You are a home health nurse providing care to a patient with myasthenia gravis. Today you plan on helping the patient with bathing and exercising. When would be the best time to visit the patient to help with these tasks?
Evening
Mid-afternoon
Morning
Before bedtime
The Correct Answer is C
Choice A reason: Evening is not the best time to visit the patient with myasthenia gravis to help with bathing and exercising. Myasthenia gravis is a condition that causes muscle weakness and fatigue, which worsens as the day progresses. Therefore, the patient may have more difficulty performing these activities in the evening.
Choice B reason: Mid-afternoon is not the best time to visit the patient with myasthenia gravis to help with bathing and exercising. Myasthenia gravis causes muscle weakness and fatigue, which may be aggravated by the heat and humidity of the afternoon. Therefore, the patient may have more difficulty performing these activities in the mid-afternoon.
Choice C reason: Morning is the best time to visit the patient with myasthenia gravis to help with bathing and exercising. Myasthenia gravis causes muscle weakness and fatigue, which are less severe in the morning after a night of rest. Therefore, the patient may have more strength and energy to perform these activities in the morning.
Choice D reason: Before bedtime is not the best time to visit the patient with myasthenia gravis to help with bathing and exercising. Myasthenia gravis causes muscle weakness and fatigue, which are most severe at the end of the day. Therefore, the patient may have more difficulty performing these activities before bedtime.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not a correct explanation for the large number of leukemic white cells. Leukemic white cells are abnormal white blood cells that do not function properly. They do not attempt to take over the function of the abnormal white blood cells, but rather crowd out the normal ones.
Choice B reason: This is also not a correct explanation for the large number of leukemic white cells. Leukemic white cells do not help to protect against infection, but rather increase the risk of infection. They impair the immune system's ability to fight off bacteria, viruses, and other pathogens.
Choice C reason: This is a partially correct explanation for the large number of leukemic white cells. Leukemic white cells are larger in size than normal white blood cells, and they can clog the bone marrow. This can interfere with the production of other blood cells, such as red blood cells and platelets. However, this is not the only reason for the large number of leukemic white cells.
Choice D reason: This is the best explanation for the large number of leukemic white cells. Leukemic white cells are not as effective as normal white cells to protect against infection, because they are immature and dysfunctional. They do not respond to signals from the immune system, and they do not recognize or destroy foreign invaders. They also prevent the normal white cells from doing their job.
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Anticoagulant therapy may be necessary to prevent pulmonary thrombosis in patients with ischemic stroke, which is caused by a blood clot blocking a blood vessel in the brain. However, in patients with hemorrhagic stroke, which is caused by a ruptured blood vessel in the brain, anticoagulant therapy can worsen the bleeding and increase the risk of complications.
Choice B reason: This is correct. Anticoagulant therapy is contraindicated because it will cause additional bleeding in patients with hemorrhagic stroke. Anticoagulants are drugs that prevent blood from clotting or dissolve existing clots. They can increase the size of the hematoma and the pressure on the brain tissue, leading to more damage and disability.
Choice C reason: This is incorrect. Anticoagulant therapy is not inadvisable because it may mask signs and symptoms of neurologic changes in the brain. Anticoagulants do not affect the neurological assessment or the diagnosis of stroke. They can, however, interfere with the treatment and recovery of hemorrhagic stroke.
Choice D reason: This is incorrect. Anticoagulant therapy will not be started if necessary to enhance cerebral circulation in patients with hemorrhagic stroke. Anticoagulants do not improve the blood flow to the brain, but rather prevent or dissolve clots that may obstruct it. In patients with hemorrhagic stroke, the pro
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