A patient recently diagnosed with multiple sclerosis is feeling overwhelmed and hopeless. What is the most appropriate nursing intervention?
Select one:

Tell the patient that everything will be fine

Refer the patient to psychiatry

Encourage the patient to accept the diagnosis

Provide information about treatment options and support resources

Answer and Explanation

The Correct Answer is D

A. Telling the patient that everything will be fine minimizes the patient’s feelings and may come across as dismissive rather than supportive.

B. While referral to mental health services may be necessary later, the initial nursing intervention focuses on support and education.

C. Acceptance is a process and cannot be forced; encouraging acceptance without support may increase feelings of hopelessness.

D. Educating the patient about treatments and available support empowers them, helps reduce anxiety, and fosters hope by showing that management and quality of life improvements are possible.

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Correct Answer is D

Explanation

A. Gas forming in bowel contents may occur due to bacterial activity, but this does not explain the clinical significance of flatus in the context of paralytic ileus recovery.
B. Flatus indicating inadequate decompression is incorrect; flatus usually suggests that gas is moving through the intestines, not that it is accumulating.
C. Flatus resulting from forceful vomiting is inaccurate; vomiting expels stomach contents, not intestinal gas, and does not produce flatus.
D. The passage of flatus is a key sign that bowel motility is resuming, which is especially significant in a client with a previously diagnosed paralytic ileus.

A. Creating a care plan B. Assisting with ambulation C. Assessing the patient's pain level D. Administering oral medications

Correct Answer is B

Explanation

A. This is a professional nursing responsibility requiring clinical judgment and cannot be delegated to UAP.

B. This is within the UAP’s scope of practice and can be safely delegated, especially under supervision.

C. Pain assessment requires nursing judgment and should be done by licensed nursing staff.

D. Medication administration is a licensed nursing function and cannot be delegated to UAP.

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A patient recently diagnosed with multiple sclerosis is feeling overwhelmed and hopeless. What is the most appropriate nursing intervention? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for a client admitted with peritonitis who has developed a paralytic ileus. While auscultating bowel sounds, the nurse assesses flatus. What is the significance of this finding? 43 Select one:

Correct Answer is D

Explanation

An LPN/LVN is supervising a UAP in a rehabilitation setting. Two admissions arrive within close proximity. The LPN knows that which task is appropriate to delegate? Select one:

Correct Answer is B

Explanation

You determine that the fingerstick blood glucose reading for a patient with diabetes is 750 mg/dL. What is your priority action? Select one:

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A client with acute renal failure develops severe hyperkalemia. What would the nurse anticipate to be used to treat this imbalance? Select one:

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1000 ml of lactated ringers over 8 hours the drip factor is 10 gtt/min. How many drops per minute.

Medications classified as proton pump inhibitors include: (select all that apply (Select one or more)

A patient recently diagnosed with multiple sclerosis is feeling overwhelmed and hopeless. What is the most appropriate nursing intervention?
Select one: