Annual visit: Diagnostic Results Hct 38% Hgb 13 g/dL Platelet count 350,000/mm3  Physical Examination Client is here today for annual check-up; client’s BMI is 19 Client reports they started following a strict vegan diet 1 month ago. Hand grasps strong and equal bilaterally. Breath sounds clear and present throughout. Apical heart rate is regular and strong.  Abdomen is flat and soft. Bowel sounds are present. Skin warm and dry; buccal mucosa pink; skin color is consistent with the client’s genetic background 6 months after annual visit: Hct 26%  Hgb 8 g/dL Platelet count 275,000/mm3 Client made appointment today due to experiencing paresthesia of fingers and toes, muscle weakness, and fatigue. BMI is 18 Breath sounds clear and present throughout. Apical heart rate is strong, regular, and slightly tachycardic. No murmurs are auscultated.  Skin cool; buccal mucosa pale; nailbeds are pale for the client’s genetic background; tongue appears red and smooth.   The nurse should recognize that which of the following findings from the visit 6 months after the annual check-up require immediate follow-up? (Select all that apply.)

A nurse in a clinic is collecting data from a client who is 13 weeks gestation and has hyperemesis gravidarum. Which of the following should the nurse identify as the priority?

Neurophysiology studies are usually required for the diagnosis of GBS.

About 50% of patients with only ocular myasthenia gravis are seropositive. What does seropositive mean?  

What are the TWO important clinical cues that should prompt an RT to consider a diagnosis of Amyotrophic Lateral Sclerosis (ALS)?

Guillain-Barré is divided into subtypes. Which subtype is a severe variant of GBS that is more prevalent in Asia, Central America, and South America? This subtype causes severe, rapid destruction to nerves throughout the body.

What lung disorders have decreased in DIFFUSION CAPACITY (DLCO)? (Select all that apply.)

What is the most sensitive diagnostic test for myasthenia gravis and most difficult?

What disorder commonly affects the neck extensor and flexor, producing “dropped head syndrome”?

Patients with ARDS are at high risk for complications related to mechanical ventilation and associated with the patient’s underlying critical illness. List two common complications that patients with ARDS have the potential to experience.