Adult Nursing 2 question and answers

Endocrine Questions
1. For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry
dressing change every shift, and blood glucose monitoring before meals and bedtime.
Why are wet-to-dry dressings used for this client?
They debride the wound and promote healing by secondary intention.

2. A female client whose physical findings suggest a hyperpituitary condition undergoes an

extensive diagnostic workup. Test results reveal a pituitary tumor, which necessitates a
transsphenoidalhypophysectomy. The evening before the surgery, nurse Jacob reviews
preoperative and postoperative instructions given to the client earlier. Which
postoperative instruction should the nurse emphasize?
You must avoid coughing, sneezing, and blowing your nose.

3. Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

4. Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes
insipidus. The nurse should include information about which hormone lacking in clients
with diabetes insipidus?
antidiuretic hormone (ADH).

Question 4 Explanation:
ADH is the hormone clients with diabetes insipidus lack. The clients TSH, FSH, and LH levels
wont be affected.
5. When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
vasopressin (Pitressin Synthetic).
Question 5 Explanation:
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production,
the nurse should expect to administer synthetic vasopressin for hormone replacement therapy.
Furosemide, a diuretic, is contraindicated because a client with diabetes insipidus experiences

polyuria. Insulin and dextrose are used to treat diabetes mellitus and its complications, not
diabetes insipidus.
6. A male client with primary diabetes insipidus is ready for discharge on desmopressin
(DDAVP). Which instruction should nurse Lina provide?

You may not be able to use desmopressin nasally if you have nasal discharge
or blockage.
Question 6 Explanation:
Desmopressin may not be absorbed if the intranasal route is compromised. Although diabetes
insipidus is treatable, the client should wear medical identification and carry medication at all
times to alert medical personnel in an emergency and ensure proper treatment. The client must
continue to monitor fluid intake and output and receive adequate fluid replacement.
7. Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To
control hypoglycemic episodes, the nurse should recommend:
Consuming a low-carbohydrate, high-protein diet and avoiding fasting.
Question 7 Explanation:
To control hypoglycemic episodes, the nurse should instruct the client to consume a lowcarbohydrate, high-protein diet, avoid fasting, and avoid simple sugars. Increasing saturated fat
intake and increasing vitamin supplementation wouldnt help control hypoglycemia.
8. For a male client with hyperglycemia, which assessment finding best supports a nursing
diagnosis of Deficient fluid volume?
Increased urine osmolarity
Question 8 Explanation:
In hyperglycemia, urine osmolarity (the measurement of dissolved particles in the urine)
increases as glucose particles move into the urine. The client experiences glucosuria and
polyuria, losing body fluids and experiencing fluid volume deficit. Cool, clammy skin; distended
neck veins; and a decreased serum sodium level are signs of fluid volume excess, the opposite
imbalance.
9. Nurse Troy is aware that the most appropriate for a client with Addisons disease?
Risk for infection
Question 9 Explanation:
Addisons disease decreases the production of all adrenal hormones, compromising the bodys
normal stress response and increasing the risk of infection. Other appropriate nursing diagnoses
for a client with Addisons disease include Deficient fluid volume and Hyperthermia. Urinary
retention isnt appropriate because Addisons disease causes polyuria.

