A middle-aged woman has sought care from her primary provider and undergone diagnostic testing that has resulted in a diagnosis of MS. What sign or symptom is most likely to have prompted the woman to seek care?

Cognitive declines

Difficulty in coordination

Personality changes

Contractures

Answer and Explanation

The Correct Answer is B

A. Cognitive declines: Cognitive impairment can occur in multiple sclerosis, particularly in later stages, but it is often subtle and develops gradually. It is less likely to be the initial symptom prompting someone to seek medical attention.

B. Difficulty in coordination: Difficulty with coordination, such as unsteady gait, limb weakness, or tremors, is a common early symptom of MS. These motor disturbances often interfere with daily functioning and are among the most noticeable and disruptive signs that prompt individuals to seek care.

C. Personality changes: Personality changes are not commonly associated with early MS and are more frequently linked to other neurological or psychiatric conditions. When present, they occur in advanced disease or with significant brain involvement, not initial symptom.

D. Contractures: Contractures result from long-term muscle stiffness or immobility and develop in later stages of MS if spasticity is unmanaged. They are a complication of chronic disease progression rather than an initial complaint.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Wrap the joint in a compression dressing: After arthroscopy, a compression dressing helps reduce swelling, control bleeding, and support the joint. This is a standard post-procedural intervention to promote healing and prevent complications such as joint effusion or hematoma.

B. Perform passive range of motion exercises: Passive range of motion is not initiated immediately after the procedure. Early movement depends on the surgeon’s orders and the extent of intra-articular work done. Premature motion could increase discomfort or disrupt healing.

C. Maintain the knee in flexion for up to 30 minutes: Maintaining knee flexion after arthroscopy is not recommended, as it can increase swelling and impede circulation. Elevation in a neutral or slightly extended position is preferred to reduce edema.

D. Apply heat to the knee: Heat is contraindicated in the immediate post-procedure phase, as it can worsen inflammation and increase bleeding. Cold therapy (ice packs) is recommended within the first 24–48 hours to minimize swelling and pain.

A. Assessing the client for signs and symptoms of active infection B. Ensuring that the client can remain immobile for up to 3 hours C. Assessing the client for a history of nut allergies D. Ensuring that there are no metal objects on or in the client

Correct Answer is D

Explanation

A. Assessing the client for signs and symptoms of active infection: While important in general health evaluations, infection status does not pose a specific danger during an MRI. The scan is noninvasive and does not break the skin or introduce foreign material into the body.

B. Ensuring that the client can remain immobile for up to 3 hours: Remaining still during the MRI is necessary for image clarity, but it is not the most immediate safety concern. Clients may be given breaks or sedation if needed, depending on the length and type of scan.

C. Assessing the client for a history of nut allergies: Nut allergies are unrelated to MRI procedures. MRI contrast agents do not contain nut products, so this assessment does not contribute to safety during the scan.

D. Ensuring that there are no metal objects on or in the client: The strong magnetic field used in MRI can attract or heat up metal objects, creating a serious risk of injury or device malfunction. Identifying and removing external metal and screening for internal devices (e.g., pacemakers, clips) is the top safety priority.

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A middle-aged woman has sought care from her primary provider and undergone diagnostic testing that has resulted in a diagnosis of MS. What sign or symptom is most likely to have prompted the woman to seek care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has just had an arthroscopy performed to assess a knee injury. What nursing intervention should the nurse perform following this procedure?

Correct Answer is A

Explanation

A nurse is caring for a client who has an MRI scheduled. What is the priority safety action prior to this diagnostic procedure?

Correct Answer is D

Explanation

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