A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

"Wear an eye patch on the right eye at all times."

"Implement a schedule to include periods of rest."

"Engage in a vigorous exercise program."

"Plan to relax in a hot tub spa each day."

Answer and Explanation

The Correct Answer is B

A. "Wear an eye patch on the right eye at all times."
An eye patch may be recommended alternating between eyes for short periods to relieve diplopia, but wearing it continuously on one eye can lead to eye strain and decreased depth perception.

B. "Implement a schedule to include periods of rest."
Fatigue is a common and debilitating symptom in clients with MS. Scheduling regular rest periods helps prevent overexertion, which can worsen symptoms and increase the risk of relapse.

C. "Engage in a vigorous exercise program."
Vigorous exercise may exacerbate MS symptoms, particularly fatigue and heat sensitivity. Instead, a moderate, low-impact exercise program (e.g., swimming, yoga) is more appropriate.

D. "Plan to relax in a hot tub spa each day."
Heat can worsen MS symptoms (a phenomenon known as Uhthoff’s sign). Hot environments, such as hot tubs or spas, should be avoided to prevent symptom exacerbation.

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Correct Answer is A

Explanation

A.Correct. Increasing fluid intake can help replenish cerebrospinal fluid (CSF) that was lost during the lumbar puncture, which can reduce the pressure difference between the brain and spinal cord that causes the headache.

B.Incorrect. Administering pain medication can help relieve the headache temporarily, but it does not address the underlying cause of CSF loss and pressure difference.

C. Incorrect. Darkening the client's room and closing the door can help reduce sensory stimuli that may aggravate the headache, but it does not address the underlying cause of CSF loss and pressure difference.

D. Incorrect. Elevating the head of the bed to 30 can worsen the headache by increasing the pressure difference between the brain and spinal cord, as gravity pulls more CSF away from the brain.

A. Place food trays on the on the left side of the client B. Place food trays on the right side of the client C. Sit with the client at each meal and explain where to find the food. D. Place food directly in front of the client.

Correct Answer is C

No explanation

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A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?

Correct Answer is A

Explanation

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Correct Answer is C

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