A nurse is contributing to the plan of care for a client who has multiple sclerosis. The nurse should recommend including which of the following interventions in the plan of care to assist the client in overcoming barriers related to this condition?

Establish alternatives to verbal conversation.

Use the numbers on a clock to describe the position of food on the client's plate.

Touch the client's arm before beginning to speak.

Provide the client with large-handled eating utensils.

Answer and Explanation

The Correct Answer is D

A: Alternative communication methods are more applicable to clients with severe speech or cognitive impairments, which are not universally present in multiple sclerosis.
B: Using clock numbers to describe food placement is typically recommended for visually impaired clients, not specifically for those with multiple sclerosis.
C: Touching the client's arm before speaking is a technique used for clients with hearing impairments.
D: Multiple sclerosis can cause fine motor skill impairment and muscle weakness. Providing large-handled utensils can help maintain independence in eating by making it easier to grip and use utensils.

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Correct Answer is B

Explanation

A. While revising the current policy for catheter care may be necessary, it is not the first step in addressing the increase in infections. Understanding the factors contributing to the infections is crucial before policy revision.
B. Identifying possible precipitating factors related to the infections is the first step in addressing the issue. This involves investigating the circumstances surrounding the infections to determine potential causes and contributing factors.
C. While staff training is important, scheduling training before understanding the root cause of the infections may not effectively address the problem.
D. Meeting with providers to discuss measures to decrease infections may be necessary, but it should occur after identifying the precipitating factors to ensure targeted and effective interventions.

A. Both fontanels show molding. B. The posterior fontanel is open. C. The anterior fontanel is open. D. Both fontanels are the same size.

Correct Answer is C

Explanation

A. Both fontanels show molding. Molding is seen immediately after birth due to the passage through the birth canal and should not be present at 8 months.
B. The posterior fontanel is open. The posterior fontanel usually closes by 2 to 3 months of age.
C. For an 8-month-old infant, it is normal for the anterior fontanel to still be open. It typically closes between 12 to 18 months of age.
D. Both fontanels are the same size. The anterior and posterior fontanels are naturally different sizes; the anterior is larger.

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A nurse is contributing to the plan of care for a client who has multiple sclerosis. The nurse should recommend including which of the following interventions in the plan of care to assist the client in overcoming barriers related to this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is concerned about a recent increase in facility-acquired catheter Infections. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?

Correct Answer is C

Explanation

A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

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