MEDSURG INFECTIOUS

The nurse knows that in order to prevent a hepatitis D infection, the patient should get an immunizatibn against a. HAV b. HCV c. HBV d. HDV

HBV

Which of the following is the FIRST priority in preventing infections when providing care for a client with MERS-Cov? 1. Handwashing 2. Wearing gloves 3. Using a barrier between client's furniture and nurse's bag

Handwashing

A nurse is evaluating discharge instructions to a client admitted for urolithiasis. Which of the following statements made by the client indicates to the nurse a need for further instructions? 1. "I will report any changes in the amount or character of urine to my physician." 2. "If I have any pain during urination, I will inform my physician." 1. "I will drink at least 2000 mL of fluid per day. 2. "I will report any blood in my urine.

I will drink at least 2000 mL of fluid per day

Laboratory Test Results are as follows Sodium 129 mmol/L Potassium 4.2 mmol/L Chloride 119 mmol/L BUN 34 mg/dL Creatinine 2.6 mg/dL Urinalysis 2 + protein, 1 + RBCs Complication exhibited by the patient based on the above lab results

Inflammation of the Gallbladder

Which of the following test will confirm the diagnosis of HIV for this patient? a. Western Blot Test b. Viral Load c.CD4 Cell Count d. Pap Smear

a. Western Blot Test

The client with type 1 diabetes mellitus is taught to take isophane insulin suspension PH (Humulin N) at 5 p.m. each day. The client should be instructed that the greatest risk of hypoglycemia will occur at about what time? (Remember 8 hours) A. 11 a.m., shortly before lunch. B. 1 p.m., shortly after lunch. C. 6 p.m., shortly after dinner D. 1 a.m., while sleeping

1 a.m., while sleeping

After teaching the client with rheumatoid a. Pushing with palms when rising from arthritis about measures to conserve energy in activities of daily living involving the small joints, which of the following, if stated by the client, would indicate the need for additional teaching? a. pushing with palms when rising from a chair b. Holding packages close to the body. c. Sliding objects. d. Carrying a laundry basket with clinched fingers and fists

. Carrying a laundry basket with clinched fingers and fists

94. On a visit to the clinic, a client reports the onset of early symptoms of rheumatoid arthritis. The nurse should conduct a focused assessment for: a. Limited motion of joints. c. Early morning stiffness. b. Deformed joints of the hands. d. Rheumatoid nodule

. Early morning stiffness

A patient with Crohn's Disease is taking corticosteroids. The patient is complaining of extreme thirst, polyuria, and blurred vision. What is your next nursing action? 1. Check the patient's blood glucose 2. Give the patient a food containing sugar (ex: orange juice) 3. Administer oxygen via nasal cannula 4. Assess bowel sound Sick sad sex salt sugar

1. Check the patient's blood glucose

A patient is being transferred to your unit with acute cholecystitis. In report the transferring nurse tells you that the patient has a positive Murphy's Sign. You know that this means: 1. The patient stops breathing in when the examiner palpates under the ribs on the right upper side of the abdomen at the midclavicular line. 2. The patient stops breathing out when the examiner palpates under the ribs on the right upper side of the abdomen at the midclavicular line. 3. The patient verbalizes pain when the lower right quadrant is palpated. 4. The patient reports pain when pressure is applied to the right lower quadrant but then reports an increase in pain intensity when the pressure is released.

1. The patient stops breathing in when the examiner palpates under the ribs on the right upper side of the abdomen at the midclavicular line.

The nurse instructs a 22-year-old female patient with diabetes mellitus about a healthy eating plan. Which statement made by the patient indicates that teaching was successful? 1. "I plan to lose 25 pounds this year by following a highprotein diet. 2. "I may have a hypoglycemic reaction if I drink alcohol on an empty stomach." 3. "I should include more fiber in my diet than a person who does not have diabetes." 4. "If I use an insulin pump, I will not need to limit the amount of saturated fat in my diet."

2. "I may have a hypoglycemic reaction if I drink alcohol on an empty stomach."

A patient who received treatment for pancreaths is being discharged home. You're providing diet teaching to the patient. Which statement by the patient requires immediate reeducation about the diet restrictions? 1. "It will be hard but I will eat a diet low in fat and avoid greasy foods. 2. "It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week. 3. "I will concentrate on eating complex carbohydrates rather than refined carbohydrates." 4. "I will purchase foods that are high in protein.