10. An incoherent female client with a history of hypothyroidism is brought to the emergency
department by the rescue squad. Physical and laboratory findings reveal hypothermia,
hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpittingedema of
the face and pretibial area. Knowing that these findings suggest severe hypothyroidism,
nurse Libby prepares to take emergency action to prevent the potential complication of:
Myxedema coma
Question 10 Explanation:
Severe hypothyroidism may result in myxedema coma, in which a drastic drop in the metabolic
rate causes decreased vital signs, hypoventilation (possibly leading to respiratory acidosis), and
nonpittingedema. Thyroid storm is an acute complication of hyperthyroidism. Cretinism is a
form of hypothyroidism that occurs in infants. Hashimotos thyroiditis is a common chronic
inflammatory disease of the thyroid gland in which autoimmune factors play a prominent role.
11. Nurse Wayne is aware that a positive Chvosteks sign indicate?
Hypocalcemia
Question 11 Explanation:
Chvosteks sign is elicited by tapping the clients face lightly over the facial nerve, just below the
temple. If the clients facial muscles twitch, it indicates hypocalcemia. Hyponatremia is indicated
by weight loss, abdominal cramping, muscle weakness, headache, and postural hypotension.
Hypokalemia causes paralytic ileus and muscle weakness. Clients with hypermagnesemia exhibit
a loss of deep tendon reflexes, coma, or cardiac arrest.
12. During a class on exercise for diabetic clients, a female client asks the nurse educator
how often to exercise. The nurse educator advises the clients to exercise how often to
meet the goals of planned exercise?
At least three times a week
Question 12 Explanation:
Diabetic clients must exercise at least three times a week to meet the goals of planned exercise
lowering the blood glucose level, reducing or maintaining the proper weight, increasing the
serum high-density lipoprotein level, decreasing serum triglyceride levels, reducing blood
pressure, and minimizing stress. Exercising once a week wouldnt achieve these goals.
Exercising more than three times a week, although beneficial, would exceed the minimum
requirement.

diagnosis of HHNS. A client with HHNS typically has hypernatremia and osmotic diuresis. ABG
values reveal acidosis, and the potassium level is variable.
15. During preoperative teaching for a female client who will undergo subtotal thyroidectomy,
the nurse should include which statement?
You must avoid hyperextending your neck after surgery.
Question 15 Explanation:

To prevent undue pressure on the surgical incision after subtotal thyroidectomy, the nurse should
advise the client to avoid hyperextending the neck. The client may elevate the head of the bed as
desired and should perform deep breathing and coughing to help prevent pneumonia. Subtotal
thyroidectomy doesnt affect swallowing.
Question 16 Explanation:
To reduce water retention in a client with the SIADH, the nurse should restrict fluids.
Administering fluids by any route would further increase the clients already heightened fluid
load.
19. Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits
confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse
should first administer:
15 to 20 g of a fast-acting carbohydrate such as orange juice.
Question 19 Explanation:
This client is having a hypoglycemic episode. Because the client is conscious, the nurse should
first administer a fast-acting carbohydrate, such as orange juice, hard candy, or honey. If the
client has lost consciousness, the nurse should administer either I.M. or subcutaneous glucagon
or an I.V. bolus of dextrose 50%. The nurse shouldnt administer insulin to a client whos
hypoglycemic; this action will further compromise the clients condition.
20.Nurse Ruth is assessing a client after a thyroidectomy. The assessment reveals muscle
twitching and tingling, along with numbness in the fingers, toes, and mouth area. The nurse
should suspect which complication?
Tetany
Question 20 Explanation:
Tetany may result if the parathyroid glands are excised or damaged during thyroid surgery.
Hemorrhage is a potential complication after thyroid surgery but is characterized by tachycardia,
hypotension, frequent swallowing, feelings of fullness at the incision site, choking, and bleeding.
Thyroid storm is another term for severe hyperthyroidism not a complication of
thyroidectomy. Laryngeal nerve damage may occur postoperatively, but its signs include a hoarse
voice and, possibly, acute airway obstruction.
21. Early this morning, a female client had a subtotal thyroidectomy. During evening rounds,
nurse Tina assesses the client, who now has nausea, a temperature of 105 F (40.5 C),
tachycardia, and extreme restlessness. What is the most likely cause of these signs?
Thyroid crisis
Question 21 Explanation:
Thyroid crisis usually occurs in the first 12 hours after thyroidectomy and causes exaggerated
signs of hyperthyroidism, such as high fever, tachycardia, and extreme restlessness. Diabetic
ketoacidosis is more likely to produce polyuria, polydipsia, and polyphagia; hypoglycemia, to
produce weakness, tremors, profuse perspiration, and hunger. Tetany typically causes
uncontrollable muscle spasms, stridor, cyanosis, and possibly asphyxia.

