John, 55, presents with progressive muscle twitching, cramps, and difficulty holding objects. His EMG shows signs of denervation, and MRI reveals corticospinal tract - degeneration. Past medical history includes hypertension and diabetes. Given that John has now developed dysphagia, what is the most appropriate nursing intervention?

Prescribe oral antispasmodic agents.

Administer anti-anxiety medications.

Initiate enteral tube feeding.

Teach relaxation techniques.

Answer and Explanation

The Correct Answer is C

A.   Oral antispasmodic agents may help with muscle twitching and cramps but are not indicated for dysphagia caused by corticospinal tract degeneration.
B.   Anti-anxiety medications are not indicated for dysphagia and progressive muscle weakness.
C.   Enteral tube feeding is appropriate to ensure adequate nutrition and hydration in individuals with dysphagia, preventing complications such as malnutrition and aspiration pneumonia.

D.   Relaxation techniques may help with muscle tension and anxiety but would not address the dysphagia directly.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Assessing the size and shape of the testicles can be part of a genital examination but is not the primary reason for asking David to bear down.
B. Asking David to bear down increases intra-abdominal pressure, making it easier to detect hernias in the inguinal ring and canal.
C. Checking for the presence of lumps in the scrotum may be part of the examination but is not the primary reason for asking David to bear down.
D. Evaluating the character and distribution of pubic hair is not related to detecting hernias and is not the primary reason for asking David to bear down.

A. Administer intravenous bicarbonate. B. Initiate mechanical ventilation. C. Consider reducing the dose of tiotropium. D. Administer supplemental oxygen cautiously. E. Administer intravenous corticosteroids

Correct Answer is ["B","D","E"]

Explanation

A. Intravenous bicarbonate is not typically indicated in the management of COPD because it can cause metabolic alkalosis and paradoxical intracellular acidosis.
B. Mechanical ventilation improves her gas exchange and correct her acid-base imbalance.
C. Reducing the dose of tiotropium is not appropriate because it is a long-acting bronchodilator that can help prevent bronchospasm and improve airflow in COPD patients.
D. Sarah's low PaO2 indicates hypoxemia, and supplemental oxygen is essential for correcting this. However, in COPD patients, oxygen therapy should be administered cautiously to avoid worsening hypercapnia.
E. Intravenous corticosteroids would reduce the inflammation and mucus production in her airways.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

David, a 30-year-old man, is examined for potential hernias. The healthcare provider asks him to bear down during the examination. What is the primary reason for this instruction?

Correct Answer is B

Explanation

Sarah, a 45-year-old woman with a 10-year history of COPD, presents with a pH of 7.30, PaO2 of 50, and PaCO2 of 60. She is currently taking tiotropium bromide. Which Interventions are most appropriate? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

Linda, a 70-year-old woman with COPD, has arterial blood gases that show a pH of 7.35, PaCO2 of 55, and Pa02 of 60. She is currently on 2 liters of oxygen via a nasal -cannula. Which of the following interventions are appropriate for Linda? Select all that apply

Anna, 45, presents with lymphadenopathy and an abnormal CBC. The healthcare provider orders flow cytometry. What is the primary reason for using flow cytometry in Anna's case?

Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

Nurse Olivia is discussing postoperative care with family members of patients who have undergone different surgeries. Match each patient's surgery to the appropriate postoperative care advice.

47. Nurse Karen is reviewing medication orders for patients with different types of throat infections. Match each patient's condition to the appropriate pharmacological intervention.

Jacob, a 45-year-old man, receives an injection of immunoglobulin after exposure to Hepatitis B. Which of the following statements about the type of immunity Jacob now has are correct? (Select all that apply.)

Thomas, 42, with a past history of kidney stones, has been prescribed ciprofloxacin for a UTI. Lab values indicate normal renal function. What should be included in the teaching plan?