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Which collaborative health-care team member should the nurse refer the client to in the late stages of myasthenia gravis?
- A. Occupational therapist.
- B. Recreational therapist.
- C. Vocational therapist.
- D. Speech therapist.
Correct Answer: D
Rationale: Speech therapists address dysphagia and communication issues in late-stage myasthenia gravis. Other therapists are less relevant.
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Which ocular or facial signs/symptoms should the nurse expect to assess for the client diagnosed with myasthenia gravis?
- A. Weakness and fatigue.
- B. Ptosis and diplopia.
- C. Breathlessness and dyspnea.
- D. Weight loss and dehydration.
Correct Answer: B
Rationale: Ptosis and diplopia are hallmark ocular symptoms of myasthenia gravis due to neuromuscular weakness. General weakness, respiratory issues, and weight loss are less specific.
The 26-year-old female client is complaining of a low-grade fever, arthralgias, fatigue, and a facial rash. Which laboratory tests should the nurse expect the HCP to order if SLE is suspected?
- A. Complete metabolic panel and liver function tests.
- B. Complete blood count and antinuclear antibody tests.
- C. Cholesterol and lipid profile tests.
- D. Blood urea nitrogen and glomerular filtration tests.
Correct Answer: B
Rationale: CBC and ANA tests detect anemia, leukopenia, and autoantibodies, supporting SLE diagnosis. Metabolic, lipid, and renal tests are less specific initially.
The client admitted with rule-out Guillain-Barré syndrome has just had a lumbar puncture. Which intervention should the nurse implement postprocedure?
- A. Monitor the client for hypotension.
- B. Apply pressure to the puncture site.
- C. Test the client's cerebrospinal fluid.
- D. Increase the client's fluid intake.
Correct Answer: D
Rationale: Increasing fluid intake post-lumbar puncture prevents spinal headache. Hypotension is not a primary concern, pressure is applied during the procedure, and CSF testing is lab-based.
The nurse is developing a care plan for a client diagnosed with allergic rhinitis. Which independent problem has priority?
- A. Ineffective breathing pattern.
- B. Knowledge deficit.
- C. Anaphylaxis.
- D. Ineffective coping.
Correct Answer: A
Rationale: Ineffective breathing pattern is a priority in allergic rhinitis due to potential airway obstruction. Knowledge, anaphylaxis risk, and coping are secondary.
The client diagnosed with an acute exacerbation of SLE is prescribed high-dose steroids. Which statement best explains the scientific rationale for using high-dose steroids in treating SLE?
- A. The steroids will increase the body's ability to fight the infection.
- B. The steroids will decrease the chance of the SLE spreading to other organs.
- C. The steroids will suppress tissue inflammation, which reduces damage to organs.
- D. The steroids will prevent scarring of skin tissues associated with SLE.
Correct Answer: C
Rationale: Steroids suppress inflammation in SLE, reducing organ damage. They do not fight infection, prevent disease spread, or address skin scarring primarily.