2. "It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week.

The wife of a patient who has undergone a TURP and has continuous bladder irrigation asks the nurse about the purpose of the continuous bladder irrigation. Which response by the nurse is appropriate? 1. "The bladder irrigation is needed to stop the postoperative bleeding in the bladder. 2. "The irrigation is needed to keep the catheter from being occluded by blood clots." 3. "Normal production of urine is maintained with the irrigations until healing occurs." 4. "Antibiotics are being administered into the bladder with the irrigation solution."

2. "The irrigation is needed to keep the catheter from being occluded by blood clots."

"When preparing a male client, age 51, for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection Felated to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis? 1. Obstruction of the appendix may increase venous drainage and cause the appendix to rupture. 2. Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix. 3. The appendix may develop gangrene and rupture, especially in a middle-aged client. 4. Infection of the appendix diminishes necrotic arterial blood flow and increases venous drainage Compression of blood vessels

2. Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix.

A female client, who had a past diagnosis of pelvic inflammatory disease (PID) due to a chlamydial infection and gonorrhea, is having trouble getting pregnant. A health-care provider (HCP) informs a nurse that the PID likely caused the woman's sterility. What is the nurse's best interpretation of the HCP's statement? 1. The infection caused uterine damage such that when fertilization does occur, the fertilized egg does not implant into the uterus. 2. Scarring from the presence of the infection in the fallopian tubes is permanently blocking the tubes. 3. Damage to the cervix from the infection resulted in closure of the cervix such that sperm are blocked from entering the uterus. 4. Ovulation is no longer occurring because the infection damaged the woman's ovaries and less estrogen is being secreted

2. Scarring from the presence of the infection in the fallopian tubes is permanently blocking the tubes.

The patient diagnosed with BPH is started with a medication called alfuzosin (Uroxatral). What teaching is essential regarding this new medication? 1. Alfuzosin needs to be taken in the morning. 2. This medication might cause fainting when he first starts taking it. 3. Patient needs to take each dose on an empty stomach. 4. Patient can stop taking the alfuzosin once the urinary symptoms subside.

2. This medication might cause fainting when he first starts taking it

One of C.B.'s treatment plan is plasmapheresis, what is the purpose of this procedure? 1. To obtain plasma for analysis and evaluation of specific autoantibodies 2. To decrease high lymphocyte levels in the blood to prevent immune responses 3. To remove autoantibodies, antigen-antibody complexes, and inflammatory mediators of immune reactions 4. To add monocytes to the blood to promote removal of immune complexes by the mononuclear phagocyte system

3. To remove autoantibodies, antigen-antibody complexes, and inflammatory mediators of immune reactions

A nurse is reviewing the chart of a newborn treated for hemolytic disease. Which statement shows the nurse's understanding of the cause of the disease? 1. "Neutrophils attempt to phagocytize the RBCs." 2. "antibodies bound with an antigen activate the cascade destroying the RBCs." 3. "Complement activation causes the release of inflammatory chemical mediators resulting in RBC destruction." 4. "Endogenous antigens stimulate a type ll reaction resulting in lysis of the RBC.

3. "Complement activation causes the release of inflammatory chemical mediators resulting in RBC destruction."

Eighteen months after diagnosis, D.W. seeks out her physician because of puffy hands and feet and increased fatigue. D. W. reports that she has been working longer hours because of the absence of two of her fellow workers. Laboratory Test Results are as follows Sodium 129 mmol/L Potassium 4.2 mmol/L Chloride 119 mmol/L BUN 34 mg/dL Creatinine 2.6 mg/dL Urinalysis 2 + protein, 1 + RBCs Which of these laboratory test will most concern you as it suggests a complication? 1. Sodium and Potassium 2. Chloride and BUN C. 3. BUN and Creatinine 4. Chloride and Creatinine

3. BUN and Creatinine

The fluid shift that occurs in peritonitis may result in which of the following? 1. Intracellular fluid moving into the peritoneal cavity 2. Significant increase in circulatory volume 3. Decreased circulatory volume and hypovolemic shock 4. Increased bowel motility caused by increased fluid volume

3. Decreased circulatory volume and hypovolemic shock

Which is a risk factor for cholelithiasis? 1. Male gender 2. Hypocalcemia 3. Rapid weight-loss 4. Hypolipidemia