22. A female adult client with a history of chronic hyperparathyroidism admits to being
noncompliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of
Risk for injury. To complete the nursing diagnosis statement for this client, which related-to
phrase should the nurse add?
Related to bone demineralization resulting in pathologic fractures
Question 22 Explanation:
Poorly controlled hyperparathyroidism may cause an elevated serum calcium level. This, in turn,
may diminish calcium stores in the bone, causing bone demineralization and setting the stage for
pathologic fractures and a risk for injury. Hyperparathyroidism doesnt accelerate the metabolic
rate. A decreased thyroid hormone level, not an increased parathyroid hormone level, may cause
edema and dry skin secondary to fluid infiltration into the interstitial spaces.
Hyperparathyroidism causes hypercalcemia, not hypocalcemia; therefore, it isnt associated with
tetany.

23.An agitated, confused female client arrives in the emergency department. Her history includes
type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor,
diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and
the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the
client to treat hypoglycemia by ingesting:
10 to 15 g of a simple carbohydrate.
Question 23 Explanation:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g
of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar
(4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes.
Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level
sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
24. A male client with a history of hypertension is diagnosed with primary hyperaldosteronism.
This diagnosis indicates that the clients hypertension is caused by excessive hormone secretion
from which of the following glands?
Adrenal cortex
Question 24 Explanation:
Excessive secretion of aldosterone in the adrenal cortex is responsible for the clients
hypertension. This hormone acts on the renal tubule, where it promotes reabsorption of sodium
and excretion of potassium and hydrogen ions. The pancreas mainly secretes hormones involved
in fuel metabolism. The adrenal medulla secretes the catecholamines epinephrine and
norepinephrine. The parathyroids secrete parathyroid hormone.

25.A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin
(Hb) test result. In discussing the result with the client, nurse Sharmaine would be most accurate
in stating:
It tells us about your sugar control for the last 3 months.
Question 25 Explanation:
The glycosylated Hb test provides an objective measure of glycemic control over a 3-month
period. The test helps identify trends or practices that impair glycemic control, and it doesnt
require a fasting period before blood is drawn. The nurse cant conclude that the result occurs
from poor dietary management or inadequate insulin coverage.
26.Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed
with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to
glucose results. At 2 p.m., the client has a capillary glucose level of 250 mg/dl for which he
receives 8 U of regular insulin. Nurse Vince should expect the doses:
Onset to be at 2:30 p.m. and its peak to be at 4 p.m.
Question 26 Explanation:
Regular insulin, which is a short-acting insulin, has an onset of 15 to 30 minutes and a peak of 2
to 4 hours. Because the nurse gave the insulin at 2 p.m., the expected onset would be from 2:15
p.m. to 2:30 p.m. and the peak from 4 p.m. to 6 p.m.

27.Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
Puffiness of the face and hands
Question 27 Explanation:
Hypothyroidism (myxedema) causes facial puffiness, extremity edema, and weight gain. Signs
and symptoms of hyperthyroidism (Graves disease) include an increased appetite, weight loss,
nervousness, tremors, and thyroid gland enlargement (goiter).
28.Which of these signs suggests that a male client with the syndrome of inappropriate
antidiuretic hormone (SIADH) secretion is experiencing complications?
Neck vein distention
:
SIADH secretion causes antidiuretic hormone overproduction, which leads to fluid retention.
Severe SIADH can cause such complications as vascular fluid overload, signaled by neck vein
distention. This syndrome isnt associated with tetanic contractions. It may cause weight gain
and fluid retention (secondary to oliguria).
29.The nurse is aware that the following is the most common cause of hyperaldosteronism?
An adrenal adenoma
Question 29 Explanation:

An autonomous aldosterone-producing adenoma is the most common cause of

hyperaldosteronism. Hyperplasia is the second most frequent cause. Aldosterone secretion is
independent of sodium and potassium intake as well as of pituitary stimulation.

