med surg 2 exam 1 (test bank)/136 Questions and Answers

A mother of three young children has a 3-year history of MG and recently stopped helping in the children's classrooms because of fatigue. Which advice does the nurse give to help the patient best cope with the problem? - ="Time your medication so its action peaks during the time you need the most energy." -A patient comes to the emergency room exhibiting confusion and manifestations related to dementia. Records from previous visits indicate a history of drug and alcohol abuse along with frequent treatment for sexually transmitted infections (STIs). Which laboratory test does the nurse consider to be unnecessary? - =Anticholinesterase testing with antibody titers -A patient diagnosed with Guillain-Barré syndrome (GBS) asks how the disease developed since the patient rarely has an illness. Which nursing response is the most accurate? - ="It may be an autoimmune reaction to a virus." -A patient has an injury resulting in a major damage to the pinna of the right ear. The patient expresses fear about hearing loss in the damaged ear. Which statement by the nurse will alleviate the patient's fear? - ="The impulses for hearing come from the middle and inner ear." -A patient has been on opioids for 3 months to control pain caused by injuries from a motor vehicle crash. The patient asks about the risk of withdrawal symptoms when the drugs are no longer needed. How should the nurse respond to the patient? - ="As long as you taper the drug dose down slowly, you should not experience withdrawal symptoms." -A patient in the plateau stage of GBS is frustrated because there has been no improvement in manifestations for 5 days. Which explanation does the nurse provide to the patient? - =The manifestations can last up to 2 weeks -A patient is being admitted to a long-term care facility. Medical history includes a recent stroke with dysarthria. Which factor does the nurse consider when providing care for this patient? - =A picture board will help the patient with word searching. -A patient is brought to the emergency department after being hit by a baseball bat during a game. Which nursing intervention is immediately reported to the HCP or RN? - =Changes in heart and respiratory rate, fever, and diaphoresis -A patient is brought to the health care provider's office with a headache, lethargy, nausea, vomiting, and a fever, which has developed over the past few days. The nurse begins collecting data about the possible causes of the symptoms. Which information indicates a possible cause for encephalitis? - =The patient has been camping within the last few weeks. -A patient is diagnosed with bacterial encephalopathy. Which symptoms exhibited by the patient indicate late signs of the patient's diagnosis? - =Lack of involvement and lip smacking or chewing -A patient is diagnosed with Ménière disease. Which therapeutic measures does the nurse expect the HCP to prescribe? - =A saltrestricted diet and prescribed antihistamines and vasodilators -A patient is diagnosed with otosclerosis and is scheduled for a stapedectomy. Which postoperative finding does the nurse report to the health care provider (HCP) or the registered nurse (RN) immediately? - =The patient received an antiemetic for nausea, but vomits after the medication. -A patient is distressed to learn that a sibling is diagnosed with both neurologic and cognitive manifestations of Huntington disease. When the patient asks the nurse how to determine the incidence of the disease, which answer is most appropriate? - ="You definitely need to have genetic testing for the disease." -A patient is prescribed the dopamine agonist pramipexole (Mirapex) for Parkinson disease. Which instructions are important for the nurse to include when teaching about this medication? (Select all that apply.) - ="Taking the medication with food may reduce nausea." "You may experience sudden bouts of excessive sleepiness." "Do not drive until the effects of this drug on you are fully known." -A patient is scheduled for a thymectomy. For which peripheral nervous system disorder does the nurse plan care for this patient? - =MG