The home health nurse visits a patient with multiple sclerosis who complains of severe fatigue. Select the nurse's best suggestion to help decrease their symptom of fatigue.
Relax in a hot bath before bedtime.
Perform deep breathing exercises every two hours.
Schedule short periods of rest throughout the day.
Include daily multivitamins in your diet.
The Correct Answer is C
Choice A reason: Relaxing in a hot bath before bedtime is not the best suggestion to help decrease fatigue for a patient with multiple sclerosis. Heat can worsen the symptoms of multiple sclerosis, such as muscle weakness, numbness, and vision problems. Therefore, the patient should avoid hot baths, showers, or saunas, and use cool compresses or fans to lower their body temperature.
Choice B reason: Performing deep breathing exercises every two hours is not the best suggestion to help decrease fatigue for a patient with multiple sclerosis. Deep breathing can help reduce stress and anxiety, but it does not address the underlying causes of fatigue, such as inflammation, nerve damage, or sleep problems. Therefore, the patient should consult their doctor for appropriate treatment options and medication adjustments.
Choice C reason: Scheduling short periods of rest throughout the day is the best suggestion to help decrease fatigue for a patient with multiple sclerosis. Fatigue is a common and disabling symptom of multiple sclerosis, which can affect the patient's daily activities and quality of life. Therefore, the patient should plan their tasks according to their energy level, prioritize the most important ones, and take frequent breaks to conserve their energy and prevent exhaustion.
Choice D reason: Including daily multivitamins in your diet is not the best suggestion to help decrease fatigue for a patient with multiple sclerosis. Multivitamins can provide some nutritional benefits, but they are not a substitute for a balanced and healthy diet. Therefore, the patient should eat a variety of foods, such as fruits, vegetables, whole grains, lean proteins, and low-fat dairy, and avoid processed, fried, or sugary foods that can increase inflammation and fatigue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Observing the time of onset and end of seizure activity is important, but it is not the priority action. The nurse should first ensure the safety of the client and prevent injury.
Choice B reason: Removing objects within reach of the client's arms and legs is the correct action, as it prevents the client from hitting or injuring themselves during the seizure. The nurse should also lower the bed and raise the side rails.
Choice C reason: Loosening any restrictive clothing around the neck is a good practice, but it is not as urgent as removing objects. The nurse can do this after ensuring the client's safety.
Choice D reason: Placing a padded tongue blade in the client's mouth is a wrong and dangerous action, as it can cause choking, aspiration, or damage to the teeth and oral mucosa. The nurse should never force anything into the client's mouth during a seizure.
Correct Answer is B
Explanation
Choice A (Apples and grapes): While fruits like apples and grapes are generally healthy options, they may not be the best choice for a client in sickle cell crisis. These fruits are high in fiber and may require a significant amount of chewing, which can be challenging for someone experiencing a sickle cell crisis.
Choice B (Popsicles, gelatin, or juice): This choice is the most suitable for a client in sickle cell crisis. During a crisis, it's important to stay hydrated, and these options provide hydration along with easily digestible carbohydrates, which can be beneficial for maintaining energy levels.
Choice C (Beans): While beans are a good source of protein and fiber, they may not be well tolerated during a sickle cell crisis due to their high fiber content.
Choice D (Cheese): Although cheese is a source of protein and calcium, it may not be the best option during a sickle cell crisis, as dairy products can be harder to digest and may not contribute to hydration.
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