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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While reminding drivers to wear seatbelts is important for overall road safety, it does not directly enhance the safety of children walking to and from school.
Choice B rationale
Advising residents to keep their porch lights on can improve visibility during hours of low light. However, this measure may not significantly enhance the safety of children walking to and from school during daylight hours.
Choice C rationale
Encouraging residents to have their homes inspected for high lead levels is important for overall community health, but it does not directly impact the safety of children walking to and from school.
Choice D rationale
Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While having 80% of students participate in a voluntary sex education seminar is a positive outcome, it does not directly indicate the success of a pregnancy prevention program.
Participation in a seminar does not necessarily translate into behavior change. Students may attend the seminar but not apply the knowledge or skills learned, which would not result in a decrease in teenage pregnancies.
Choice B rationale
A reported average delay of 2 years for the first sexual encounter among students can be seen as a positive outcome, as it may reduce the risk of teenage pregnancies. However, this delay does not guarantee that students are using effective contraception when they do start having sex. Therefore, while this outcome may contribute to the success of a pregnancy prevention program, it is not the strongest evidence of success.
Choice C rationale
Parental support for a pregnancy prevention program in schools is important for the program’s implementation and sustainability. However, parental support does not directly result in a decrease in teenage pregnancies. Parents can be supportive of the program, but if the students do not apply the knowledge or skills learned, the number of teenage pregnancies may not decrease.
Choice D rationale
A decrease in the number of teenage pregnancies in the school district is the strongest evidence of the program’s success. This outcome directly aligns with the goal of a pregnancy prevention program, which is to reduce the number of teenage pregnancies. If the school district reports a decrease in the number of teenage pregnancies, it indicates that the program is effectively helping students to prevent pregnancies.
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