Nokea
The nurse writes the client problem of 'altered sexual functioning' for a male client diagnosed with multiple sclerosis (MS). Which intervention should be implemented?
- A. Encourage the couple to explore alternative ways of maintaining intimacy.
- B. Make an appointment with a psychotherapist to counsel the couple.
- C. Explain daily exercise will help increase libido and sexual arousal.
- D. Discuss the importance of keeping physically calm during sexual intercourse.
Correct Answer: A
Rationale: Exploring alternative ways to maintain intimacy can help the client and their partner adapt to changes in sexual functioning caused by MS.
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Following discharge teaching, the nurse realizes that additional instruction is needed when the patient says what?
- A. It is important for me to avoid exposure to people with upper respiratory infections.
- B. When I begin to feel better
- C. I should stop taking the prednisone to prevent side effects.
- D. I plan to use vitamin supplements and a high-protein diet to help manage my condition.
Correct Answer: B
Rationale: Prednisone should not be stopped abruptly due to the risk of adrenal insufficiency
MRS. Post is concerned about the effect of her diagnosis of systemic lupus erythematosus on childbearing. In discharge planning with Mrs. Post, you should
- A. instruct her to use an intrauterine device for birth control
- B. tell her pregnancy may cause an exacerbation of symptoms
- C. tell her that her symptoms will not change because of pregnancy
- D. instruct her to use birth control pills
Correct Answer: B
Rationale: Pregnancy can trigger lupus flares, requiring careful monitoring.
The cutaneous innervation of the ear
- A. Is the lesser auricular nerve
- B. Involves the dermatome of C3
- C. Includes the zygomaticotemporal branch of the trigeminal nerve
- D. Includes the vagus
Correct Answer: D
Rationale: The vagus nerve (X) provides sensory innervation to the external auditory meatus and part of the ear. This is important in diagnosing referred pain from the ear.
Which motor symptom, visible in the hands, is characteristic of Parkinson's disease?
- A. blue discoloration
- B. red discoloration
- C. tremor
- D. severe edema
Correct Answer: C
Rationale: Tremor, particularly a resting tremor, is a hallmark symptom of Parkinson's disease. It often begins in the hands and can progress to other parts of the body as the disease advances.
The nurse instructs a client who has a neurological deficit regarding nutrition and diet. What should the client do?
- A. Eat two large meals instead of frequent small meals.
- B. Consume a diet low in fiber.
- C. Chew foods quickly.
- D. Be sure to take fluids frequently.
Correct Answer: D
Rationale: Staying hydrated is crucial for clients with neurological deficits to prevent constipation and urinary tract infections.