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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Canned tomato soup is often high in sodium, and grilled cheese sandwiches typically contain processed cheese, which is also high in sodium.
B. A low-sodium diet is essential for managing heart failure as it helps to reduce fluid retention and decrease the workload on the heart.
C. Frozen lasagna, especially those with a tomato sauce, can be high in sodium. Caesar salad dressing is often made with anchovies and Parmesan cheese, both of which are high in sodium.
D. Deli meats and processed cheese are both high in sodium and should be avoided or consumed in moderation on a low-sodium diet.

A. Casts in the urine B. Dark, tarry stool C. Jaundice D. Pain in the left upper quadrant

Correct Answer is C

Explanation

A. Casts in the urine are typically associated with kidney problems, such as glomerulonephritis or kidney infections, rather than biliary obstruction. Casts are formed from proteins or cells in the renal tubules and are not related to bile duct obstruction or cholelithiasis.
B. Dark, tarry stools are indicative of upper gastrointestinal bleeding and the presence of digested blood in the stool. This condition, known as melena, is not typically associated with obstruction of the common bile duct due to cholelithiasis.
C. Jaundice is a common and significant finding in cases of obstruction of the common bile duct due to cholelithiasis. When the bile duct is obstructed, bilirubin, which is a component of bile, accumulates in the bloodstream because it cannot be properly excreted into the intestine.
D. Pain from cholelithiasis (gallstones) typically occurs in the right upper quadrant, not the left. The right upper quadrant pain is often associated with gallbladder inflammation or bile duct obstruction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the importance of following a low-sodium diet with a client who has heart failure. Which of the following food items would be appropriate for this patient to choose?

Correct Answer is B

Explanation

A client is admitted to the hospital with a diagnosis of obstruction of the common bile duct due to cholelithiasis. Which of the following assessment findings are consistent with this diagnosis?

Correct Answer is C

Explanation

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