The nurse is caring for a client with a history of multiple sclerosis. Which intervention should the nurse prioritize?

Assist with mobility and safety measures

Encourage high-sodium diet

Restrict physical therapy

Promote bed rest

Answer and Explanation

The Correct Answer is A

Choice A reason: Assisting with mobility and safety is critical in multiple sclerosis, as muscle weakness and spasticity increase fall risk. Physical therapy and assistive devices enhance safety, reducing injury risk, making it the priority intervention to maintain independence and prevent complications like fractures.

Choice B reason: A high-sodium diet is inappropriate, as it may exacerbate fluid retention, unrelated to multiple sclerosis. Mobility assistance is the priority, as falls are a significant risk due to neurological deficits, making dietary sodium irrelevant to primary symptom management.

Choice C reason: Restricting physical therapy worsens mobility and spasticity in multiple sclerosis. Assisting with mobility and safety is critical, as it prevents falls and maintains function, making therapy restriction counterproductive, as exercise supports neurological health and independence.

Choice D reason: Promoting bed rest increases muscle atrophy and spasticity in multiple sclerosis. Mobility and safety measures are essential, as they reduce fall risk and maintain function, making bed rest detrimental to managing neurological symptoms and overall patient well-being.

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Correct Answer is A

Explanation

Choice A reason: Limiting potassium-rich foods is critical in chronic kidney disease, as impaired renal excretion causes hyperkalemia, risking cardiac arrhythmias. Foods like bananas and oranges are restricted to maintain safe potassium levels, making this the priority dietary teaching to prevent life-threatening complications.

Choice B reason: Increasing protein intake is inappropriate, as chronic kidney disease requires protein restriction to reduce uremic toxins and kidney workload. Potassium restriction is prioritized, as hyperkalemia poses an immediate cardiac risk, making it the essential dietary focus over protein adjustments.

Choice C reason: Restricting carbohydrates is not standard in chronic kidney disease unless diabetes is present. Potassium restriction is critical, as elevated potassium levels from impaired renal clearance cause arrhythmias, making it the priority dietary intervention to ensure cardiac safety.

Choice D reason: Encouraging high-sodium foods is incorrect, as sodium restriction prevents fluid retention and hypertension in chronic kidney disease. Potassium restriction is the priority, as hyperkalemia directly threatens cardiac function, making it the essential dietary focus over sodium concerns.

A. Reduce dietary sodium intake B. Increase saturated fat consumption C. Limit physical activity D. Encourage smoking cessation only if symptomatic

Correct Answer is A

Explanation

Choice A reason: Reducing dietary sodium lowers blood pressure in hypertension by decreasing vascular fluid volume and vasoconstriction. Sodium restriction (e.g., <2.3 g/day) reduces cardiac workload, preventing complications like heart failure, making it the priority lifestyle modification for effective blood pressure control.

Choice B reason: Increasing saturated fat consumption worsens hypertension by promoting atherosclerosis and vascular stiffness. Sodium reduction is critical, as it directly lowers blood volume and pressure, reducing cardiovascular risk, making it the priority over dietary fat adjustments in hypertension management.

Choice C reason: Limiting physical activity is incorrect, as exercise lowers blood pressure by improving vascular elasticity. Sodium reduction is the priority, as it directly reduces fluid retention and vasoconstriction, providing immediate blood pressure control, making it essential for hypertension management.

Choice D reason: Smoking cessation is beneficial but not the primary focus unless active smoking is confirmed. Sodium reduction directly lowers blood pressure by decreasing fluid volume, making it the priority lifestyle change, as it addresses hypertension’s core mechanism more effectively.

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The nurse is caring for a client with a history of multiple sclerosis. Which intervention should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a history of chronic kidney disease. Which dietary restriction should the nurse emphasize?

Correct Answer is A

Explanation

The nurse is caring for a client with a history of hypertension. Which lifestyle modification should the nurse emphasize?

Correct Answer is A

Explanation

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