3. Rapid weight-loss

. The health care provider orders a blood test for prostatespecific antigen (PSA) when an enlarged prostate is palpated during a routine examination of a 56-year-old man. When the patient asks the nurse the purpose of the test, the nurse's response is based on the knowledge that 1. elevated levels of PSA are indicative of metastatic cancer of the prostate. 2. PSA testing is the "gold standard" for making a diagnosis of prostate cancer. 3. baseline PSA levels are necessary to determine whether treatment is effective. 4. PSA levels are usually elevated in patients with cancer of the prostate

4. PSA levels are usually elevated in patients with cancer of the prostate.

During your discharge teaching to a patient with multiple sclerosis, you educate the patient on how to avoid increasing symptoms and relapses. You tell the patient to avoid: A. Cold temperatures D. Salt B. Infection E. Stress C. Overexertion

A B E C

Select ALL of the following that are complications associated with Cohn's Disease: A. Cobble-stone appearance of Gl lining B. Lead-pipe sign C. Toxic megacolon D. Fistula E. Abscess F. Ana fissures

A D E F

A client with type 1 diabetes mellitus is admitted to the emergency department. Which of the following respiratory patterns requires immediate action? A. Deep, rapid respirations with long expirations. B. Shallow respirations alternating with long expirations. C. Regular depth of respirations with frequent pauses. D. Short expirations and inspirations.

A. Deep, rapid respirations with long expirations.

A patient is receiving treatment for Crohn's Disease. Which food found on the patient's food tray should the patient avoid? A. Fresh Salad B.Baked chicken C.Cooked skinless apples D.White Rice

A. Fresh Salad

The nurse is caring for a client who requires a course of oral steroids more than once a year for the treatment of asthma related to allergens. Which alternative therapy should the nurse anticipate being prescribe for the client to avoid the frequent use of steroids A. Immunotherapy C. Plasmapheresis B. Omalizumab D. Antihistamines

A. Immunotherapy

9. Identification. What is the only insulin type that can be given via IVTT?

ANS: SHORT ACTING, HUMULIN R, REGULAR INSULIN

1 Twelve hours after admission, the C.B.'s vital signs are as follows: BP: 150/90 and Pulse rate 134. The nurse suspects that the patient is experiencing a. Septic shock b.Autonomic dysfunction c. Anaphyslaxis d. lleus

Autonomic dysfunction

. A client presents with suspected appendicitis. The nurse should prepare the client for which collaborative intervention? A. Chest x-ray C. Electrolytes B. Abdominal ultrasound D. Complete blood count (CBC)

B. Abdominal ultrasound

Which is the nurse's PRIORITY action when managing a client experiencing a type I hypersensitivity? A. Management of arthralgia C. Stopping the blood transfusion B. Airway management D. Decreasing a fever

B. Airway management

Your patient with acute pancreatitis is scheduled for a test that will use a scope to assess the pancreas, bile ducts, and gallbladder. The patient asks you, "What is the name of the test I'm going for later today?" You tell the patient it is called: A. MRCP C. CT scan of the abdomen B. ERCP D. EGD

B. ERCP

. To prevent the spread of hepatitis A virus (HAV) infection the nurse is especially careful when A. Disposing of food trays C. Taking an oral temperature B. Emptying bed pans D. Changing IV

B. Emptying bed pans

Mr McMurphy is scheduled for a lumbar puncture to help diagnose multiple sclerosis. The patient wants clarification about what will be found in the cerebrospinal fluid during the lumbar puncture to confirm the diagnosis of MS. You explain that will be present in the fluid if MS is present A. high amounts of IgD C. low amounts of WBC B. oligoclonal bands D. oblong red blood cells and glucose

B. oligoclonal bands

Which of the following is true regarding the pathophysiology of Multiple Sclerosis? A. "The dendrites on the neuron are overstimulated leading to the destruction of the axon." B. "The myelin sheath, which is made up of Schwann cells, is damaged along the axon. C. This disease affects the insulating structure found on the neuron in the central nervous system D. "The dopaminergic neurons in the part of the brain called substantia nigra have started to die."

