MSN 377 EXAM 4 QUESTIONS WITH COMPLETE SOLUTIONS

the nurse advises a patient with myasthenia gravis to A. perform physically demanding activities early in the day B. anticipate the need for weekly plasmapheresis treatments C. do frequent weight-bearing exercise to prevent muscle atrophy D. protect the extremities from injury due to poor sensory perception correct answer: A. perform physically demanding activities early in the day To prevent autonomic hyperreflexia, which nursing action will the home health nurse include in the plan of care for a patient who has paraplegia at the T4 level? A. support selection of a high-protein diet B. discuss options for sexuality and fertility C. assist in planning a prescribed bowel program D. use quad coughing to strengthen cough efforts correct answer: C. assist in planning a prescribed bowel program which assessment data for a patient who has Guillain-Barre syndrome will require the nurses most immediate action? A. the patients sacral area skin is reddened B. the patient is continuously drooling saliva C. the patient complains of severe pain in the feet D. the patients blood pressure is 150/82 correct answer: B. the patient is continuously drooling saliva The nurse has administered a prescribed IV osmotic diuretic to an unconscious patient. which parameter should the nurse monitor to determine the medications effectiveness? A. blood pressure B. intracranial pressure C. oxygen saturation D. hemoglobin and hematocrit correct answer: B. intracranial pressure A patient who is unconscious has ineffective cerebral tissue perfusion and cerebral tissue swelling. which nursin