Psychosocial Integrity NCLEX | Nurselytic

Correct Answer: B

Rationale: Guillain-Barré syndrome can lead to respiratory failure due to progressive muscle weakness affecting respiratory muscles, unlike the other conditions.

Correct Answer: B

Rationale: The client needs to wash his hair to remove hair spray, cream, or oil that might interfere with attaching the electrodes to the scalp. Food or fluids do not need to be restricted, with the exception of caffeinated fluids. There is no restriction on metal objects. Aspirin is not a medication that needs to be held before the test (just anticonvulsants, tranquilizers, barbiturates, and other sedatives).

Correct Answer: A

Rationale: Restraints must be released every 2 hours to assess circulation, skin integrity, and client comfort, with assessments every 30 minutes while restrained.

Correct Answer: B

Rationale: Troponin is the earliest and most specific marker to rise after a myocardial infarction, detectable within hours of cardiac injury.

Correct Answer: B

Rationale: Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and are designed to reduce the rate of transmission of microbes from one host to another or one source (environment such as the client's bedside table) to another.