Nokea
The nurse is teaching a client with a new diagnosis of multiple sclerosis about safety precautions. Which of the following instructions is most important?
- A. Use assistive devices to prevent falls.
- B. Take medications at bedtime only.
- C. Avoid hot baths or showers.
- D. Limit physical activity to prevent fatigue.
Correct Answer: A
Rationale: Using assistive devices prevents falls, a critical safety concern in multiple sclerosis due to muscle weakness or coordination issues.
You may also like to solve these questions
Which nursing assessment findings indicate normal vital signs in a newborn infant?
- A. Pulse, 112; respiratory rate, 24
- B. Pulse, 124; respiratory rate, 28
- C. Pulse, 144; respiratory rate, 48
- D. Pulse, 164; respiratory rate, 55
Correct Answer: C
Rationale: The normal pulse rate for a newborn is 120 to 160. The normal respiratory rate for a newborn infant is 30 to 60 breaths per minute. Therefore, the other options are incorrect.
The nurse is caring for a client with a history of breast cancer who is receiving tamoxifen (Nolvadex). The nurse should instruct the client to report which of the following side effects immediately?
- A. Hot flashes.
- B. Vaginal bleeding.
- C. Nausea.
- D. Fatigue.
Correct Answer: B
Rationale: Vaginal bleeding may indicate endometrial cancer, a serious side effect of tamoxifen, requiring immediate reporting.
A client with chronic kidney disease prescribed a protein restrictive diet should be instructed by the nurse to select which incomplete protein option for inclusion in her or his diet? Select all that apply.
- A. Fish
- B. Eggs
- C. Milk
- D. Nuts
- E. Grains
Correct Answer: D,E
Rationale: The client whose diet has a protein restriction should be careful to ensure that the proteins eaten are incomplete proteins with the highest biological value. Nuts and grains are the only options that are not complete proteins. Foods such as meat, fish, milk, and eggs are complete proteins, which are not recommended for the client with chronic kidney disease.
The nurse instructs the client in mixing and administering regular and NPH insulin. Which of the following statements indicates that the client needs additional instruction?
- A. I draw up the regular insulin first
- B. I shake the bottle of NPH insulin before drawing it up
- C. I store the insulin in a cool place
- D. I insert the needle at a 90-degree angle
Correct Answer: B
Rationale: Shaking NPH insulin can damage it; it should be gently rolled. Drawing up regular insulin first, cool storage, and a 90-degree injection angle are correct practices.
Homocysteine may be cleared from the blood with the help of which of the following vitamins?
- A. Vitamin C
- B. Vitamin E
- C. Vitamin K
- D. Vitamin B6
Correct Answer: D
Rationale: Vitamin B6 (pyridoxine) aids in homocysteine metabolism, reducing blood levels. Other vitamins listed do not have this effect.