A nurse is admitting a client who has Guillain-Barre syndrome. The client complains of an inability to move both legs and reports a tingling sensation above the waistline. Which is the most important piece of equipment for the nurse to keep at this client's bedside?

Incentive spirometer

Hoyer lift

Intubation tray

Nebulizer

Answer and Explanation

The Correct Answer is C

A.   This is useful for preventing atelectasis in patients who are unable to take deep breaths, but it is not the most critical piece of equipment for this client at this time.
B.   While a Hoyer lift may be needed for mobility assistance in the future, it is not the most immediate priority.
C.   Guillain-Barre syndrome can rapidly progress, leading to respiratory muscle weakness and the need for mechanical ventilation. Having an intubation tray readily available is crucial to ensure a prompt response if the client's respiratory status deteriorates.
D.   A nebulizer is used to deliver medication to the lungs, but it is not the most critical piece of equipment for this client at this time.

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Correct Answer is B

Explanation

A. The immediate concern with abrupt cessation is more related to adrenal insufficiency rather than hyperglycemia. However, chronic use of prednisone can contribute to glucose intolerance and diabetes, but this is not the primary issue with sudden discontinuation.
B. Abrupt discontinuation of prednisone can lead to adrenal insufficiency because the body has become reliant on the medication to suppress inflammation and regulate various bodily functions. The adrenal glands may not immediately resume normal cortisol production, which can lead to symptoms of adrenal insufficiency, including hypotension.

C. Fluid retention is a common side effect of prednisone use. However, stopping prednisone suddenly does not typically cause fluid retention; rather, it can lead to other issues like adrenal insufficiency. Fluid retention is more related to the medication's use rather than its abrupt discontinuation.
D. Abruptly stopping high-dose prednisone, especially after long-term use, can be dangerous. The body may not immediately resume normal cortisol production, leading to symptoms of adrenal insufficiency, such as fatigue, weakness, and hypotension. It is crucial to taper off prednisone gradually under medical supervision to allow the adrenal glands time to recover and to avoid withdrawal symptoms.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Explanation

Peritonitis
Peritonitis is an infection of the peritoneum (the lining of the abdominal cavity), often related to peritoneal dialysis. It can present with abdominal pain, fever, rigidity, and rebound tenderness,
consistent with the client’s symptoms. Cloudy effluent is also a common sign of peritoneal dialysis- related peritonitis.

Peritoneal dialysis
Peritoneal dialysis is a type of dialysis that uses the peritoneum (abdominal lining) to filter blood. If there is an issue with the dialysis process, it could lead to complications such as peritonitis. This is consistent with the client's symptoms, such as abdominal pain, fever, nausea, vomiting, and cloudy effluent.

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A nurse is admitting a client who has Guillain-Barre syndrome. The client complains of an inability to move both legs and reports a tingling sensation above the waistline. Which is the most important piece of equipment for the nurse to keep at this client's bedside?

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Naxlex Comprehensive Predictor Exams

A client has been on daily, high-dose prednisone therapy to treat an exacerbation of rheumatoid arthritis. His prescription runs out before his next paycheck. He decides to skip his prednisone for a few days. What is likely to happen to this patient when he abruptly stops taking prednisone?

Correct Answer is B

Explanation

A nurse is caring for a 44-year-old female client in the emergency department. Exhibits Complete the following sentence by using the list of options. The client is experiencing caused by

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Explanation

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