The nurse is assessing a client with a new diagnosis of multiple sclerosis. Which manifestations would the nurse expect to see that are common early signs of multiple sclerosis?

Bradykinesia, hand tremors, and memory loss

Ascending paralysis beginning in the lower extremities and dysphagia

Areas of numbness, weakness in the legs, visual problems

Choreiform movements and loss of facial expression

Answer and Explanation

The Correct Answer is C

A. Bradykinesia, hand tremors, and memory loss are more characteristic of Parkinson's disease, not multiple sclerosis.
B. Ascending paralysis beginning in the lower extremities and dysphagia are typical of Guillain-Barré syndrome, not multiple sclerosis. MS does not usually present with paralysis but rather with muscle weakness and sensory disturbances.
C. Early signs of multiple sclerosis often include areas of numbness, weakness in the legs, and visual problems such as optic neuritis. These symptoms result from demyelination and nerve damage in the central nervous system.
D. Choreiform movements and loss of facial expression are associated with Huntington's disease, not multiple sclerosis.

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Correct Answer is A

Explanation

A. Cholelithiasis (gallstones) is a known risk factor for acute pancreatitis, as gallstones can block the bile duct and lead to inflammation of the pancreas.
B. Addison disease is not directly associated with an increased risk of acute pancreatitis. It primarily affects adrenal gland function.
C. Hypothyroidism does not typically influence the risk of developing acute pancreatitis. The condition primarily affects metabolism.
D. Gout is a condition related to elevated uric acid levels and is not a direct risk factor for acute pancreatitis.

A. "I will consult with my healthcare provider before taking over-the-counter medications." B. "I will not take my insulin on the days when I am sick, but I will certainly check my blood sugar every 2 hours." C. "I will call the doctor if my illness lasts longer than 2 days." D. "I will call the doctor if my blood sugar is over 250 mg/dL or if I have protein in my urine."

Correct Answer is B

Explanation

A. Consulting with a healthcare provider before taking over-the-counter medications is appropriate, as some medications can affect blood glucose levels or interact with diabetes medications.
B. It is crucial for clients with diabetes to continue taking insulin during illness, even if they are unable to eat. Insulin needs may increase due to stress or infection, and not taking insulin could lead to hyperglycemia or diabetic ketoacidosis. Checking blood sugar every 2 hours is correct, but insulin should not be omitted.
C. Calling the doctor if the illness lasts longer than 2 days is a good practice, as prolonged illness can affect diabetes management and may require medical intervention.
D. Calling the doctor if blood sugar is over 250 mg/dL or if there is protein in the urine is appropriate, as these conditions can indicate complications that need medical attention.

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The nurse is assessing a client with a new diagnosis of multiple sclerosis. Which manifestations would the nurse expect to see that are common early signs of multiple sclerosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who has acute pancreatitis. Which of the following statements by the client would the nurse identify as a risk factor for pancreatitis?

Correct Answer is A

Explanation

A diabetes nurse educator is discussing "sick day rules" with a client newly diagnosed with diabetes mellitus type 1. Which statement by the client indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take first?

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?

A nurse is the triage officer in the emergency department during a disaster when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?

A nurse is caring for a client who is experiencing pooling of blood in the periphery. Which of the following occurs in a client with distributive shock?

A client survived a workplace accident that claimed the lives of many of the client's colleagues several months ago. The client has recently sought care for the treatment of depression. How should the nurse best understand the client's current mental health problem?

A nurse is caring for a client who is at risk for shock. Which of the following findings is the earliest indicator that this complication is developing?

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?