30.A male client has just been diagnosed with type 1 diabetes mellitus. When teaching the client
and family how diet and exercise affect insulin requirements, Nurse Joy should include which
guideline?
Youll need less insulin when you exercise or reduce your food intake.
Question 30 Explanation:
Exercise, reduced food intake, hypothyroidism, and certain medications decrease the insulin
requirements. Growth, pregnancy, greater food intake, stress, surgery, infection, illness, increased
insulin antibodies, and certain medications increase the insulin requirements.
31. When instructing the female client diagnosed with hyperparathyroidism about diet, nurse
Gina should stress the importance of which of the following?
Forcing fluids
Question 31 Explanation:
The client should be encouraged to force fluids to prevent renal calculi formation. Sodium
should be encouraged to replace losses in urine. Restricting potassium isnt necessary in
hyperparathyroidism.
32. A male client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic
agent. Nurse Jack explains that these medications are only effective if the client:
Has type 2 diabetes.
Question 32 Explanation:
Oral antidiabetic agents are only effective in adult clients with type 2 diabetes. Oral antidiabetic
agents arent effective in type 1 diabetes. Pregnant and lactating women arent prescribed oral
antidiabetic agents because the effect on the fetus is uncertain.

33.Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the
nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse
notices that she has large hands and a hoarse voice. Which of the following would the nurse
suspect as a possible cause of the clients hyperglycemia?
Acromegaly
Question 33 Explanation:
Acromegaly, which is caused by a pituitary tumor that releases excessive growth hormone, is
associated with hyperglycemia, hypertension, diaphoresis, peripheral neuropathy, and joint pain.

Enlarged hands and feet are related to lateral bone growth, which is seen in adults with this
disorder. The accompanying soft tissue swelling causes hoarseness and often sleep apnea. Type 1
diabetes is usually seen in children, and newly diagnosed persons are usually very ill and thin.
Hypothyroidism isnt associated with hyperglycemia, nor is growth hormone deficiency.

36.For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client
for Chvosteks sign and Trousseaus sign because they indicate which of the following?
Hypocalcemia
Question 36 Explanation:
The client who has undergone a thyroidectomy is at risk for developing hypocalcemia from
inadvertent removal or damage to the parathyroid gland. The client with hypocalcemia will
exhibit a positive Chvosteks sign (facial muscle contraction when the facial nerve in front of the
ear is tapped) and a positive Trousseaus sign (carpal spasm when a blood pressure cuff is
inflated for a few minutes). These signs arent present with hypercalcemia, hypokalemia, or
hyperkalemia.

38.After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr.

Smith prescribes levothyroxine (Levothroid), 25 mcg P.O. daily. For which condition is
levothyroxine the preferred agent?
Primary hypothyroidism
Question 38 Explanation:
Levothyroxine is the preferred agent to treat primary hypothyroidism and cretinism, although it
also may be used to treat secondary hypothyroidism. It is contraindicated in Graves disease and
thyrotoxicosis because these conditions are forms of hyperthyroidism. Euthyroidism, a term used
to describe normal thyroid function, wouldnt require any thyroid preparation.

40. A female client with Cushings syndrome is admitted to the medical-surgical unit. During the
admission assessment, nurse Tyzz notes that the client is agitated and irritable, has poor memory,
reports loss of appetite, and appears disheveled. These findings are consistent with which
problem?
Depression
Question 40 Explanation:
Agitation, irritability, poor memory, loss of appetite, and neglect of ones appearance may signal
depression, which is common in clients with Cushings syndrome. Neuropathy affects clients
with diabetes mellitus not Cushings syndrome. Although hypoglycemia can cause irritability,
it also produces increased appetite, rather than loss of appetite. Hyperthyroidism typically causes
such signs as goiter, nervousness, heat intolerance, and weight loss despite increased appetite.

