Nokea
A client with relapsing-remitting multiple sclerosis tells the nurse that even though the primary symptoms of exacerbation are leg spasms and blurred vision, the hardest part is trying to get through the day because of being so tired. Which diagnosis should the nurse identify as a priority for this client?
- A. Fatigue
- B. Disturbed Sensory Perception
- C. Impaired Physical Mobility
- D. Self-Care Deficit
Correct Answer: A
Rationale: Fatigue is one of the most debilitating symptoms of MS and significantly impacts the client's quality of life. Addressing fatigue should be a priority in the care plan.
You may also like to solve these questions
During treatment of the patient with an acute attack of gout, the nurse would expect to administer which drug?
- A. Aspirin
- B. Colchicine
- C. Allopurinol (Zyloprim)
- D. Probenecid (Benemid)
Correct Answer: B
Rationale: Colchicine treats acute gout attacks.
There are ________ layers of meninges around the brain and spinal cord.
- A. one
- B. two
- C. three
- D. four
Correct Answer: C
Rationale: The brain and spinal cord are protected by three layers of meninges: the dura mater, arachnoid mater, and pia mater. These layers provide structural support, cushioning, and protection against physical injury. The dura mater is the outermost layer, the arachnoid mater is the middle layer, and the pia mater is the innermost layer. Therefore, three is the correct answer as it accurately describes the number of meningeal layers.
The change in electrical charge that occurs in a neuron when a nerve impulse is transmitted is known as the:
- A. action potential
- B. synaptic change
- C. refractory period
- D. ionic charge
Correct Answer: A
Rationale: An action potential is the rapid change in electrical charge that occurs in a neuron when a nerve impulse is transmitted. This process involves the depolarization of the neuron's membrane, where sodium ions rush into the cell, followed by repolarization, where potassium ions exit the cell. The action potential is the basis for neural communication and allows signals to travel quickly along the axon to the synapse, where neurotransmitters are released to communicate with other neurons.
Pupil dilatation occurs with:
- A. neostigmine
- B. cocaine
- C. atenolol
- D. codeine
Correct Answer: B
Rationale: Cocaine causes pupil dilation (mydriasis) by inhibiting norepinephrine reuptake, leading to increased sympathetic activity. Neostigmine, atenolol, and codeine do not cause pupil dilation.
A client with a skeletal traction reports a throbbing pain. Which of the following actions should the nurse take to relieve the pain?
- A. Administer antibiotics
- B. Elevate the extremity
- C. Petal cast edges with waterproof tape
- D. Massage the area of pain
Correct Answer: B
Rationale: Elevation can help reduce pain by decreasing swelling.