The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning?

Increased pulse rate, adventitious breath sounds.

Increased pulse rate, respirations of 16 breaths/minute.

Decreased pulse rate, respirations of 20 breaths/minute.

Decreased pulse rate, abdominal breathing.

Answer and Explanation

The Correct Answer is A

Increased pulse rate, adventitious breath sounds. Guillain-Barré syndrome (GBS) is a rare autoimmune disorder that affects the peripheral nervous system. It can cause weakness, paralysis, and difficulty breathing. Increased pulse rate and adventitious breath sounds, such as crackles or wheezes, may indicate that the client is experiencing respiratory distress and needs oral suctioning. Increased pulse rate and respirations of 16 breaths/minute, choice B, may indicate anxiety or pain but are not necessarily indicative of the need for oral suctioning.

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Correct Answer is B

Explanation

cryptorchidism as an infant. Cryptorchidism, or undescended testicles, is a known risk factor for testicular cancer. During fetal development, the testicles form in the abdomen and descend into the scrotum before birth. Failure of one or both testicles to descend into the scrotum can increase the risk of testicular cancer later in life. Therefore, a history of cryptorchidism as an infant is the most important assessment finding to identify clients at higher risk of developing testicular cancer.

Choice A, previous sexually transmitted infection (STI), is incorrect because although STIs can increase the risk of certain types of cancer, they are not a significant risk factor for testicular cancer.

Choice C, low sperm count, is incorrect because although low sperm count can be associated with testicular cancer, it is not a reliable indicator for determining a higher risk for testicular cancer. Low sperm count may also be caused by various other factors, such as hormonal imbalances, infections, varicocele, and genetic abnormalities. While it is important to monitor and treat low sperm count, it is not a definitive indicator of testicular cancer risk.

A. Painless hematuria. B. Frequency. C. Urinary retention. D. Fever.

Correct Answer is A

Explanation

Painless hematuria. Painless hematuria, the presence of blood in the urine without any accompanying pain, is the most common initial symptom of a malignant tumor of the bladder. Frequency, choice B, urinary retention, choice C, and fever, choice D, may also be associated with bladder cancer but are not typically the initial symptoms.

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The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?

Correct Answer is B

Explanation

A nurse is reviewing the history along with physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom?

Correct Answer is A

Explanation

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