Nokea
A client is scheduled for electromyography (EMG).
What should the nurse tell the client about the procedure?
- A. Your hair will be carefully washed prior to the procedure.'
- B. This is a noninvasive procedure that takes about 30 minutes.'
- C. A sedative will be given to you shortly before the procedure.'
- D. You will not be allowed to eat 4-6 hours before the procedure.'
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) usually performed on the legs (2) correct-electrodes are attached to legs, length of time for impulse transmission is measured (3) may impair Test results (4) doesn't involve general anesthesia or GI system
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The nurse is caring for a client with a history of Parkinson’s disease.
- A. Which intervention is most effective for improving mobility in a client with Parkinson’s disease?
- B. Encourage a high-fiber diet.
- C. Administer levodopa on an empty stomach.
- D. Restrict physical activity to prevent falls.
- E. Apply warm compresses to joints.
Correct Answer: B
Rationale: Administering levodopa on an empty stomach enhances absorption, improving motor function in Parkinson’s disease. High-fiber diets prevent constipation, activity is encouraged, and compresses are ineffective for mobility.
The nurse caring for a 14 year-old boy with severe Hemophilia A, who was admitted after a fall while playing basketball. In understanding his behavior and in planning care for this client, the nurse should understand that adolescents with hemophilia
- A. Must have structured activities
- B. Often take part in active sports
- C. Explain limitations to peers
- D. Avoid risks after bleeding episodes
Correct Answer: B
Rationale: Often take part in active sports. Adolescents with hemophilia may engage in sports, requiring careful monitoring to prevent bleeding.
A 23-year-old man with Addison's disease comes to the health clinic. The nurse should expect the client to report that his skin has become
- A. darker and more pigmented.
- B. ruddy and oily.
- C. puffy and scaly.
- D. pale and dry.
Correct Answer: A
Rationale: increase in melanocyte-stimulating hormone results in 'eternal tan'
A woman calls the physician's office stating that her 16-year-old daughter took 20 or 30 sleeping pills. The mother tells the nurse that her daughter is awake and says, 'Leave me alone. I just want to die.' How should the nurse respond?
- A. Ask her why she wants to die.'
- B. Try to convince her that she wants to live.'
- C. Give her a glass of milk to bind the medication.'
- D. Call 911 and get her to the closest emergency room immediately.'
Correct Answer: D
Rationale: A suicide attempt with sleeping pills requires immediate emergency care to prevent overdose complications. Other responses delay critical intervention.
A 25-year-old primigravida with type I diabetes mellitus.
The nurse explains to the client that her insulin needs will
- A. increase during pregnancy and decrease after delivery.
- B. decrease during pregnancy and increase after delivery.
- C. increase during pregnancy and remain increased after delivery.
- D. decrease during pregnancy and fluctuate after delivery.
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-needs increase during pregnancy due to hormonal interference in glucose metabolism (2) needs increase during pregnancy due to hormonal interference in glucose metabolism (3) insulin needs will decrease after delivery (4) needs increase during pregnancy