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 B

Explanation

Choice A rationale:

Requesting an opportunity to discuss trauma might be indicative of the client's desire to process their experiences, but it's not a specific symptom of PTSD.

Choice B rationale:

Recurrent nightmares are a common symptom of PTSD, often related to the traumatic event.

Choice C rationale:

Indicating working extra hours is not a specific symptom of PTSD.

Choice D rationale:

Exhibiting diminished reflexes is not a typical symptom of PTSD.

A. Awaken the client frequently throughout the day. B. Keep the client warm by applying an electric blanket. C. Position the client on their side with the head of bed elevated. D. Encourage the client to eat soft foods intermittently.

Correct Answer is C

Explanation

Choice A rationale:

Awakening the client frequently throughout the day is not necessary and can disturb their rest and comfort.

Choice B rationale:

Using an electric blanket can increase the risk of burns or overheating in a client who is approaching death and may have reduced ability to regulate body temperature.

Choice C rationale:

Positioning the client on their side with the head of the bed elevated can facilitate drainage of respiratory secretions, maintain airway patency, and provide comfort.

Choice D rationale:

Encouraging the client to eat soft foods intermittently may not be relevant, as the client's ability to eat and swallow may be limited in the end stages of life.

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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

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