C. This disease affects the insulating structure found on the neuron in the central nervous system

A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be: A. Flank pain radiating in the groin B. Perineal edema C.Distention of the lower abdomen D.Urethral discharge

C.Distention of the lower abdomen

The nurse is monitoring a client diagnosed with appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. Which is the appropriate nursing intervention? 1. Notify the Physician 2. Administer the prescribed pain medication 3. Call and ask the operating room team to perform the surgery as soon as possible 4. Reposition the client and apply a heating pad on warm setting to the client's abdomen

Call and ask the operating room team to perform the surgery as soon as possible

4. A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision. As the nurse, it is priority you? 1. Reassure the patient this is normal with pancreatitis 2. Check the patient's blood glucose 3. Assist the patient with drinking a simple sugar drink like orange juice 4. Provide a dark and calm environment

Check the patient's blood glucose

The client is in the preicteric phase of hepatitis. Which signs/symptoms would the nurse expect the client to exhibit during this phase? a.Clay-colored stools and jaundice. b. Being afebrile and left upper quadrant pain c. Normal appetite and pruritus. d. Complaints of fatigue and diarrhea

Complaints of fatigue and diarrhea

A patients admitted to the ER with the following signs and symptoms: very painful mid-epigastric pain felt in the back, elevated glucose, fever, and vomiting. During the head-to-toe assessment, you notice bluish discoloration around the belly button. As the nurse, you know this is called? A. Grey-Turner's Sign C. Homan's Sign B. McBurney's Sign D. Cullen's Sign

D. Cullen's Sign

. A patient diagnosed with ulcerative colitis is experiencing extreme abdominal distension, pain 101 on 1-10 scale in the abdomen, temperature of 103.6 'F, HR 120, and profuse diarthea. What complication due you suspect the pain is experiencing? A. Fistulae C. Bowel obstruction B. Stricture D. Toxic megacolon

D. Toxic megacolon

. Which instruction should the nurse discuss with the client who is in the icteric phase of hepatitis C? a. Decrease alcohol intake. b. Encourage rest periods c. Eat a large evening meal. d. Drink diet drinks and juices.

Encourage rest periods

An 19-year-old with diabetes is placed on neutral protamine Hagedorn (NPH) and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. The snack will: 1. Help her regain lost weight. 2. Provide carbohydrates for immediate 3. Prevent late night hypoglycemia. 4. Help her stay on her diet.

Prevent late night hypoglycemia.

After several days of nurse-patient interaction, the nurse has been pricked with a syringe that was used on patient C.Q. Which of the following will be the best course of action? 1. Take a PEP within three days 2. The chances of transmission via needle prick is near zero so there is nothing to worry about. 3. Get a HIV rapid test within three days. 4. Observe for signs and symptoms of acute HIV.

Take a PEP within three days

Your patient is post-op day 3 from a cholecystectomy due to cholecystitis and has a T-Tube. Which finding during your assessment of the T-Tube requires immediate nursing intervention? 1. The drainage from the T-Tube is yellowish/green in color. 2. There is approximately 1100 cc of drainage within the past 24 hours. 3. The drainage bag and tubing is at the level below the gallbladder 4. The patient is in the Semi-Fowler's position

There is approximately 1100 cc of drainage within the past 24 hours.

A patient with hepatitis B is being discharged in 2 days. In the discharge teaching plan the nurse should include instructions to; 1. Avoid alcohol for the first 3 weeks 2. Use a condom during sexual intercourse 3. Have family members get an injection of immunoglobin 4. Follow a low-protein, moderate-carbohydrate, moderate-fat diet

Use a condom during sexual intercourse

The nurse is doing health teachings in a community where Ebola Virus Disease is present. The nurse will include which of the following as a way for transmitting the virus? Select all that apply. a. contact blood and body fluids d. contact with meat from an unknown source b. contact with breast milk e contact with semen and vaginal fluids c. contact with items that a have been

a b c d e

3. HIV does not survive long outside the human body such as on surfaces. It is NOT transmitted... (Select all that apply.) a. By mosqlitoes or other insects b. By blood transfusion c. By hugging and shaking hands d. sharing spoons and forks e. By sharing toilets and closed mouth social kissing with someone with HIV

a c d e

The physician starts C.Q. on a regimen of Truvada (tenofovir and emtricitabine), Reyataz (atazanavir), and Norvir (ritonavir). Which of the following is true regarding Antiretroviral therapy? a. If a patient is able to reach an undetectable viral load, the patient will no longer be able to transmit the virus to her partner. b. The patient will need to taper down the dosage before ending the treatment. C.Antiretroviral drugs will provide a lifetime of cure for HIV. d. Nonadherence to therapy causes the CD4 cells to increase.

