The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Guillain-Barre syndrome.

Mycoplasma pneumonia.

Cytomegalovirus.

Epstein-Bar virus.

Answer and Explanation

The Correct Answer is A

A. Guillain-Barre syndrome is a condition that can occur after an upper respiratory infection and is characterized by progressive weakness, numbness, and sometimes difficulty swallowing, which align with the client's symptoms.

B. Mycoplasma pneumonia primarily affects the respiratory system and does not typically cause lower extremity numbness and difficulty swallowing.

C. Cytomegalovirus can cause a range of symptoms but is not specifically associated with lower extremity numbness and difficulty swallowing.

D. Epstein-Barr virus is linked to infectious mononucleosis and does not typically cause lower extremity numbness and difficulty swallowing.

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Correct Answer is ["D"]

Explanation

A. A bounding radial pulse does not specifically indicate the patency of an AV fistula; it is a general assessment of peripheral pulse quality.

B. Distended veins in the hand may indicate venous congestion but are not a reliable indicator of fistula patency.

C. A "thrill" is a vibratory sensation felt over the fistula. It is caused by the turbulent blood flow moving from the high-pressure artery into the lower-pressure vein. However, this choice is wrong since a thrill should be palpated and not auscultated.

D. The presence of a bruit (a whooshing sound) over the AV fistula indicates the flow of blood through the fistula, confirming patency.

A. Do not take diabetes medication when feeling sick. B. Obtain an A1C blood test every year to monitor glucose control. C. Follow the individualized meal plan and avoid high fat diets. D. Apply lotion to entire foot to prevent cracks in the skin.

Correct Answer is C

Explanation

A. It is important for clients to continue taking their diabetes medication even when they are feeling sick to prevent hyperglycemia and other complications.

B. An A1C blood test should be obtained more frequently than once a year, typically every 3 months, to effectively monitor glucose control.

C. Following an individualized meal plan and avoiding high-fat diets are key components of managing type 2 diabetes mellitus. This helps maintain blood glucose levels within the target range and reduces the risk of complications.

D. Applying lotion to the feet is important to prevent dry skin and cracks, but it should not be applied between the toes as this can increase moisture and risk of infection.

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The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Select all that apply.

Correct Answer is ["D"]

Explanation

The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information verbalized by the client indicates understanding?

Correct Answer is C

Explanation

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