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 C

Explanation

Choice A rationale:

Newborns typically lose some weight after birth, but 15 percent loss would be excessive and concerning. A normal weight loss range is about 5 to 10 percent.

Choice B rationale:

Newborns should be fed on demand rather than adhering to strict schedules to ensure they are adequately nourished.

Choice C rationale:

Breastfeeding requires additional energy, and mothers are generally advised to consume around 500 extra calories a day to support milk production and their own energy needs.

Choice D rationale:

Offering a pacifier before sleep can reduce the risk of sudden infant death syndrome (SIDS), but this recommendation usually starts at around 1 to 2 months of age.

A. Apply lotion to the incisional site twice daily. B. Avoid measuring blood pressure on the affected arm. C. Apply deodorant under the affected arm daily. D. Avoid lifting objects greater than 5.4 kg (12 lb).

Correct Answer is B

Explanation

Choice A rationale:

Applying lotion to the incisional site may not be recommended as it could potentially irritate the incision or interfere with wound healing.

Choice B rationale:

Avoiding blood pressure measurements on the affected arm is important to prevent compromising lymphatic flow and potentially exacerbating lymphedema, a common complication after a modified radical mastectomy.

Choice C rationale:

Applying deodorant under the affected arm is discouraged, as it may contain chemicals that could irritate the surgical area.

Choice D rationale:

While lifting heavy objects is generally discouraged after surgery, the specific weight mentioned (5.4 kg or 12 lb) is not consistently supported as a limitation in post- mastectomy care.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the mother of a newborn who is breastfeeding. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

A nurse is providing discharge teaching about lymphedema prevention to a client who is 2 days postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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