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A client was admitted to the community palliative care unit ten years after being diagnosed with multiple sclerosis (MS). Which intervention should the nurse prioritize in the client’s care plan?

Allow the family to visit whenever they wish.

Administer medication as needed for pain and anxiety.

Maintain a quiet environment with low lighting.

Allow the client to participate in the care provided.

Answer and Explanation

The Correct Answer is B

Answer and explanation

The correct answer is Choice B.

Choice A rationale

Allowing the family to visit whenever they wish can provide emotional support to the client, which is important in palliative care. However, it may not directly address the physical symptoms associated with multiple sclerosis (MS), such as pain and anxiety.

Choice B rationale

Administering medication as needed for pain and anxiety should be prioritized in the care plan for a client with MS in a palliative care unit. MS can cause varying degrees of pain and anxiety, and managing these symptoms can significantly improve the client’s quality of life during the advanced stages of the disease.

Choice C rationale

Maintaining a quiet environment with low lighting can help create a calm and comfortable atmosphere for the client. However, it does not directly address the physical symptoms of MS34.

Choice D rationale

Allowing the client to participate in the care provided can promote a sense of control and autonomy. However, it may not directly address the physical symptoms associated with MS34.

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Correct Answer is A

Explanation

Answer and explanation

The correct answer is Choice A.

Choice A rationale

If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.

Choice B rationale

While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.

Choice C rationale

Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.

Choice D rationale

Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.

A. Demonstrate proper foot care to the client and family. B. Gradually trim the client’s toenails over several visits. C. Arrange for a home health aide to assist the client with hygiene weekly. D. Schedule an appointment for the client with a podiatrist.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.

Choice B rationale

Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.

Choice C rationale

Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.

Choice D rationale

Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.

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A client was admitted to the community palliative care unit ten years after being diagnosed with multiple sclerosis (MS). Which intervention should the nurse prioritize in the client’s care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.What is the most important for the clinic nurse to ask the client?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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