A nurse is admitting a client who has Guillain-Barre syndrome. The client complains of an inability to move both legs and reports a tingling sensation above the waistline. Which is the most important piece of equipment for the nurse to keep at this client's bedside?
Incentive spirometer
Hoyer lift
Intubation tray
Nebulizer
The Correct Answer is C
A. This is useful for preventing atelectasis in patients who are unable to take deep breaths, but it is not the most critical piece of equipment for this client at this time.
B. While a Hoyer lift may be needed for mobility assistance in the future, it is not the most immediate priority.
C. Guillain-Barre syndrome can rapidly progress, leading to respiratory muscle weakness and the need for mechanical ventilation. Having an intubation tray readily available is crucial to ensure a prompt response if the client's respiratory status deteriorates.
D. A nebulizer is used to deliver medication to the lungs, but it is not the most critical piece of equipment for this client at this time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Furosemide is a loop diuretic used to manage conditions such as hypertension and fluid retention. While furosemide has potential side effects, it is not specifically associated with an increased risk of developing cataracts.
B. Albuterol is a bronchodilator used to treat conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is not associated with an increased risk of cataracts. Albuterol primarily affects the respiratory system and does not have a known link to cataract development.
C. Gentamicin is an antibiotic used to treat various bacterial infections. While gentamicin can have adverse effects on hearing and kidneys, it is not specifically associated with an increased risk of cataracts. Antibiotics like gentamicin do not have a well-established link to cataract development.
D. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, anti- inflammatory purposes, and cardiovascular protection. Long-term use of high doses of aspirin or other NSAIDs has been associated with various eye issues, including cataract formation.
Correct Answer is D
Explanation
A. Cushing syndrome is characterized by excessive levels of cortisol in the body, often due to an adrenal gland tumor or prolonged use of corticosteroid medications. The primary symptoms include weight gain, hypertension, and changes in skin appearance. Exophthalmos is not typically associated with Cushing syndrome.
B. Hashimoto's disease is an autoimmune thyroid disorder that leads to hypothyroidism (underactive thyroid). The condition is characterized by symptoms such as fatigue, weight gain, cold intolerance, and dry skin. Exophthalmos is not a feature of Hashimoto's disease. Instead, it is more commonly associated with hyperthyroidism.
C. Addison's disease is a condition caused by inadequate production of cortisol and aldosterone by the adrenal glands. Symptoms include fatigue, weight loss, hyperpigmentation of the skin, and low blood pressure. Exophthalmos is not related to Addison's disease.
D. Graves' disease is an autoimmune hyperthyroid condition that leads to an overproduction of thyroid hormones. One of the hallmark symptoms of Graves' disease is exophthalmos or protruding eyes, caused by inflammation and swelling of the tissues around the eyes. This condition is directly associated with exophthalmos.
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