A nurse is contributing to the plan of care for a client who has multiple sclerosis. The nurse should recommend including which of the following interventions in the plan of care to assist the client in overcoming barriers related to this condition?

Establish alternatives to verbal conversation.

Use the numbers on a clock to describe the position of food on the client's plate.

Touch the client's arm before beginning to speak.

Provide the client with large-handled eating utensils.

Answer and Explanation

The Correct Answer is D

A: Alternative communication methods are more applicable to clients with severe speech or cognitive impairments, which are not universally present in multiple sclerosis.
B: Using clock numbers to describe food placement is typically recommended for visually impaired clients, not specifically for those with multiple sclerosis.
C: Touching the client's arm before speaking is a technique used for clients with hearing impairments.
D: Multiple sclerosis can cause fine motor skill impairment and muscle weakness. Providing large-handled utensils can help maintain independence in eating by making it easier to grip and use utensils.

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Correct Answer is B

Explanation

A. Condoms are designed for single use only and should be disposed of after each use.
B. Storing condoms in a cool, dry place away from direct sunlight or heat sources (like a nightstand drawer) helps maintain their integrity and effectiveness.
C. Natural-skin condoms do not protect effectively against STIs as they are porous.

D. Petroleum jelly can degrade latex, reducing the effectiveness of the condom.

Water-based lubricants are recommended.

A. Yellowing of the eyes B. Blurred vision C. Dry eyes D. Abdominal pain E. Hard stool F. Increased bruising G. Increased bleeding tendency H. Insomnia I. Red/orange tint to urine J. Darkening of the urine

Correct Answer is ["A","B","D","F","G","I","J"]

Explanation

Yellowing of the eyes could indicate hepatotoxicity, a serious adverse effect associated with some of the anti-tuberculosis medications, particularly rifampin.

Blurred vision could be a sign of optic neuritis, a rare but serious adverse effect associated with ethambutol.

Abdominal pain could indicate hepatitis or hepatotoxicity, which are potential adverse effects of anti-tuberculosis medications like isoniazid and rifampin.

Increased bruising could indicate thrombocytopenia, a serious adverse effect associated with some anti-tuberculosis medications, particularly rifampin.

Increased bleeding tendency could also indicate thrombocytopenia or other hematologic abnormalities.

Red/orange tint to urine could indicate rifampin-induced discoloration of bodily fluids, which is not harmful but can be alarming to patients.

Darkening of urine could also be a result of rifampin-induced discoloration. It's important to differentiate between this harmless side effect and hematuria, which could indicate a more serious issue.

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Body Systems	Findings
Head, Eyes, Ears, Nose, and Throat (HEENT)	Yellowing of the eyes Blurred vision Dry eyes
Gastrointestinal	Abdominal pain Hard stool
Hematologic	Increased bruising Increased bleeding tendency Insomnia
Genitourinary	Red/orange tint to urine Darkening of the urine

A nurse is contributing to the plan of care for a client who has multiple sclerosis. The nurse should recommend including which of the following interventions in the plan of care to assist the client in overcoming barriers related to this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about condom use. Which of the following client statements should the nurse Identify as an understanding of the teaching?

Correct Answer is B

Explanation

Correct Answer is ["A","B","D","F","G","I","J"]

Explanation

A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?

A nurse is caring for a client who has a new diagnosis of schizophrenia and a prescription for an antipsychotic medication. The nurse should recognize that which of the following indicates an adverse effect that must be reported to the provider?

A nurse is providing discharge teaching for a client who has a new implantable cardioverter defibrillator (ICD). Which of the following client statements demonstrates understanding of the teaching?

Exhibits Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.

A nurse manager on an interprofessional team is creating a disaster plan. The nurse should include in the plan that which of the following actions is the responsibility of the unit nurse during a disaster?

A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?

A nurse is evaluating the laboratory values of a client who is receiving epoetin alfa. Which of the following findings indicates a therapeutic response to the medication?