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. Peptic ulcers are sores that develop on the lining of the stomach, small intestine, or esophagus due to the erosion caused by stomach acid. A Mallory-Weiss tear is not related to peptic ulcers. Instead, it results from a different type of injury related to forceful vomiting or retching.
B. Chewable aspirin is not a treatment for Mallory-Weiss tears. In fact, aspirin can exacerbate bleeding and is typically avoided in situations where gastrointestinal bleeding is present. Mallory-Weiss tears are generally managed by supportive measures and sometimes endoscopic interventions, not with aspirin.
C. A Mallory-Weiss tear specifically affects the mucosal lining at the junction of the esophagus and the stomach, not the duodenum. The duodenum is part of the small intestine, and tears or bleeding here are not characteristic of Mallory-Weiss syndrome.
D. A Mallory-Weiss tear is a tear or laceration in the mucosal lining at the gastroesophageal junction (where the esophagus meets the stomach). It is typically caused by severe vomiting or retching, which can lead to the tear and subsequent upper gastrointestinal bleeding.
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