A client with a cold sore on the lip has been diagnosed with herpes simplex virus. Which neurological disorder may the client be at risk for in the future?

Myasthenia gravis

Multiple sclerosis

Guillain-Barre syndrome

Bell's palsy

Answer and Explanation

The Correct Answer is D

A.   Myasthenia gravis is an autoimmune disorder characterized by weakness and rapid fatigue of voluntary muscles due to impaired communication between nerves and muscles. It is not directly related to HSV infection.
B.   Multiple sclerosis (MS) is a chronic autoimmune disorder that affects the central nervous system, leading to demyelination of nerve fibers. While the exact cause of MS is not completely understood, it is thought to involve a combination of genetic and environmental factors. HSV is not directly associated with the development of MS.
C.   Guillain-Barre syndrome (GBS) is an acute, autoimmune condition that affects the peripheral nervous system, leading to progressive muscle weakness and paralysis. GBS is often preceded by an infection, and while it is most commonly associated with infections like Campylobacter jejuni, other infections, including HSV, have also been implicated as potential triggers for GBS.
D.   Bell's palsy is a condition characterized by sudden, unilateral facial paralysis or weakness due to inflammation of the facial nerve (cranial nerve VII). HSV has been identified as a potential cause of Bell's palsy, as the virus can lead to inflammation of the facial nerve.

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Correct Answer is C

Explanation

A. Bradycardia, or a slow heart rate, is not typically associated with thyrotoxic crisis. In fact, thyrotoxic crisis usually causes tachycardia (rapid heart rate) due to the body's heightened metabolism and sympathetic nervous system stimulation.
B. Hypotension, or low blood pressure, is not characteristic of a thyrotoxic crisis. The condition typically causes hypertension (elevated blood pressure) as part of the body's stress response and increased metabolic rate.
C. Hyperthermia, or elevated body temperature, is a key sign of thyrotoxic crisis. The condition leads to a hypermetabolic state that can significantly increase body temperature. This high fever is a result of the body's excessive heat production due to the overstimulation of metabolic processes.
D. Constipation is not typically associated with thyrotoxic crisis. In hyperthyroidism, and consequently in thyrotoxic crisis, patients usually experience diarrhea or increased bowel movements due to the increased metabolic rate and gastrointestinal motility.

A. Creatinine 1.2 mg/dL B. 24-hour urine output 1,800 mL C. White blood cell count (WBC) 13,500/mm3 D. Blood urea nitrogen (BUN) 18 mg/dL

Correct Answer is C

Explanation

A creatinine level of 1.2 mg/dL is within the upper range of normal but may be slightly elevated depending on the baseline level pre-transplant and individual patient factors. For a client 3 months post- transplant, this level could indicate stable kidney function or a mild increase but is not necessarily indicative of a significant complication.
B.A 24-hour urine output of 1,800 mL is within the normal range for adults (about 1,000 to 2,000 mL per day). This level of urine output suggests that the transplanted kidney is functioning adequately in terms of urine production.
C. An elevated white blood cell count of 13,500/mm³ could indicate an infection or inflammation. This finding is relevant in the context of post-transplant care because patients are at increased risk for infections due to immunosuppressive therapy and the surgical procedure. An elevated WBC count could also suggest an acute rejection episode, as rejection can cause inflammation and an immune response.
D. A BUN level of 18 mg/dL is within the normal range but on the higher end. It might suggest some level of kidney impairment, but it is not necessarily indicative of a severe complication on its own.

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A client with a cold sore on the lip has been diagnosed with herpes simplex virus. Which neurological disorder may the client be at risk for in the future?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 12 hours postoperative following a thyroidectomy. Which of the following findings is indicative of thyrotoxic crisis?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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