Scribd
Upload
32 views1 page

Nure 231-40

The document discusses various nursing scenarios, including communication strategies for hearing-impaired clients and the management of conditions like myasthenia gravis and Parkinson's disease. It highlights the importance of proper instructions for unlicensed assistive personnel, appropriate responses to clients with mental health issues, and critical nursing actions related to medication administration. Key points include recognizing signs of cholinergic crisis, avoiding high-impact exercises for osteoarthritis, and the necessity of checking vital signs before administering digoxin.

Uploaded by

George
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
32 views1 page

Nure 231-40

The document discusses various nursing scenarios, including communication strategies for hearing-impaired clients and the management of conditions like myasthenia gravis and Parkinson's disease. It highlights the importance of proper instructions for unlicensed assistive personnel, appropriate responses to clients with mental health issues, and critical nursing actions related to medication administration. Key points include recognizing signs of cholinergic crisis, avoiding high-impact exercises for osteoarthritis, and the necessity of checking vital signs before administering digoxin.

Uploaded by

George
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

A nurse assigns a unlicensed assistive personnel (UAP) to care for a client who is hearing impaired and

provides instructions to the UAP about the effective methods for communicating with the client. Which
statement by the UAP indicates that further instruction is needed?

"I should raise the volume of my voice and stand on the client's affected side when I'm talking to him."

A Tensilon test is performed on a client with suspected myasthenia gravis. Which finding constitutes a
positive result?

An increase in muscle strength

A client with myasthenia gravis who has been taking pyridostigmine bromide for the treatment of the
disorder comes to the emergency department complaining of severe muscle weakness, and cholinergic
crisis is diagnosed. Which medication does the nurse prepare for immediate use in treating the crisis?

Atropine sulfate

A nurse provides information about activity and exercise to the wife of a client with Parkinson's disease.
Which statement by the spouse indicates a need for further instruction?

"I should encourage him to keep his hands hanging at his side when he walks."

A nurse is caring for a client who has had a stroke and is experiencing hemianopsia. Which measure does
the nurse take in the care of the client?

Teaching the client to move the head from side to side (scan) when eating

A nurse has provided information about exercise to a client with a diagnosis of degenerative joint
disease (osteoarthritis). Which type of exercise does the nurse tell the client to avoid?

High-impact exercise

A client diagnosed with schizophrenia says to the nurse, "I decided not to take my medication because it
can't help. I am the only one who can help me." Which nursing response is therapeutic in this situation?

"Your doctor wants you to continue this medication because it's helping you. Do you recall needing to
be hospitalized because you stopped your medication?"

A nurse prepares to administer digoxin to a client with heart failure. Which vital sign must be checked
before the medication is administered?

Apical pulse

A nurse preparing to administer digoxin to a client calls the laboratory for the result of the digoxin assay
performed on a specimen that was drawn at 6 a.m. The laboratory reports that the result was 2.0 ng/mL
(2.6 nmol/L). On the basis of this result, the nurse would:

Contact the health care provider

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy