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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A CO2 level lower than 20 mm Hg can cause cerebral vasoconstriction and ischemia.
B. The target CO2 level for patients with closed head injury is 20 to 25 mm Hg, which corresponds to a mild hypocapnia that reduces intracranial pressure and improves cerebral blood flow.
C. A CO2 level lower than 20 mm Hg can cause cerebral vasoconstriction and ischemia.
D. A CO2 level higher than 25 mm Hg can increase intracranial pressure and worsen brain edema.
Correct Answer is ["C","D"]
Explanation
A. Immunoglobulin injection provides passive immunity, which is temporary and does not confer long-term protection.
B. Passive immunity is different from active immunity, which is acquired through vaccination or natural infection and involves the stimulation of the recipient's own
immune system to produce antibodies and memory cells that can recognize and eliminate the pathogen in the future.
C. Passive immunity is effective in preventing or reducing the severity of infections, but it does not last long and does not confer memory or protection against future exposures.
D. Passive immunity acquired through immunoglobulin injection is temporary and wanes over time.
E. Immunoglobulin injection provides passive immunity and is not conferred through vaccination, which induces active immunity.
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