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A nurse is reinforcing discharge instructions with a client who has multiple sclerosis (MS). Which of the following instructions should the nurse include?.

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

"Implement a schedule to include periods of rest.”.

"Wait to perform difficult tasks until later in the day.”.

"Limit your intake of dairy products.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Relaxing in a hot tub spa each day is not recommended for MS patients as heat can exacerbate symptoms.

Choice B rationale:

Implementing a schedule to include periods of rest is beneficial as fatigue is a common symptom of MS12.

Choice C rationale:

Waiting to perform difficult tasks until later in the day is not necessarily beneficial as fatigue can occur at any time.

Choice D rationale:

Limiting intake of dairy products is not specifically related to managing MS12.

So, the correct answer is B.

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Correct Answer is ["1.5"]

Explanation

Step 1 is to determine the amount of citalopram that needs to be administered, which is 30 mg.

Step 2 is to calculate the number of tablets needed to deliver this dose. This is done using the formula:

Dose (mg) ÷ Strength per tablet (mg/tab)

Given that each tablet contains 20 mg, we calculate:

30 mg ÷ 20 mg/tab = 1.5 tablets

Therefore, the nurse should administer 1.5 tablets of citalopram.

A. 1 cup (8oz) plain low-fat yogurt. B. 1 cup (8oz) of applesauce. C. 1 cup (8 oz) cooked spinach. D. 1 oz of cheddar cheese.

Correct Answer is B

Explanation

Choice A rationale:

1 cup (8oz) plain low-fat yogurt. This is incorrect choice. Yogurt is a high-protein food that can increase nausea and reduce the absorption of levodopa/carbidopa. According to the American Parkinson Disease Association, taking levodopa/carbidopa with a small, low-protein snack can help with nausea symptoms.

Choice B rationale:

1 cup (8oz) of applesauce. This is a correct choice. Applesauce is a low-protein, low-fiber food that can help reduce nausea and improve the absorption of levodopa/carbidopa. According to Drugs.com, taking levodopa/carbidopa with foods that have a high fiber content can delay the drug’s absorption into the body. Applesauce also contains natural sugars that can provide some energy and hydration to the client.

Choice C rationale:

1 cup (8 oz) cooked spinach. This is an incorrect choice. Spinach is a high-protein, high-fiber food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation3, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fiber foods can also slow down the gastric emptying and reduce the drug’s availability.

Choice D rationale:

1 oz of cheddar cheese. This is an incorrect choice. Cheese is a high-protein, high-fat food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fat foods can also delay the gastric emptying and reduce the drug’s availability.

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A nurse is reinforcing discharge instructions with a client who has multiple sclerosis (MS). Which of the following instructions should the nurse include?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer citalopram 30 mg PO to a client who has major depression. Available in citalopram 20 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.)

Correct Answer is ["1.5"]

Explanation

A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.

Correct Answer is B

Explanation

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