41.When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that
secretes excessive catecholamine, nurse April is most likely to detect:
a blood pressure of 176/88 mm Hg.
Question 41 Explanation:
Pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine,
causes hypertension, tachycardia, hyperglycemia, hypermetabolism, and weight loss. It isnt
associated with the other options.
42.Which instruction about insulin administration should nurse Kate give to a client?
Always follow the same order when drawing the different insulins into the
syringe.
Question 42 Explanation:
The client should be instructed always to follow the same order when drawing the different
insulins into the syringe. Insulin should never be shaken because the resulting froth prevents
withdrawal of an accurate dose and may damage the insulin protein molecules. Insulin also
should never be frozen because the insulin protein molecules may be damaged. Intermediateacting insulin is normally cloudy.
43.NurseRonn is assessing a client with possible Cushings syndrome. In a client with Cushings
syndrome, the nurse would expect to find:
Deposits of adipose tissue in the trunk and dorsocervical area.
Question 43 Explanation:
Because of changes in fat distribution, adipose tissue accumulates in the trunk, face (moonface),
and dorsocervical areas (buffalo hump). Hypertension is caused by fluid retention. Skin becomes
thin and bruises easily because of a loss of collagen. Muscle wasting causes muscle atrophy and
thin extremities.
44. In a 29-year-old female client who is being successfully treated for Cushings syndrome,
nurse Lyzette would expect a decline in:
Serum glucose level.
Question 44 Explanation:
Hyperglycemia, which develops from glucocorticoid excess, is a manifestation of Cushings
syndrome. With successful treatment of the disorder, serum glucose levels decline. Hirsutism is
common in Cushings syndrome; therefore, with successful treatment, abnormal hair growth also
declines. Osteoporosis occurs in Cushings syndrome; therefore, with successful treatment, bone
mineralization increases. Amenorrhea develops in Cushings syndrome. With successful
treatment, the client experiences a return of menstrual flow, not a decline in it.
45.Nurse Noemi administers glucagon to her diabetic client, then monitors the client for adverse
drug reactions and interactions. Which type of drug interacts adversely with glucagon?

Oral anticoagulants
Question 45 Explanation:
As a normal body protein, glucagon only interacts adversely with oral anticoagulants, increasing
the anticoagulant effects. It doesnt interact adversely with anabolic steroids, beta-adrenergic
blockers, or thiazide diuretics.
45.Following a unilateral adrenalectomy, nurse Betty would assess for hyperkalemia shown by
which of the following?
Muscle weakness
Question 46 Explanation:
Muscle weakness, bradycardia, nausea, diarrhea, and paresthesia of the hands, feet, tongue, and
face are findings associated with hyperkalemia, which is transient and occurs from transient
hypoaldosteronism when the adenoma is removed. Tremors, diaphoresis, and constipation arent
seen in hyperkalemia.
Question 47
WRONG
A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25
mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug
Tachycardia
Question 47 Explanation:
Levothyroxine, a synthetic thyroid hormone, is given to a client with hypothyroidism to simulate
the effects of thyroxine. Adverse effects of this agent include tachycardia. The other options
arent associated with levothyroxine.
48. Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus.
During the assessment interview, the client reports that hes impotent and says hes concerned
about its effect on his marriage. In planning this clients care, the most appropriate intervention
would be to:
Suggest referral to a sex counselor or other appropriate professional.
Question 48 Explanation:
The nurse should refer this client to a sex counselor or other professional. Making appropriate
referrals is a valid part of planning the clients care. The nurse doesnt normally provide sex
counseling.
49. A 67-year-old male client has been complaining of sleeping more, increased urination,
anorexia, weakness, irritability, depression, and bone pain that interferes with her going
outdoors. Based on these assessment findings, nurse Richard would suspect which of the
following disorders?

