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. While the presence of peripheral pulses and full range of motion is important, it is typically included in the physical assessment findings and is less immediately relevant to postoperative status compared to other options.

B. The history of vomiting at home is part of the client’s medical history but is not immediately relevant to the postoperative status.

C. Information about the abdomen (soft, absent bowel sounds, no bleeding on dressing) is critical as it pertains directly to the surgical site and postoperative recovery.

D. Declining ice chips despite reporting a dry mouth is noteworthy but less critical than assessing the surgical site and abdominal status.

A. Urinate every 4 to 6 hours or when you first feel the urge. B. Decrease fluid intake to lessen the severity of symptoms. C. Limit your intake of alcohol and caffeine. D. Refrain from exercise because it can lead to incontinent episodes. E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine. F. Schedule yearly prostate-specific antigen blood test.

Correct Answer is ["A","C","E"]

Explanation

A. Urinate every 4 to 6 hours or when you first feel the urge: Regular urination helps prevent bladder overdistention and can reduce the risk of urinary retention and incontinence episodes.

B. Decrease fluid intake to lessen the severity of symptoms: While it might seem logical to reduce fluid intake to decrease urinary frequency, it is essential to maintain adequate hydration. Instead, fluid intake should be managed appropriately, avoiding large volumes at one time, particularly in the evening.

C. Limit your intake of alcohol and caffeine: Alcohol and caffeine can irritate the bladder and increase urinary frequency and urgency, exacerbating BPH symptoms.

D. Refrain from exercise because it can lead to incontinent episodes: Exercise is beneficial for overall health and can help manage weight, which is important for BPH management. Clients should be encouraged to exercise regularly.

E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine: These medications can constrict the urethra, worsening urinary retention and other BPH symptoms.

F. Schedule yearly prostate-specific antigen blood test: While monitoring PSA levels can be part of managing prostate health, it is not specific to daily living with symptomatic BPH and thus not one of the top three areas of education in this context.

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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

Correct Answer is C

Explanation

Exhibits The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.

Correct Answer is ["A","C","E"]

Explanation

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