Which outcome would the nurse include in the care plan for a patient with multiple sclerosis (MS)? Select all that apply.

Make decisions about health and lifestyle modifications to manage MS

Cure the disease

Maintain or improve muscle strength and mobility

Maintain urinary continence

Maintain independence in performing ADLs

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: The nurse would include making decisions about health and lifestyle modifications to manage MS because this helps the patient to make informed choices that can alleviate symptoms and improve their quality of life. Modifying aspects such as diet, exercise, and stress management can play a significant role in managing the disease and preventing relapses.

Choice B reason: Curing the disease is not currently a feasible outcome for multiple sclerosis, as there is no known cure. The focus of the care plan is typically on managing symptoms, slowing the progression of the disease, and improving the patient's quality of life rather than curing the disease.

Choice C reason: Maintaining or improving muscle strength and mobility is crucial for patients with MS, as the disease often affects muscle control and strength. Including this outcome in the care plan helps to reduce the risk of falls, improve the patient's ability to perform daily tasks, and enhance overall physical function.

Choice D reason: Maintaining urinary continence is an important aspect of care for MS patients, as the disease can affect bladder control. Including this outcome helps to ensure the patient's comfort and dignity, prevent urinary tract infections, and improve their quality of life.

Choice E reason: Maintaining independence in performing activities of daily living (ADLs) is essential for patients with MS to ensure they can continue to perform tasks such as bathing, dressing, and eating. This outcome supports the patient's self-esteem and promotes a sense of autonomy.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Fluid restrictions are not appropriate for stabilizing a patient with acute anemia. In fact, patients with anemia might require fluid resuscitation to maintain adequate blood volume and pressure. Restricting fluids could potentially worsen the patient's condition.

Choice B reason: Iron supplements are necessary for patients with acute anemia, especially if the anemia is due to iron deficiency. Supplementation helps replenish iron stores in the body, aiding in the production of hemoglobin and red blood cells which are critical for carrying oxygen to tissues.

Choice C reason: PRBC (Packed Red Blood Cells) transfusion is a common and effective intervention for acute anemia. It quickly increases the number of red blood cells in the patient's circulation, thereby improving oxygen delivery to tissues and alleviating symptoms of anemia such as fatigue and weakness.

Choice D reason: O2 therapy, or oxygen therapy, is crucial for stabilizing patients with acute anemia. Anemia results in reduced oxygen-carrying capacity of the blood, and supplemental oxygen helps ensure that tissues receive sufficient oxygen. This intervention can be lifesaving in severe cases of anemia.

A. The nursing assistant B. The physician's assistant C. The unit secretary D. Another registered nurse (RN)

Correct Answer is D

Explanation

Choice A reason: A nursing assistant is not typically qualified to verify and administer blood products. Their role primarily involves providing basic patient care under the supervision of licensed nurses.

Choice B reason: A physician's assistant (PA) is a licensed medical professional who can perform many tasks, but verifying and administering blood products is generally within the nursing scope of practice. The PA may assist but is not the primary person for this task.

Choice C reason: The unit secretary handles administrative tasks and coordination but is not involved in clinical tasks such as verifying and administering blood products.

Choice D reason: Another registered nurse (RN) is the appropriate team member to assist in checking a unit of packed red blood cells before administration. RNs are trained and qualified to perform this task, ensuring that the right blood type and unit are administered to the patient safely.

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Which outcome would the nurse include in the care plan for a patient with multiple sclerosis (MS)? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Choose appropriate interventions to stabilize the patient with acute anemia. Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

Correct Answer is D

Explanation

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