a. If a patient is able to reach an undetectable viral load, the patient will no longer be able to transmit the virus to her partner

For D.W. is a 25-year-old married woman with three children under 5years old. She came to her physician 7 months ago with vague complaints of intermittent fatigue, joint pain, low-grade fever, and unintentional weight loss. Her physician noted small, patchy areas of vitiligo and a scaly rash across her nose, cheeks, back, and chest at that time. Laboratory studies revealed that D. W. had a positive antinuclear antibody (ANA) titer, positive dsDN, positive anti-Sm (anti-smooth mustle antibody), elevated C-reactive protein (CRP) and erythrocyte sedimentation rate (ES), and decreased C3 and C4 serum complement. Joint x-ray films demonstrated joint swelling without joint erosion. Based on the clinical manifestations and initial diagnostics, which of the following is the expected diagnosis for this patient? a. Multiple Sclerosis C.Rheumatoid Arthritis b.Spontaneous Chronic Urticaria d. Systemic Lupus Erythematosus

a. Multiple Sclerosis

The nurse is caring for a patient in the emergency department with complaints of acute abdominal pain, nausea, and vomiting. When the nurse palpates the patient's left lower abdominal quadrant, the patient complains of pain in the right lower quadrant. The nurse will document this as which of the following diagnostic signs of appendicitis? a. Rovsing sign c. Chvostek's sign b. referred pain d. rebound tenderness

a. Rovsing sign

66. After seeing the results, the doctor confirms the diagnosis, advises the patient and she was told she could report for followup every 6 months unless her symptoms became acute. Which of the following is the expected pharmacologic management for this patient: a. hydroxychloroquine and Deltasoner C. Naproxen sodium and colchicine b. Cetirizine d. IVIG

a. hydroxychloroquine and Deltasoner

The drugs that are advised for D.W. can cause immunosuppression. Which of the following health teachings are applicable for the patient to avoid infections? Select all that apply. a.Avoid going to big BTS concerts b.Report signs of infection such as chills, fever, sore throat, fatigue or malaise to the healthcare provider. c.During periods of remission, the patient may have live attenuated vaccines against viruses. d.Avoid visiting patients in the hospital. e. Be diligent in doing handwashing

a.Avoid going to big BTS concerts b.Report signs of infection such as chills, fever, sore throat, fatigue or malaise to the healthcare provider. d.Avoid visiting patients in the hospital. e. Be diligent in doing handwashing.

43. When evaluating a male client for complications of acute pancreatitis, the nurse would observe for: a.increased intracranial pressure. c. bradycardia. b. decreased urine output. d. hypertension.

b. decreased urine output.

Shortly after arrival, the patient becomes totally paralyzed. Which of the following medical interventions will be the priority at this time? a. administration of IVIG c. plasmapheresis b. endotracheal intubation d. administration of blood

b. endotracheal intubation

Which priority teaching information should the nurse discuss with the client to help prevent contracting hep. B? a.Explain the importance of good hand washing. b.Tell the client to take the hepatitis B vaccine in three (3) doses. c.Tell the client not to ingest unsanitary food or water. d.Discuss how to implement contact precautions

b.Tell the client to take the hepatitis B vaccine in three (3) doses.

Additionally, as a nurse, you give health teachings for D.W. regarding conditions that precipitate disease exacerbation. Which of the following health teachings is applicable? a.Advise to get enough sunlight for vitamin D. b.Wear loose clothing with long sleeves and wide brimmed hats when outdoors. c.Advise to avoid stress and take a vacation at a nearby beach during summer. d.Inform the patient to personally buy fresh fruits at a local public market.

b.Wear loose clothing with long sleeves and wide brimmed hats when outdoors.

The client is experiencing urolithiasis composed of Struvite. The nurse would teach the client that the cause of these stones is: 1. calcium. 2. uric acid. 1. cystine. 2. Bacteria

bacteria

The patient was then admitted to the neurology critical care unit, where he spent 1 month. He underwent altracheostomy before being transferred to a medical floor, where he spent several weeks. GBS patients experience problems of mobility, one of which is deep vein thrombosis. Which of the following will prevent this complication? a.Deep breathing exercises b. Use of egg crate mattress c.Administration of a laxative d.Administration of low molecular heparin

d.Administration of low molecular heparin

The client with urolithiasis has a history of chronic urinary tract infections. The nurse concludes that this client most likely has which of the following tvpes of urinary stones? a. Calcium oxalate c. Struvite b. Uric acid d. Cystine

c. Struvite

Atazanavir is a Protease Inhibtor, which event in the life cycle of HIV does it interfere with? a. Reverse Transcription b. Attachment c. Budding d. Fusion

c. budding

A community nurse performs health teachings in a community regarding STIs, which of the following statements will require further teachings? a." Alcohol and drug use is a risk factor of STI" b." It is important to get to know a person before having sex with that person." C."Females are more susceptible than males for STIs because of the female anatomy." d. "It is not necessary to inform the partner of someone who has STI about his diagnosis.

