A nurse is assisting with the admission of a client who has multiple sclerosis.
Which of the following actions is the priority for the nurse to take?
Discuss the possible changes in family roles.
Encourage the client to verbalize their feelings.
Determine the client's ability to see the buttons on the call light.
Assist the client and family in locating a community support group.
The Correct Answer is C
Choice A rationale
Discussing changes in family roles is important but is not the immediate priority upon admission. This can be addressed once the client's immediate needs are met.
Choice B rationale
Encouraging verbalization of feelings is crucial for mental health support but is not the most urgent action during admission.
Choice C rationale
Determining the client's ability to see the buttons on the call light ensures their immediate safety and ability to call for help, making it the priority.
Choice D rationale
Assisting with locating a community support group is essential for long-term support but is not the first priority upon admission. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A high-calorie diet is crucial for individuals with AIDS and malnutrition as it helps meet their increased energy needs and supports the immune system. Malnutrition in AIDS can lead to weight loss, muscle wasting, and weakened immunity, making a nutrient-dense diet essential.
Choice B rationale
While spices can enhance the taste of food, they do not address the core issue of malnutrition. Nutrient-rich foods are more important to ensure that the client meets their daily caloric and nutritional requirements.
Choice C rationale
Administering an antiemetic after each meal may help with nausea but does not directly contribute to addressing malnutrition. Nutritional support is more effective in improving overall health.
Choice D rationale
Encouraging three large meals daily may not be suitable for clients with poor appetite or gastrointestinal issues. Smaller, frequent meals might be better tolerated and more effective in meeting nutritional needs.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale: Taking iron supplements on an empty stomach increases their absorption. Food can interfere with the absorption of iron, so taking it 1 hour before meals or 2 hours after meals is recommended to maximize the amount of iron absorbed by the body. This is important for effectively managing iron deficiency anemia.
Choice B rationale: Increasing dietary fiber can help manage potential side effects of iron supplementation, such as constipation. Fiber-rich foods can aid in maintaining regular bowel movements and prevent gastrointestinal discomfort, which is a common issue with iron supplements.
Choice C rationale: Vitamin C enhances the absorption of non-heme iron, which is the type of iron found in supplements and plant-based foods. Taking iron supplements with a source of vitamin C, such as orange juice, can significantly increase the amount of iron absorbed by the body, improving the treatment of iron deficiency anemia.
Choice D rationale: Taking an antacid within 30 minutes after iron supplementation is not recommended, as antacids can decrease the absorption of iron by raising the pH level in the stomach. This can reduce the effectiveness of the iron supplement.
Choice E rationale: Milk and dairy products contain calcium, which can inhibit the absorption of iron. Increasing the intake of milk and dairy products should be avoided around the time of taking iron supplements to ensure maximum absorption of iron.
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