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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: The hypoglossal nerve is responsible for the movement of the tongue. It innervates the muscles of the tongue and allows for speech, swallowing, and chewing.

Choice B reason: The trigeminal nerve is responsible for the sensation and motor function of the face. It innervates the muscles of mastication, the skin of the face, and the mucous membranes of the mouth and nose.

Choice C reason: The facial nerve is responsible for the expression and taste of the face. It innervates the muscles of facial expression, the lacrimal and salivary glands, and the anterior two-thirds of the tongue.

Choice D reason: The vestibulocochlear nerve is responsible for the hearing and balance of the ear. It innervates the cochlea and the vestibular apparatus of the inner ear.

A. attempt to take over the function of the abnormal white blood cells. B. will help to protect them against infection. C. are larger in size than normal white blood cells and clog the bone marrow. D. are not as effective as normal white cells to protect against infection.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the cranial nerves of a person with Parkinson disease who has difficulty swallowing foods. The nurse asks the patient to stick out their tongue and move it rapidly from side to side. The nurse is assessing which cranial nerve?

Correct Answer is A

Explanation

A patient with acute myelogenous leukemia (AML) asks the nurse why their bones are making more white blood cells when they already have so many. The nurse clarifies that the large number of leukemic white cells they have:

Correct Answer is D

Explanation

The nurse is caring for a patient with bacterial meningitis caused by Haemophilus influenzae type B. What should the nurse include in the patient's plan of care?

The nurse is caring for a 9-year-old undergoing chemotherapy to treat leukemia. Select the priority nursing goal for the child's plan of care.

The nurse is caring for a patient with a head injury after a fall from a ladder. The nurse must evaluate the patient for which signs and symptoms of increased intracranial pressure?

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The nurse completes a focused assessment and history of a patient who is scheduled for magnetic resonance imaging (MRI). Which data shared by the patient would the nurse need to contact the provider?

A child with iron-deficiency anemia receives a daily oral iron supplement. The mother tells the nurse their child is having black stools. Which response by the nurse is most appropriate?

The nurse evaluates the Babinski reflex and strokes the sole of the patient's foot from the outer heel to the little toe. The patient was in an automobile accident and has a decreased level of consciousness. Which response indicates an abnormality in the cerebral cortex?

The cardinal signs and symptoms of Parkinson disease are?