography, and elevated levels of serum acetylchloine receptor antibodies.
Rationale 2: There are no diagnostic tests for Parkinson's disease.
Rationale 3: There are no diagnostic tests for ALS.
Rationale 4: The tests reported are not associated with AD diagnosis.

Nursing

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A client in the emergency department is having a stroke and the provider has prescribed the tissue plasminogen activator (t-PA) alteplase (Activase). The client weighs 146 pounds. How much medication will this client receive?

(Record your answer using a whole number.) _____ mg

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The nurse is caring for a patient with schizophrenia spectrum disorder who is taking olanzapine (Zyprexa). The nurse knows the patient requires education related to avoiding which drugs and/or foods?

1. Phenytoin 2. Grapefruit juice 3. Dexamethasone 4. Garlic supplements

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An adolescent has systemic lupus erythematosus (SLE). An action by the adolescent that indicates acceptance of body changes with SLE would be that the teen:

1. Refuses to attend school. 2. Doesn't want to attend any social functions. 3. Discusses the body changes with a peer. 4. Discusses the body changes with health care personnel only.

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The medical-surgical nurse is providing a hypertensive patient and the family with discharge instructions. The family is concerned about complications from hypertension. What information should the nurse provide?

1. "The complications are relatively minor." 2. "The physician will discuss the complications with you at a later date." 3. "There are potential complications, but the risks can be minimized if the hypertension is well controlled." 4. "People die if they don't manage their hypertension well.".

Nursing