The nurse is working on discharge planning for a 25-year-old hospitalized client diagnosed with Multiple Sclerosis (MS). The client has significant bilateral lower extremities muscle weakness. Which of the following facilities should the nurse expect this client to be discharged to?
Home care services
Sub-acute care facility
Rehabilitation facility
Skilled nursing facility
The Correct Answer is C
Choice A reason:
Home care services provide medical and personal care to clients in their homes. While this option may be suitable for clients with less severe symptoms, a client with significant bilateral lower extremities muscle weakness may require more intensive rehabilitation services to improve mobility and function.
Choice B reason:
A sub-acute care facility provides care for clients who need more intensive services than those available in a traditional nursing home but do not require the full resources of a hospital. While this option may be appropriate for some clients, a rehabilitation facility is better suited for addressing the specific needs of a client with significant muscle weakness due to MS.
Choice C reason:
A rehabilitation facility is the most appropriate setting for a client with significant bilateral lower extremities muscle weakness due to MS. These facilities offer specialized programs and therapies designed to improve mobility, strength, and overall function. The client can receive comprehensive care from a multidisciplinary team, including physical therapists, occupational therapists, and neurologists.
Choice D reason:
A skilled nursing facility provides long-term care for clients with chronic conditions or disabilities. While these facilities offer medical care and assistance with daily activities, they may not provide the intensive rehabilitation services needed for a client with significant muscle weakness due to MS.
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Correct Answer is B
Explanation
Choice A reason:
Chewing the tablet before swallowing is not the correct method of administration for Sumatriptan (Imitrex) tablets. These tablets are designed to be swallowed whole. Chewing them could affect the medication’s efficacy and absorption.
Choice B reason:
“If you experience chest pain, call your physician immediately.” This instruction is crucial because Sumatriptan can cause serious cardiovascular side effects, including chest pain, which may indicate a heart attack or other serious condition. Clients need to be aware of this potential side effect and seek immediate medical attention if it occurs.
Choice C reason:
Taking Sumatriptan daily to prevent headaches is incorrect. Sumatriptan is used to treat acute migraine attacks and is not intended for daily use as a preventive medication. Using it daily could lead to medication overuse headaches and other adverse effects.
Choice D reason:
“Repeat dose in 1 hour for unrelieved headache” is partially correct but incomplete. The correct instruction is to repeat the dose after 2 hours if the headache is not relieved, up to a maximum of two doses in 24 hours. Clients should follow the specific dosing instructions provided by their healthcare provider.
Correct Answer is B
Explanation
Choice A reason:
Recommending high-impact, vigorous exercises is not appropriate for clients with MS. These exercises can increase the risk of injury and exacerbate symptoms. Instead, low-impact exercises such as swimming, yoga, and stretching are more suitable for improving muscle strength and overall fitness without causing undue stress on the body.
Choice B reason:
Teaching the client stress management techniques such as deep breathing and meditation is an important intervention for managing MS. Stress can exacerbate MS symptoms, so learning effective stress management strategies can help the client maintain better control over their condition and improve their quality of life.
Choice C reason:
Advising the client to avoid social interactions to minimize stress is not a healthy recommendation. Social support is crucial for mental and emotional well-being. Instead of avoiding social interactions, the client should be encouraged to engage in supportive and positive social activities that do not cause stress.
Choice D reason:
Encouraging the client to void every hour is not a standard intervention for MS unless the client has specific bladder control issues. Bladder training and scheduled voiding may be recommended for clients with urinary symptoms, but this should be tailored to the individual’s needs and not applied universally.