The nurse is admitting a client with an exacerbation of multiple sclerosis. The client states, "I have been in remission for years and cannot imagine what might have caused this." Which question would be the best one to ask in trying to determine the cause of the relapse?
"Have you been under any emotional and physical stress lately?"
"Have you recently received the influenza vaccine?"
"Have you added any grapefruit juice to your diet lately?"
"Have you been out of the country in the past couple of months?"
The Correct Answer is A
A. Exacerbations of multiple sclerosis (MS) are often triggered by stress, infection, fatigue, or extreme temperatures. Asking about emotional and physical stress is the most appropriate way to explore a likely cause for the relapse.
B. The influenza vaccine does not cause MS exacerbations and is generally recommended to help prevent infections, which can actually trigger relapses.
C. Grapefruit juice can interact with some medications, but it is not associated with MS exacerbations.
D. Travel history may be important for infectious disease screening but is not directly related to MS relapse triggers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mild discharge can occur postoperatively and is not unusual.
B. A scratchy feeling is common due to sutures or healing and usually resolves.
C. Nausea may occur from anesthesia or eye drops but is not a direct eye emergency.
D. Flashing lights, floaters, or a curtain-like shadow can indicate retinal detachment, which is a medical emergency that requires immediate intervention to prevent vision loss.
Correct Answer is ["A","B","C","E"]
Explanation
A. Nocturia (frequent urination at night) is a common symptom of BPH due to incomplete bladder emptying.
B. Urinary dribbling can occur as the enlarged prostate obstructs urine flow.
C. Urinary frequency results from decreased bladder capacity and incomplete emptying caused by the obstruction.
D. Elevated temperature is not a typical sign of BPH; it may indicate infection such as a urinary tract infection, not BPH itself.
E. Weak urinary stream occurs due to obstruction of the urethra by the enlarged prostate.
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