Nokea
A client presents to the emergency department with symptoms of muscle weakness, double vision, and difficulty swallowing. The nurse suspects botulism poisoning. Which of the following statements accurately describes botulism?
- A. Botulism is caused by a bacterial infection with Clostridium difficile.
- B. Botulism is primarily transmitted through contaminated water sources.
- C. Botulism toxin acts by enhancing muscle contractions and reflexes.
- D. Botulism toxin inhibits the release of acetylcholine at neuromuscular junctions.
Correct Answer: D
Rationale: Botulism toxin inhibits acetylcholine release, causing muscle weakness.
You may also like to solve these questions
Of the following, which conditions would the nurse recognize as potential sources of neuropathic pain?
- A. Spinal tumor
- B. Arthritic joint
- C. Muscle strain
- D. Shingles
- E. Kidney stones
Correct Answer: A,D
Rationale: Spinal tumors and shingles cause neuropathic pain due to nerve involvement.
The nurse has received a prescription for midazolam. Which of the following client findings requires follow-up with the physician prior to administering this medication?
- A. Cocaine intoxication
- B. Respiratory acidosis
- C. Tonic-clonic seizures
- D. Aggression
Correct Answer: B
Rationale: Midazolam, a benzodiazepine, can cause respiratory depression, which is dangerous in clients with respiratory acidosis. Tonic-clonic seizures are an indication for midazolam, while cocaine intoxication and aggression are less directly contraindicated.
The nurse is supervising a graduate nurse implement seizure precautions for a client with epilepsy. Which observation by the nurse requires follow-up?
- A. Pads the side rails of the bed
- B. Lowers the side rails while the client sleeps.
- C. Removes hard and sharp objects from the bed.
- D. Places the client in four point restraints to prevent injury.
- E. Places a fall risk bracelet on the client.
Correct Answer: B,D
Rationale: Lowering side rails and using restraints increase injury risk during seizures and require correction.
The nurse is reviewing laboratory data for a client taking prescribed phenytoin. The client's phenytoin level is 12 mcg/mL (10-20 mcg/mL). Which action should the nurse take next?
- A. Evaluate the client for non-adherence
- B. Instruct the client to skip the next scheduled dose
- C. Assess the client for phenytoin toxicity
- D. Document the result as within normal limits
Correct Answer: D
Rationale: A phenytoin level of 12 mcg/mL is within the therapeutic range (10-20 mcg/mL), so the nurse should document the result as normal. Non-adherence, skipping doses, or toxicity assessment are not indicated.
The nurse is caring for a client with narcolepsy. The nurse anticipates which prescription from the primary healthcare provider?
- A. Trazodone
- B. Modafinil
- C. Diazepam
- D. Fluoxetine
Correct Answer: B
Rationale: Modafinil is a wakefulness-promoting agent used to treat excessive daytime sleepiness in narcolepsy. Trazodone, diazepam, and fluoxetine are not indicated for narcolepsy.