Nokea
What should the nurse warn a client with multiple sclerosis to avoid?
- A. Hot weather
- B. Wet climates
- C. Your diet
- D. Cold temperatures
Correct Answer: A
Rationale: Hot weather can exacerbate MS symptoms by increasing body temperature, which impairs nerve conduction.
You may also like to solve these questions
Which assessment finding post-craniotomy requires immediate reporting to the physician?
- A. Clear drainage from the incision
- B. Pain controlled with analgesics
- C. Stable vital signs
- D. Mild swelling at the incision site
Correct Answer: A
Rationale: Clear drainage may indicate a cerebrospinal fluid leak, a serious complication requiring immediate intervention.
The client with a cervical fracture is being discharged in a halo device. Which teaching instruction should the nurse discuss with the client?
- A. Discuss how to correctly remove the insertion pins.
- B. Instruct the client to report reddened or irritated skin areas.
- C. Inform the client that the vest liner cannot be changed.
- D. Encourage the client to remain in the recliner as much as possible.
Correct Answer: B
Rationale: Skin integrity under a halo device is critical. Instructing to report reddened or irritated skin (B) prevents pressure ulcers. Removing pins (A) is done by providers, the vest liner can be changed (C), and prolonged recliner use (D) risks immobility complications.
During the immediate postoperative assessment, the nurse notices the dressing is moist. Which action is most appropriate to take first?
- A. Change the dressing.
- B. Reinforce the dressing.
- C. Remove the dressing.
- D. Document the findings.
Correct Answer: B
Rationale: Reinforcing the dressing controls minor drainage and maintains sterility while further assessment is conducted.
A 20-year-old female client who tried lysergic acid diethylamide (LSD) as a teen tells the nurse that she has bad dreams that make her want to kill herself. Which is the explanation for this occurrence?
- A. These occurrences are referred to as 'holdover reactions' to the drug.
- B. These are flashbacks to a time when the client had a 'bad trip.'
- C. The drug is still in the client’s body and causing these reactions.
- D. The client is suicidal and should be on one-to-one precautions.
Correct Answer: B
Rationale: LSD can cause flashbacks (B), where users re-experience effects like bad dreams years later, especially from a 'bad trip.' Holdover reactions (A) is not a term, LSD is not stored long-term (C), and suicidal ideation (D) requires assessment but is not the explanation.
When changing the client's position postoperatively, which nursing action is best?
- A. Raise the client with a mechanical lift.
- B. Logroll the client from side to side.
- C. Have the client flex the knees and lift.
- D. Pull the client's arms and then the legs.
Correct Answer: B
Rationale: Logrolling maintains spinal alignment, preventing strain on the surgical site after diskectomy and spinal fusion.