Hyperparathyroidism
Question 49 Explanation:
Hyperparathyroidism is most common in older women and is characterized by bone pain and
weakness from excess parathyroid hormone (PTH). Clients also exhibit hypercaliuria-causing
polyuria. While clients with diabetes mellitus and diabetes insipidus also have polyuria, they
dont have bone pain and increased sleeping. Hypoparathyroidism is characterized by urinary
frequency rather than polyuria.
50. Which outcome indicates that treatment of a male client with diabetes insipidus has been
effective?
Fluid intake is less than 2,500 ml/day
Nervous System
1. A female client is admitted in a disoriented and restless state after sustaining a concussion
during a car accident. Which nursing diagnosis takes highest priority in this clients plan of
care?
Risk for injury
2. The nurse has given the male client with Bells palsy instructions on preserving muscle tone
in the face and preventing denervation. The nurse determines that the client needs additional
information if the client states that he or she will:
Exposure to cold and drafts
3. A female client has clear fluid leaking from the nose following a basilar skull fracture. The
nurse assesses that this is cerebrospinal fluid if the fluid:
Separates into concentric rings and test positive of glucose
4. A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular
accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron
deficiency anemia. Which history finding is a risk factor for CVA?
Obesity
5. For a male client with suspected increased intracranial pressure (ICP), a most appropriate
respiratory goal is to:
Promote carbon dioxide elimination

6. A male client has an impairment of cranial nerve II. Specific to this impairment, the nurse
would plan to do which of the following to ensure client to ensure client safety?
Provide a clear path for ambulation without obstacles
7. A male client with Bells palsy asks the nurse what has caused this problem. The nurses
response is based on an understanding that the cause is:
Unknown, but possibly includes ischemia, viral infection, or an autoimmune
problem
8. A female client has a neurological deficit involving the limbic system. Specific to this type of
deficit, the nurse would document which of the following information related to the clients
behavior.
Affect is flat, with periods of emotional labilit
9. A male client with a spinal cord injury is prone to experiencing automatic dysreflexia. The
nurse would avoid which of the following measures to minimize the risk of recurrence?
Limiting bladder catheterization to once every 12 hours
10. Female client is admitted to the hospital with a diagnosis of Guillain-Barre syndrome. The
nurse inquires during the nursing admission interview if the client has history of:
Respiratory or gastrointestinal infection during the previous month
11. The client with a brain attack (stroke) has residual dysphagia. When a diet order is initiated,
the nurse avoids doing which of the following?
Giving the client thin liquids
12. The nurse is teaching the female client with myasthenia gravis about the prevention of
myasthenic and cholinergic crises. The nurse tells the client that this is most effectively done
by:
Taking medications on time to maintain therapeutic blood levels
13. The nurse is positioning the female client with increased intracranial pressure. Which of the
following positions would the nurse avoid?
Head turned to the side
14. A female client with a suspected brain tumor is scheduled for computed tomography (CT).
What should the nurse do when preparing the client for this test?
Determine whether the client is allergic to iodine, contrast dyes, or shellfish.

15. The nurse is assigned to care for a female client with complete right-sided hemiparesis. The
nurse plans care knowing that this condition:
The client has weakness on the right side of the body, including the face and tongue.
16. Nurse Mary witnesses a neighbors husband sustain a fall from the roof of his house. The
nurse rushes to the victim and determines the need to opens the airway in this victim by using
which method?
Jaw thrust maneuver
17. The nurse is assessing the motor function of an unconscious male client. The nurse would
plan to use which plan to use which of the following to test the clients peripheral response to
pain?
Nail bed pressure
18. A female client with Guillain-Barre syndrome has ascending paralysis and is intubated and
receiving mechanical ventilation. Which of the following strategies would the nurse
incorporate in the plan of care to help the client cope with this illness?
Providing information, giving positive feedback, and encouraging relaxation
19. A female client with Guillain-Barr syndrome has paralysis affecting the respiratory muscles
and requires mechanical ventilation. When the client asks the nurse about the paralysis, how
should the nurse respond?
You may have difficulty believing this, but the paralysis caused by this
disease is temporary.

Sensory