The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Guillain-Barre syndrome.

Mycoplasma pneumonia.

Cytomegalovirus.

Epstein-Bar virus.

Answer and Explanation

The Correct Answer is A

A. Guillain-Barre syndrome is a condition that can occur after an upper respiratory infection and is characterized by progressive weakness, numbness, and sometimes difficulty swallowing, which align with the client's symptoms.

B. Mycoplasma pneumonia primarily affects the respiratory system and does not typically cause lower extremity numbness and difficulty swallowing.

C. Cytomegalovirus can cause a range of symptoms but is not specifically associated with lower extremity numbness and difficulty swallowing.

D. Epstein-Barr virus is linked to infectious mononucleosis and does not typically cause lower extremity numbness and difficulty swallowing.

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Correct Answer is C

Explanation

A. Shuffling gait and stooped posture are common side effects of antipsychotic medications and may require intervention but are not immediately dangerous.

B. Rocking back and forth in the chair can be a self-soothing behavior in individuals with schizophrenia and usually does not require immediate intervention.

C. Muscle spasms of the back and neck (dystonia) can be a sign of a serious side effect of antipsychotic medications known as extrapyramidal symptoms and require immediate intervention to prevent complications such as airway obstruction.

D. Lip smacking and frequent eye blinking can indicate tardive dyskinesia, a long-term side effect of antipsychotic medication, but it is not an immediate emergency.

A. Peripheral pallor of the skin. B. Restlessness. C. Increased respiratory rate. D. Increased temperature. E. Clenched fists. F. F Increased pulse rate.

Correct Answer is ["B","C","E","F"]

Explanation

A. Peripheral pallor is not a typical pain indicator.

B. Restlessness can be a sign of discomfort or pain in infants.

C. Increased respiratory rate can indicate pain or distress.

D. Increased temperature is more indicative of infection than pain.

E. Clenched fists can be a sign of pain or discomfort in infants.

F. Increased pulse rate is a common physiological response to pain.

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The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?

Correct Answer is C

Explanation

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Correct Answer is ["B","C","E","F"]

Explanation

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The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

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