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.
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Related Questions
Correct Answer is D
Explanation
A. While antiepileptic drugs are sometimes used to manage neuropathic pain, the priority in George's case is preventing complications related to diabetic neuropathy.
B. Dialysis is not indicated for neuropathy management.
C. While managing blood glucose levels is important in diabetes management, immediate insulin administration may not be necessary unless George is experiencing hyperglycemic crisis.
D. This is the priority intervention to prevent complications such as diabetic foot ulcers and infections.
Correct Answer is C
Explanation
A. Multiple rib fractures are unlikely to enhance gas diffusion; instead, they can impair ventilation by reducing the ability of the chest wall to expand.
B. Multiple rib fractures can indeed increase the workload of the diaphragm as it tries to compensate for the decreased ability of the chest wall to expand during breathing.
C. Multiple rib fractures can restrict chest wall movement, leading to compromised ventilation efficiency.
D. Multiple rib fractures wouldn't directly improve pulmonary blood supply; they can lead to pain and impaired lung function.
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