James, 45, has a past medical history of depression and a new diagnosis of multiple sclerosis. His lumbar puncture shows oligoclonal bands, and he's experiencing an acute exacerbation.

In addition to administering corticosteroids, what is another priority intervention for acute exacerbations?

Administer antipsychotic medication

Initiate plasmapheresis

Start an exercise program.

Apply hot compresses to affected limbs

Answer and Explanation

The Correct Answer is B

A.   Administering antipsychotic medication is not indicated for managing acute exacerbations of multiple sclerosis.
B.   Plasmapheresis, also known as plasma exchange, is a treatment option for severe, steroid-resistant exacerbations of multiple sclerosis. It involves removing and replacing the plasma to remove circulating antibodies that may contribute to the exacerbation.
C.   Starting an exercise program may be beneficial for overall health in multiple sclerosis but is not a priority intervention during an acute exacerbation.
D.   Applying hot compresses to affected limbs may provide symptomatic relief but is not a priority intervention for managing acute exacerbations of multiple sclerosis.

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Correct Answer is C

Explanation

A. Oral antispasmodic agents may help with muscle twitching and cramps but are not indicated for dysphagia caused by corticospinal tract degeneration.
B. Anti-anxiety medications are not indicated for dysphagia and progressive muscle weakness.
C. Enteral tube feeding is appropriate to ensure adequate nutrition and hydration in individuals with dysphagia, preventing complications such as malnutrition and aspiration pneumonia.

D. Relaxation techniques may help with muscle tension and anxiety but would not address the dysphagia directly.

A. Injecting immunoglobulin B. Administering a Hepatitis A vaccine C. Providing antiviral medication D. Initiating an antioxidant-rich diet

Correct Answer is A

Explanation

A. Immunoglobulin containing antibodies against Hepatitis A can provide immediate, short-term protection when administered after exposure to the virus.
B. While vaccination is the primary method for long-term protection against Hepatitis A, it does not provide immediate protection.
C. Antiviral medication is not typically used for post-exposure prophylaxis against Hepatitis A.
D. Diet does not provide immediate protection against Hepatitis A.

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James, 45, has a past medical history of depression and a new diagnosis of multiple sclerosis. His lumbar puncture shows oligoclonal bands, and he's experiencing an acute exacerbation. In addition to administering corticosteroids, what is another priority intervention for acute exacerbations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Nurse Annie is in charge of a vaccination campaign. She encounters a patient who was exposed to Hepatitis A and has never been vaccinated for it. What course of action will provide immediate, short-term protection for the patient?

Correct Answer is A

Explanation

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James, 45, has a past medical history of depression and a new diagnosis of multiple sclerosis. His lumbar puncture shows oligoclonal bands, and he's experiencing an acute exacerbation.

In addition to administering corticosteroids, what is another priority intervention for acute exacerbations?