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The nurse is providing education to a client who is newly diagnosed with Multiple Sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY

“I may experience urinary incontinence.”

“I should not exercise because this may trigger an exacerbation.”

“I need to check the water temperature before I take a bath.”

“I may experience visual disturbances.”

“I should alternate the eye patch every other day to help with the double vision.”

Question Solution

Correct Answer : B,E

Choice A reason:

“I may experience urinary incontinence.” This statement is correct. Urinary incontinence is a common symptom of MS due to the disease’s impact on the nervous system. The client does not need additional teaching regarding this statement.

Choice B reason:

“I should not exercise because this may trigger an exacerbation.” This statement indicates a need for additional teaching. Regular exercise is beneficial for individuals with MS and can help improve strength, mobility, and overall well-being. The nurse should educate the client on safe and appropriate exercise routines.

Choice C reason:

“I need to check the water temperature before I take a bath.” This statement is correct. Clients with MS may have impaired sensation and are at risk for burns if the water is too hot. Checking the water temperature is a necessary precaution.

Choice D reason:

“I may experience visual disturbances.” This statement is correct. Visual disturbances, such as blurred vision or double vision, are common symptoms of MS. The client does not need additional teaching regarding this statement.

Choice E reason:

“I should alternate the eye patch every other day to help with the double vision.” This statement indicates a need for additional teaching. While using an eye patch can help manage double vision, it should be alternated more frequently, typically every few hours, to prevent strain on the covered eye.

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A. Analgesics B. Antibiotics C. Anticonvulsants D. Antihistamines

Correct Answer is C

Explanation

Choice A reason:

Analgesics, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may provide some relief for mild pain but are generally not effective for the severe, neuropathic pain associated with Trigeminal neuralgia. This condition requires medications that specifically target nerve pain.

Choice B reason:

Antibiotics are used to treat bacterial infections and are not effective for treating neuropathic pain conditions like Trigeminal neuralgia. This type of pain is not caused by an infection, so antibiotics would not be appropriate.

Choice C reason:

Anticonvulsants, such as carbamazepine and gabapentin, are the most effective medications for treating Trigeminal neuralgia. These drugs help stabilize nerve activity and reduce the frequency and intensity of pain episodes. They are considered the first-line treatment for this condition.

Choice D reason:

Antihistamines are used to treat allergic reactions and are not effective for neuropathic pain. They do not have the properties needed to manage the severe pain associated with Trigeminal neuralgia.

A. Decrease bright lights. B. Implement droplet precautions. C. Initiate IV access. D. Administer antibiotics.

Correct Answer is B

Explanation

Choice A reason:

Decreasing bright lights can help alleviate discomfort for the client, especially if they are experiencing photophobia, which is common in meningitis. However, this action does not address the immediate need to prevent the spread of infection. While it is a supportive measure, it is not the first priority in managing a client with suspected meningitis.

Choice B reason:

Implementing droplet precautions is the first priority when a client presents with symptoms suggestive of meningitis, such as a severe headache, stiff neck, and positive Kernig’s and Brudzinski’s signs. Meningitis can be caused by bacterial infections that are highly contagious and spread through respiratory droplets. Initiating droplet precautions helps prevent the transmission of the infection to other clients and healthcare workers, making it the most critical initial action.

Choice C reason:

Initiating IV access is important for administering medications and fluids, but it is not the first priority. Ensuring the safety of others by implementing droplet precautions takes precedence. Once precautions are in place, the nurse can proceed with establishing IV access to facilitate further treatment.

Choice D reason:

Administering antibiotics is crucial in the treatment of bacterial meningitis, but it should be done after droplet precautions are in place to prevent the spread of infection. Prompt antibiotic therapy is essential, but the initial step must focus on infection control measures to protect others from exposure.

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The nurse is providing education to a client who is newly diagnosed with Multiple Sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY

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Correct Answer is C

Explanation

Correct Answer is B

Explanation

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Take full exam for free The nurse is providing education to a client who is newly diagnosed with Multiple Sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY

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A nurse is caring for a client diagnosed with Trigeminal neuralgia who is suddenly experiencing severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this type of pain?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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The nurse is providing education to a client who is newly diagnosed with Multiple Sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY