A nurse is attending to a client with multiple sclerosis who reports a sensation of tightness around their torso. What condition should the nurse identify this symptom as indicating?

Trigeminal neuralgia

Lhermitte’s sign

MS hug

Paroxysmal spasms

Answer and Explanation

The Correct Answer is C

Choice A rationale
Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain. It does not cause a sensation of tightness around the torso.
Choice B rationale

Lhermitte’s sign is a symptom of multiple sclerosis and other neurological conditions where a person feels an electric shock-like sensation running down the spine and into the limbs. It does not cause a sensation of tightness around the torso.
Choice C rationale
The sensation of tightness around the torso in a patient with multiple sclerosis is often referred to as the “MS hug”. It is caused by a lesion or an area of active inflammation within the spinal cord.
Choice D rationale
Paroxysmal spasms are a type of muscle spasm experienced by some people with multiple sclerosis. These spasms are usually painful and involve the muscles of the legs, but they do not cause a sensation of tightness around the torso.

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Correct Answer is B

Explanation

Choice A rationale

Cognitive behavioral therapy (CBT) is a type of psychological treatment that can be effective for a range of conditions, including chronic pain. However, it may not be the most suitable for acute pain management at home following a knee injury. CBT usually involves working with a trained therapist over multiple sessions, which may not be practical or immediately beneficial in this context.
Choice B rationale
Intermittent ice compress is a highly recommended non-pharmacological method for managing acute pain, especially following a knee injury. The cold temperature from the ice can help numb the area, reducing pain and inflammation. It’s a simple, cost-effective, and readily available method that can be easily applied at home.
Choice C rationale
Phototherapy, also known as light therapy, involves exposure to specific wavelengths of light using polychromatic polarised light, lasers, light-emitting diodes, fluorescent lamps, or dichroic lamps. While it has been used to treat conditions like seasonal affective disorder, skin conditions, and neonatal jaundice, its effectiveness in managing acute pain following a knee injury is not well-established.
Choice D rationale
Walking on a treadmill might not be suitable for a patient experiencing acute pain following a knee injury. Physical activity is generally beneficial for overall health and certain types of chronic pain. However, in the case of an acute knee injury, rest and immobilization are often recommended initially to allow the injured tissues to heal.

A. Smoking B. Depression C. Stress D. Poor posture

Correct Answer is C

Explanation

Choice A rationale
Smoking is a risk factor for many health conditions, including headaches. However, it is not a common precipitating factor in both tension-type and cluster headaches.
Choice B rationale
Depression can be associated with both tension-type and cluster headaches, but it is not a common precipitating factor for these types of headaches.

Choice C rationale
Stress is a common precipitating factor for both tension-type and cluster headaches. Both types of headaches can be triggered by psychological factors like stress.
Choice D rationale
Poor posture can contribute to tension-type headaches by causing muscle tension in the neck and shoulders. However, it is not a common precipitating factor for cluster headaches.

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A nurse is attending to a client with multiple sclerosis who reports a sensation of tightness around their torso. What condition should the nurse identify this symptom as indicating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient experiencing acute pain following a knee injury. The nurse is educating the patient about pain management strategies to use at home.Which of the following non-pharmacological methods of pain relief should the nurse include in their teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has headaches. Which of the following precipitating factors is common in both tension-type headaches and cluster headaches?

Correct Answer is C

Explanation

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

A nurse is reviewing discharge medications with a patient who has Parkinson’s disease. The nurse should include teaching about the patient’s anticholinergic agent. Which of the following side effects should the nurse advise the patient to report?

A patient with a history of migraines comes into the clinic reporting “tingling of the face and blind spots in the eyes.”. Which of the following phases of a migraine is the patient experiencing?

A nurse is attending to a client with multiple sclerosis who reports a sensation of tightness around their torso. What condition should the nurse identify this symptom as indicating?

A client with a history of migraines comes to a clinic with a throbbing headache. What Questions should the nurse include in the assessment?

A nurse is providing care for a patient in the emergency department who has been preliminarily diagnosed with a transient ischemic attack (TIA). Which diagnostic test should the nurse expect the healthcare provider to order?

A nurse is responsible for six patients. Which of the following patients are at risk for developing peripheral neuropathy (PN)? (Select all that apply.)

A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a possible consequence of a TBI?