d. "It is not necessary to inform the partner of someone who has STI about his diagnosis.

The physician informs you that C.Q.'s confirmatory test results says that she is HIV positive; he requests that you be present when he talks to her. she looks at you through her tears and states, " can't believe it. J. is the only man I've had sex with since my divorce. He told me I had nothing to worry about. I can't believe he would do this to me." C.Q.'s statement is based on three assumptions: (1) J. is HIV positive; (2) he intentionally withheld the information from her; and (3) he intentionally transmitted the HIV to her through unprotected sex. Based on your knowledge of HIV infection, what is your best response to the situation? a.Advise the patient to slap the boyfriend and move on. b.Inform the patient that her assumption is correct and facilitate coping skills. C.Tell the patient that you understand how she feels and refer her to a local support group. d. Inform the patient regarding modes of transmission of HIV

d. Inform the patient regarding modes of transmission of HIV.

The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician? a. Bloody diarrhea c. A hemoglobin of 12 mg/dL b. hypertension d. Rebound tenderness

d. Rebound tenderness

Mr McMurphy's MRI results are back and show lesions on the cerebellum. What signs and symptoms below would correlate with this MRI finding in a patient with multiple sclerosis? a. Blurry vision d. Heat intolerance b. Scotomas e. Drunken gait c. Dysarthria

e. Drunken gait

A client is being admitted to the hospital with a diagnosis of urolithiasis and ureteral colic. The nurse assesses the client for pain that is: 1. dull and aching in the costovertebal area 2. aching and cramplike thoughout the abdomen 3. sharp and radiating posteriorly to the spinal column 4. excruciating, wavelike, and radiating toward the genitalia

excruciating, wavelike, and radiating toward the genitalia

The health care provider prescribes finasteride (Proscar) for a 56-year-old male patient who has a BPH symptom score of 12 on the AUA Symptom Index. When teaching the patient about the drug, the nurse informs him that 1. his interest in sexual activity may decrease while he is taking the medication 2. he should change position from lying to standing slowly to avoid dizziness. 3. improvement in the obstructive symptoms should occur within about 2 weeks. 4. he will need to monitor his blood pressure frequently to assess for hypertension.

his interest in sexual activity may decrease while he is taking the medication

C.B. is a single, self-supporting 58-year-old man with Guillain-Barre syndrome (GBS). He came to see his family physician two weeks ago with symptoms of fatigue, myalgia, fever, and chills, which were accompanied by a hacking cough. He was diagnosed with viral influenza. He was brought to the emergency department after his brother recognized the seriousness of his condition. Which of the following clinical presentations will you expect to observe with this patient? A.signs and symptoms that are unilateral and descending that start in the lower extremities 1. signs and symptoms that are symmetrical and ascending that start in the upper extremities 2. signs and symptoms that are asymmetrical and ascending that start in the upper extremities 3. signs and symptoms that are symmetrical and ascending that start in the lower extremities

signs and symptoms that are symmetrical and ascending that start in the lower extremities

A client is to receive glargine (Lantus) insulin is addition to a dose of aspart (NovoLog). When thenurse checks the blood glucose level at the bedside, it is greater than 200 mg/dL. How should the. nurse administer the insulins? а.Put air into the glargine insulin vial, and then air into the aspart insulin vial, and draw up the correct dose of aspart insulin first. b.Roll the glargine insulin vial, then roll the aspart insulin vial. Draw up the longer-acting glargine insulin first. c.Shake both vials of insulin before drawing up each dose in separate insulin syringes. d.Put air into the glargine insulin vial, and draw up the correct dose in an insulin syringe; then, with a different insulin syringe, put air into the aspart vial and draw up the correct dose.

а.Put air into the glargine insulin vial, and then air into the aspart insulin vial, and draw up the correct dose of aspart insulin first.