Nokea
The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately?
- A. Complaints of numbness and tingling
- B. Facial weakness and difficulty speaking
- C. Rapid heart rate of 102 beats per minute
- D. Shallow respirations and decreased breath sounds
Correct Answer: D
Rationale: Respiratory compromise is a critical concern in GBS and requires immediate attention.
You may also like to solve these questions
What is a common neurotransmitter?
- A. Acetylcholine
- B. GABA
- C. Serotonin
- D. All of the above
Correct Answer: D
Rationale: Acetylcholine, GABA, and serotonin are all common neurotransmitters. Acetylcholine is involved in muscle activation and memory, GABA is an inhibitory neurotransmitter that reduces neuronal excitability, and serotonin regulates mood, appetite, and sleep. The diversity of neurotransmitters allows for complex regulation of nervous system functions.
What best describes the manifestations of OA?
- A. Smaller joints are typically affected first.
- B. There is joint stiffness after periods of inactivity.
- C. Joint stiffness is accompanied by fatigue, anorexia, and weight loss.
- D. Pain and immobility may be aggravated by falling barometric pressure.
Correct Answer: B
Rationale: OA stiffness occurs after inactivity.
Which patient should the nurse assess first after change-of-shift report?
- A. A 42-year-old patient with carpal tunnel syndrome complaining of pain.
- B. A 64-year-old patient with osteoporosis who is waiting for discharge.
- C. A 28-year-old patient with fracture complaining that the cast is tight.
- D. A 56-year-old patient with left leg amputation complaining of phantom pain.
Correct Answer: C
Rationale: A tight cast can lead to compartment syndrome, which is a medical emergency.
With regard to the cutaneous innervation of the thorax and abdomen
- A. above the 2nd rib, the skin is supplied by the cervical plexus (C4)
- B. loss of a single spinal segment will produce a sensory deficit
- C. it is supplied segmentally by the anterior primary rami of T1 to L1
- D. T8 supplies skin at the level of the umbilicus
Correct Answer: C
Rationale: The thorax and abdomen are supplied segmentally by the anterior primary rami of T1 to L1. Each dermatome corresponds to a specific spinal nerve level.
A 71-year-old patient has had PD for 8 years and is currently taking pramipexole 1.5 mg three times a day and carbidopa/levodopa 25/100 mg four times a day. His wife claims that he is complaining of seeing spiders and bugs running across the floor and imaginary children in their house. The first thing to do is:
- A. Increase the pramipexole dose.
- B. Reduce the pramipexole dose.
- C. Increase the carbidopa/levodopa dose.
- D. Reduce the carbidopa/levodopa dose.
Correct Answer: B
Rationale: Hallucinations in PD patients are often a side effect of dopamine agonists like pramipexole. Reducing the dose can help alleviate these symptoms.