A nurse is planning teaching for a client who has multiple sclerosis. Which of the following instructions should the nurse plan to include?

Take a hot bath to relieve muscle spasms.

Participate in high-impact exercise daily.

Drink at least 1.5 L of fluid per day.

Restrict daily intake of dietary fiber.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Taking a hot bath to relieve muscle spasms might exacerbate symptoms in individuals with multiple sclerosis due to heat sensitivity.

Choice B rationale:

Participating in high-impact exercise daily can be challenging for individuals with multiple sclerosis, who may experience fatigue and mobility issues.

Choice C rationale:

Adequate hydration is essential for individuals with multiple sclerosis to maintain overall health and support neurological function.

Choice D rationale:

Restricting daily intake of dietary fiber is not recommended, as fiber can aid in maintaining bowel regularity for individuals with multiple sclerosis.

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Correct Answer is A

Explanation

Choice A rationale:

Melanoma often originates from an existing mole or can develop as a new pigmented lesion on the skin.

Choice B rationale:

Melanoma lesions are typically asymmetrical, not symmetrical.

Choice C rationale:

Metastasis of melanoma is not rare and can occur if the disease is not diagnosed and treated early.

Choice D rationale:

Melanoma has multiple growth phases, including radial and vertical growth.

A. "You should avoid temperature extremes." B. "You should engage in high-impact exercise twice per week." C. "You should drink at least 2 liters of fluids each day." D. "You should not receive the influenza vaccine."

Correct Answer is A

Explanation

Choice A rationale:

Avoiding temperature extremes can help prevent triggering a sickle cell crisis. Cold temperatures can cause blood vessels to constrict, leading to poor blood flow and increased risk of cell sickling.

Choice B rationale:

Engaging in high-impact exercise might not be recommended, as vigorous exercise can increase the risk of dehydration and oxygen deprivation, potentially triggering a crisis.

Choice C rationale:

Staying well-hydrated by drinking fluids is important, but temperature regulation is a key factor in preventing sickle cell crises.

Choice D rationale:

Receiving the influenza vaccine is recommended for individuals with sickle cell disease to reduce the risk of infections that could trigger a crisis. This statement is incorrect; the client should receive the influenza vaccine unless contraindicated.

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A nurse is planning teaching for a client who has multiple sclerosis. Which of the following instructions should the nurse plan to include?

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