Nokea
The healthcare provider is planning care for a patient diagnosed with multiple sclerosis (MS). Which of the following is the priority intervention?
- A. Advise the patient to drink liquids through a straw
- B. Monitor the patient's temperature to avoid overheating
- C. Teach the patient's family how to meet the patient's needs
- D. Encourage bed rest in order to conserve strength
Correct Answer: B
Rationale: Overheating can exacerbate MS symptoms, so monitoring temperature is a priority to prevent symptom flare-ups.
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What should the nurse include in the teaching plan for the patient with SLE?
- A. Ways to avoid exposure to sunlight
- B. Increasing dietary protein and carbohydrate intake
- C. The necessity of genetic counseling before planning a family
- D. The use of nonpharmacologic pain interventions instead of analgesics
Correct Answer: A
Rationale: Sun avoidance minimizes flare-ups.
What should the nurse do when providing care for a patient with an acute attack of trigeminal neuralgia?
- A. Carry out all hygiene and oral care for the patient.
- B. Use conversation to distract the patient from pain.
- C. Maintain a quiet, comfortable, draft-free environment.
- D. Have the patient examine the mouth after each meal for residual food.
Correct Answer: C
Rationale: A calm environment minimizes triggers and helps manage pain.
Before his discharge the nurse should assess Mr. Hall's home situation to determine possible hazards. Of the following items in Mr. Hall's home, which poses the greatest danger to him while he is still on crutches?
- A. Stairs
- B. Doors
- C. Scatter rugs
- D. Easy chairs
Correct Answer: C
Rationale: Scatter rugs can cause tripping hazards.
What is the unit of Nervous system?
- A. Brain
- B. Spinal Cord
- C. Neuron
- D. Nerves
Correct Answer: C
Rationale: Neuron is the correct answer because it is the structural and functional unit of the nervous system. Neurons are specialized cells that transmit electrical and chemical signals, enabling communication within the nervous system and between the nervous system and other parts of the body.
A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoreses, and flushing of the face and neck. What action should you take first?
- A. Administer the ordered acetaminophen (Tylenol).
- B. Check the Foley tubing for kinks or obstruction.
- C. Adjust the temperature in the patient's room.
- D. Notify the physician about the change in status.
Correct Answer: B
Rationale: Checking the Foley tubing is critical as it could indicate autonomic dysreflexia, a life-threatening condition in SCI patients.