Nokea
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?
- A. Home care services
- B. Sub-acute care facility
- C. Rehabilitation facility
- D. Skilled nursing facility
Correct Answer: C
Rationale: The correct answer is C: Rehabilitation facility. This is the appropriate choice because a rehabilitation facility specializes in providing intensive therapy and support for clients with muscle weakness, such as the client with MS in this case. The client needs structured rehabilitation services to improve muscle strength and function. Home care services (A) may not provide sufficient support and resources for the client's needs. Sub-acute care facility (B) is more suitable for clients who require ongoing medical care or monitoring. Skilled nursing facility (D) is typically for clients who need long-term nursing care rather than intensive rehabilitation.
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A nurse is caring for a client brought to the Emergency Department as one of the first victims of a train accident. The nurse assesses the client, noting a respiratory rate of 38, a weak, rapid pulse, and uncontrolled bleeding. Using NATO guidelines, the nurse assigns which priority tag?
- A. Red tag
- B. Black tag
- C. Green tag
- D. Yellow tag
Correct Answer: A
Rationale: The correct answer is A: Red tag. The nurse assigns a red tag based on the assessment findings of a high respiratory rate, weak rapid pulse, and uncontrolled bleeding, indicating a critically injured patient requiring immediate intervention. Red tag signifies priority 1 according to NATO guidelines, indicating the need for immediate life-saving interventions. Other choices are incorrect because Black tag (B) is used for deceased or non-salvageable patients, Green tag (C) for minor injuries, and Yellow tag (D) for delayed or non-urgent care. In this scenario, the patient's critical condition necessitates the assignment of a red tag for prompt and urgent care.
A nurse is determining if a homebound client is eligible for Meals-on-Wheels. Which of the following is the most important factor for the nurse to consider?
- A. The client's level of family support
- B. The client's financial resources
- C. The client's access to transportation
- D. The client's ability to prepare meals
Correct Answer: D
Rationale: The correct answer is D: The client's ability to prepare meals. This is crucial as Meals-on-Wheels provides food delivery for those unable to cook. By assessing the client's meal preparation ability, the nurse can determine if the service is necessary. Choice A may be helpful, but not as critical as the client's own ability. Choice B is important but not the most crucial for Meals-on-Wheels eligibility. Choice C is relevant, but if the client cannot prepare meals, transportation to get food is secondary.
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?
- A. Place the client on a low-protein, low-calorie diet
- B. Teach the client to walk more quickly when ambulating
- C. Complete passive range-of-motion exercises daily
- D. Give the patient extra time to perform activities
Correct Answer: D
Rationale: The correct answer is D: Give the patient extra time to perform activities. Bradykinesia is a common symptom of Parkinson's disease characterized by slow movement. By giving the patient extra time to perform activities, the nurse can accommodate the decreased speed of movement associated with bradykinesia, promoting independence and preventing frustration. Placing the client on a low-protein, low-calorie diet (A) is not relevant to addressing bradykinesia. Teaching the client to walk more quickly (B) may not be feasible due to the physical limitations caused by the condition. Completing passive range-of-motion exercises daily (C) may be beneficial for maintaining mobility but does not directly address bradykinesia. Giving the patient extra time to perform activities (D) is the most appropriate action as it supports the client's autonomy and helps manage the symptom effectively.
A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?
- A. Restricting visitors to a few hours in the afternoon to promote client rest
- B. Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period
- C. Scheduling toilet breaks before and after any other planned activity
- D. Scheduling energy-intensive activities at the time of day when the client has higher energy levels
Correct Answer: D
Rationale: The correct answer is D: Scheduling energy-intensive activities at the time of day when the client has higher energy levels. This option best conserves the client's energy as it aligns the demanding tasks with the client's peak energy periods, optimizing efficiency and reducing fatigue. This approach ensures that the client can complete tasks requiring more physical or mental effort when they are most capable, minimizing strain and preventing energy depletion. Restricting visitors (A) may not necessarily conserve energy as social interactions can be energizing for some clients. Scheduling all activities within a small block of time (B) may lead to fatigue if demanding tasks are clustered together. Scheduling toilet breaks before and after activities (C) is important but does not address energy conservation directly.
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?
- A. Analgesics
- B. Antibiotics
- C. Anticonvulsants
- D. Antihistamines
Correct Answer: C
Rationale: The correct answer is C: Anticonvulsants. Trigeminal neuralgia is a neuropathic pain disorder, and anticonvulsants like carbamazepine are the first-line treatment due to their ability to stabilize nerve cell membranes and reduce pain signals. Analgesics (choice A) may not be effective for neuropathic pain. Antibiotics (choice B) are used to treat infections, not neuropathic pain. Antihistamines (choice D) are used for allergies and not indicated for treating trigeminal neuralgia.