A nurse is caring for a client who recently had a stroke. The client requires assistance with strengthening the affected side. Which of the following referrals should the nurse anticipate the provider to make?

Respiratory therapist

Occupational therapist

Physical therapist

Social worker

Answer and Explanation

The Correct Answer is C

A. A respiratory therapist focuses on breathing and airway management, which is not the primary concern for a client needing strengthening after a stroke.
B. An occupational therapist helps clients with daily living activities and fine motor skills, but the focus on strengthening the affected side is more specific to physical therapy.
C. A physical therapist specializes in developing and implementing exercise programs to strengthen muscles and improve mobility, making this the most appropriate referral for the client's needs.
D. A social worker assists with emotional and social needs but would not focus on physical rehabilitation after a stroke.

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Correct Answer is C

Explanation

A. The headache is not related to anxiety but is a known side effect of nitroglycerin due to vasodilation.
B. An allergy to nitroglycerin typically presents as a rash or breathing difficulty, not a headache.
C. Nitroglycerin commonly causes headaches due to the dilation of blood vessels in the brain, which usually lessens over time as the body adjusts.
D. A headache does not indicate tolerance to the medication. Tolerance develops when the body becomes less responsive to the medication's effects, which usually involves a reduced effect on chest pain, not the onset of a headache.

A. Muscle strength becomes temporarily stronger. B. A "pill-rolling" tremor appears. C. Electrical charge in the muscle increases in intensity. D. Muscle strength shows no change.

Correct Answer is A

Explanation

A. A positive result in a Tensilon test is indicated by a temporary improvement in muscle strength following the administration of edrophonium (Tensilon), which confirms the diagnosis of myasthenia gravis.
B. A "pill-rolling" tremor is associated with Parkinson's disease and is not a relevant finding in myasthenia gravis or the Tensilon test.
C. The Tensilon test assesses muscle strength rather than electrical charge in the muscle; therefore, an increase in electrical activity is not a relevant measure for this test.
D. No change in muscle strength indicates a negative result for myasthenia gravis, suggesting that the test did not confirm the diagnosis.

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A nurse is caring for a client who recently had a stroke. The client requires assistance with strengthening the affected side. Which of the following referrals should the nurse anticipate the provider to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has heart failure prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?

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A nurse is assisting with the admission of a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse anticipate the provider prescribing to decrease ICP?

A nurse is caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

A nurse is caring for a client who recently had a stroke. The client requires assistance with strengthening the affected side. Which of the following referrals should the nurse anticipate the provider to make?

A nurse is reinforcing teaching to a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?