The nurse is educating the family of a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which information is most important for the nurse to include?
a. Ability to move the upper limbs may be affected.
b. Cognitive and mental capacities will most likely remain intact throughout the disease progression.
c. Breathing should not be affected by the disease.
d. Ability to swallow will remain intact.
B
Whereas the ability to move the upper limbs will likely be affected by the disease, it is important for families to remember that the patient's cognitive and mental capacity stays intact as the motor activity rapidly declines. Breathing and swallowing are often significantly affected by ALS.
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The client receiving radiotherapy complains of increased fatigue. The nurse understands that the most significant reason for this symptom is related to which factor?
A) The cancer is advancing to other tissues. B) Cancer cells are dying at a high rate. C) Radiation suppresses red blood cell production. D) Fighting off infection can be exhausting.
A patient comes to the clinic for a follow-up appointment after being released from the hospital for angina. The nurse is discussing his medication, nitroglycerin
The nurse is correct to state that the principal way this medication relieves the pain of stable angina is by a. strengthening blood pressure. b. reducing cardiac oxygen demand. c. promoting vagal stimulation. d. increasing sympathetic stimulation to the heart.
A multi-tiered effort of gaining acceptance from gatekeepers may be needed if the subject involves a sensitive issue in a community or organization
A) True B) False
The nurse is conducting a physical examination of a child with suspected developmental dysplasia of the hip. Which finding would help confirm this diagnosis?
A) Abduction occurs to 75 degrees and adduction to within 30 degrees (with stable pelvis). B) A distinct "clunk" is heard with Barlow and Ortolani maneuvers. C) A high-pitched "click" is heard with hip flexion or extension. D) The thigh and gluteal folds are symmetric.