The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning?

Increased pulse rate, adventitious breath sounds.

Increased pulse rate, respirations of 16 breaths/minute.

Decreased pulse rate, respirations of 20 breaths/minute.

Decreased pulse rate, abdominal breathing.

Answer and Explanation

The Correct Answer is A

Increased pulse rate, adventitious breath sounds. Guillain-Barré syndrome (GBS) is a rare autoimmune disorder that affects the peripheral nervous system. It can cause weakness, paralysis, and difficulty breathing. Increased pulse rate and adventitious breath sounds, such as crackles or wheezes, may indicate that the client is experiencing respiratory distress and needs oral suctioning. Increased pulse rate and respirations of 16 breaths/minute, choice B, may indicate anxiety or pain but are not necessarily indicative of the need for oral suctioning.

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Correct Answer is B

Explanation

It is characterized by patches of redness covered with silvery scales. Psoriasis is a chronic autoimmune disorder that causes patches of red, inflamed skin covered with silvery scales.

Choice A, It is a chronic, infectious inflammatory disease is incorrect as psoriasis is not caused by an infection.

Choice C, A cure is possible with prompt treatment is incorrect as there is no cure for psoriasis, but symptoms can be managed with treatment.

Choice D, The onset typically occurs in young children is incorrect as psoriasis can occur at any age.

A. Diabetes. B. Cardiac disease. C. Compression fractures. D. Hypertension.

Correct Answer is C

Explanation

Compression fractures. Osteoporosis is a condition characterized by decreased bone mass and density, which can lead to an increased risk of fractures. In severe cases of osteoporosis, the client may be at risk for compression fractures, especially in the spine. Compression fractures can lead to pain, loss of height, and a stooped posture.

Choice A, diabetes, is not the correct answer because it is a metabolic disorder that affects the way the body uses glucose.

Choice B, cardiac disease, is not the correct answer because it is a group of disorders that affect the heart and blood vessels.

Choice D, hypertension, is not the correct answer because it is a condition characterized by high blood pressure.

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The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a true statement regarding psoriasis?

Correct Answer is B

Explanation

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density?

Correct Answer is C

Explanation

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