Practice Question
A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan?
Answer Choices:
Correct Answer:
Monitor for muscle paralysis.
Rationale:
🔹 Botulism causes a neurotoxin-mediated neuromuscular blockade, resulting in descending, symmetric paralysis.
🔹 Early symptoms often include blurred vision, dry mouth, and weakness, but paralysis of respiratory muscles can occur rapidly.
🔹 Continuous monitoring for signs of progressive muscle weakness or paralysis, especially in respiratory muscles, is essential.
🔹 The nurse must ensure rapid detection to support airway and ventilatory needs.
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This question is from ATI PN Adult Medical Surgical with NGN which contains 88 questions.
More Questions from This Exam
The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?
Answer Choices:
A. History of Addison's disease.
B. Has sustained tissue damage.
C. Uric acid level of 9.4 mg/dL.
D. Requires nasogastric suction.
A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Answer Choices:
A. Chill the dialysate prior to infusion.
B. Use clean gloves when handling dialysate bags.
C. Weigh the client before and after the treatment.
D. Monitor the client for diarrhea.
A nurse is collecting data about immunizations from a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client's need for which of the following immunizations?
Answer Choices:
A. Inactivated polio virus
B. Herpes zoster
C. Human papilloma virus
D. Measles, mumps, and rubella
A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?
Answer Choices:
A. A client who has Clostridium difficile and has liquid stools
B. A client who had abdominal surgery 2 days ago and the incision line is separating
C. A client who has a chronic tracheostomy and is intermittently coughing up clear sputum
D. A client who fell 12 hr ago and reports pain as 4 on a scale of 0 to 10
A nurse is caring for a client who is postoperative following a total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?
Answer Choices:
A. Moderate amount of serosanguineous drainage on dressings
B. Serum calcium level 9.2 mg/dL
C. Report of a sore throat
D. Oral temperature 39° C (102.2° F)
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4