Nokea
A 35-year-old woman is diagnosed with a peripheral neuropathy. When making her plan of care, the nurse knows to include what in patient teaching? Select all that apply.
- A. Inspect the lower extremities for skin breakdown.
- B. Footwear needs to be accurately sized.
- C. Immediate family members should be screened for the disease.
- D. Assistive devices may be needed to reduce the risk of falls.
- E. Dietary modifications are likely necessary.
Correct Answer: A,B,D
Rationale: Peripheral neuropathy requires inspecting for skin breakdown, proper footwear, and assistive devices to prevent falls. It is not genetic, and diet is unrelated.
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The nurse is developing a plan of care for a patient newly diagnosed with Bell's palsy. The nurse's plan of care should address what characteristic manifestation of this disease?
- A. Tinnitus
- B. Facial paralysis
- C. Pain at the base of the tongue
- D. Diplopia
Correct Answer: B
Rationale: Bell's palsy causes facial paralysis due to cranial nerve VII dysfunction. Tinnitus, tongue pain, and diplopia are not characteristic of this condition.
A patient diagnosed with Bell's palsy is being cared for on an outpatient basis. During health education, the nurse should promote which of the following actions?
- A. Applying a protective eye shield at night
- B. Chewing on the affected side to prevent unilateral neglect
- C. Avoiding the use of analgesics whenever possible
- D. Avoiding brushing the teeth
Correct Answer: A
Rationale: Bell's palsy can impair eye closure, risking corneal damage, so a protective eye shield at night is essential. Chewing on the affected side is difficult, analgesics may be needed, and oral hygiene should continue.
The nurse is preparing to provide care for a patient diagnosed with myasthenia gravis. The nurse should know that the signs and symptoms of the disease are the result of what?
- A. Genetic dysfunction
- B. Upper and lower motor neuron lesions
- C. Decreased conduction of impulses in an upper motor neuron lesion
- D. A lower motor neuron lesion
Correct Answer: D
Rationale: Myasthenia gravis results from a lower motor neuron lesion at the myoneural junction, causing muscle weakness. It is not genetic, nor does it involve upper motor neurons.
A patient diagnosed with myasthenia gravis has been hospitalized to receive plasmapheresis for a myasthenic exacerbation. The nurse knows that the course of treatment for plasmapheresis in a patient with myasthenia gravis is what?
- A. Every day for 1 week
- B. Determined by the patient's response
- C. Alternate days for 10 days
- D. Determined by the patient's weight
Correct Answer: B
Rationale: Plasmapheresis frequency in myasthenia gravis depends on clinical response, typically daily or alternate days until improvement. Fixed schedules or weight-based dosing are not standard.
A nurse is planning the care of a 28-year-old woman hospitalized with a diagnosis of myasthenia gravis. What approach would be most appropriate for the care and scheduling of diagnostic procedures for this patient?
- A. All at one time, to provide a longer rest period
- B. Before meals, to stimulate her appetite
- C. In the morning, with frequent rest periods
- D. Before bedtime, to promote rest
Correct Answer: C
Rationale: Scheduling procedures in the morning with rest periods minimizes fatigue in myasthenia gravis, where muscle weakness worsens with activity. Other timings risk exhaustion or poor appetite.