Quiz

Which immunomodulatory is beneficial for the treatment of clients with multiple sclerosis?

Beta interferon

A client with myasthenia gravis has been receiving neostigmine (prostigmin) and asks about its action. What information about its action should the nurse consider when formulating a response?

Blocks the action of cholinesterase

A client is admitted to the emergency department with the diagnosis of a possible spinal cord injury. The nurse should monitor the client for what clinical manifestations of spinal shock? Select all that apply.

Bradycardia Hypotension Bladder dysfunction

What would be the priority nursing intervention in a patient with electrical burns?

Checking the airway, breathing, and circulation

The wound characteristics of four different clients with burns are mentioned below. Which client most likely develop skin injury from sunburn? IDK just remember Client 2

Client 2 Red to white Moderate YES rare NO About

The nurse is examining four different clients who present with thermal burns. Which client does the nurse diagnose as having second degree burns?

Client C who has moist blebs, blisters, severe pain

A client who experienced extensive burns is receiving IV fluids to replace fluid loss. The nurse should monitor for which initial sign of fluid overload?

Crackles in the lungs

A client with myasthenia gravis is to receive immunosuppressive therapy. What assures the nurse that this therapy will be effective?

Decreases the production of autoantibodies that attack acetylcholine receptors

A nurse is caring for a group of clients with myasthenia gravis, Guillain-Barré syndrome, and amyotrophic lateral sclerosis (ALS). Which information should the nurse consider when planning care for this group of clients?

Increased risk for respiratory complications

A client is admitted to the emergency department with burns to the anterior trunk, entire right arm, and anterior right leg. The practitioner prescribes morphine sulfate for pain. What route of administration should the nurse expect to administer this medication?

Intravenously.

After a client is treated for a spinal cord injury, the healthcare provider informs the family that the client is a paraplegic. The family asks the nurse what this means. Which explanation should the nurse provide?

Lower extremities are paralyzed

Which is the priority assessment for the client with Guillain-Barré syndrome with rapidly ascending paralysis?

Monitoring respiratory status

The registered nurse (RN) assigns a task to a licensed practical nurse (LPN) to take care of a client admitted with severe burns. Which tasks are being performed by the LPN in this situation? Select all that apply

Monitoring the heart rate Monitoring the blood pressure Administering the oral medication

What is the clinical manifestation of hypernatremia in burns?

Seizures

A nurse is administering a histamine H2 antagonist to a client who has extensive burns. The nurse explains to the client that this drug is given prophylactically during the first few weeks after extensive burns. What complication of burns will it prevent?

Stress ulcer

A client with multiple sclerosis is in remission. Which diversional activity should the nurse encourage that best meets the client's needs while in remission?

Swimming

The health care provider prescribes neostigmine (Prostigmin) for a client with myasthenia gravis. The nurse evaluates that the client understands the teaching about this drug when the client says, "I should:

Take the drug at the exact time that is listed on the prescription.

A client with burns is hospitalized in the emergency department and advised to get an electrocardiogram (ECG) done. Which type of burn injury has the client most likely sustained?

electrical burns

A client is admitted to the hospital due to electrical burns. Which assessment findings does the nurse anticipate? Select all that apply.

leathery skin cardiac arrest burn order

A client who sustained a spinal cord injury experienced an episode of autonomic dysreflexia. Which intervention should the nurse perform first?

place the client in sitting position

A 6-year-old child has partial-thickness burns of the face and upper chest. What is the priority nursing assessment for the first 24 hours?

pulmonary distress

A nurse plans to monitor for signs of autonomic dysreflexia in a client who sustained a spinal cord injury at the T2 level. Why is this necessary?

the injury is above the sixth thoracic vertebra

The nurse is caring for a client with wound dressings to the burns on 55% of the body. The dressing changes are very painful according to the client and the client rates them 7/10 on the pain scale. The client has morphine 2 mg to be administered by mouth every 2 hours as needed. When planning the client's care, the nurse should administer the medication:

60 minutes before the dressing change

A nurse is caring for a client newly diagnosed with Guillain-Barré syndrome. The nurse expects which procedure will be considered as a treatment option?

Plasmapheresis

A recently hospitalized client with MS is concerned about generalized weakness and fluctuating physical status. What is the PRIORITY nursing intervention for this client?

Space activities throughout the day