The nurse is caring for a patient diagnosed with Multiple Sclerosis (MS) who is complaining of diplopia. Which intervention would be appropriate for the patient with this problem?

Encourage the use of sunglasses when outside.

Assess for conjunctival bleeding.

Alternate the use of an eye patch on each eye.

Apply cool compresses for pain relief

Answer and Explanation

The Correct Answer is C

A. Encourage the use of sunglasses when outside: Sunglasses are useful for reducing glare and light sensitivity, but they do not address the underlying cause of diplopia (double vision) in Multiple Sclerosis (MS). Diplopia is often due to neurological damage affecting the eye muscles or nerve pathways, not from light sensitivity.

B. Assess for conjunctival bleeding: Conjunctival bleeding (bleeding under the eye's clear surface) is not related to diplopia. Diplopia in MS is caused by problems with the nerves or muscles controlling eye movement, and assessing for conjunctival bleeding would not help in managing the double vision.

C. Alternate the use of an eye patch on each eye: Diplopia in MS is commonly caused by eye misalignment due to nerve damage. Using an eye patch on one eye at a time can temporarily help by blocking vision in one eye, allowing the brain to focus and alleviating the perception of double vision. Alternating the patch between eyes is a common strategy to manage diplopia while treating the underlying neurological issues.

D. Apply cool compresses for pain relief: Cool compresses might help with general eye discomfort, but they do not directly address diplopia. Diplopia due to MS is usually caused by muscle or nerve issues rather than discomfort that could be relieved by cool compresses.

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Correct Answer is B

Explanation

A. Crushing sustained-release tablets is not recommended because doing so could interfere with the controlled release of the medication, which is designed to release slowly over time. This could lead to adverse effects.

B. Pyridostigmine is used to improve muscle strength in patients with Myasthenia Gravis (MG). Taking it 30-60 minutes before meals helps maximize its effect on muscle strength, particularly for activities like chewing and swallowing, which are often affected by MG.

C. Pyridostigmine is typically used regularly, not just as needed. Consistent dosing helps maintain muscle strength and manage the symptoms of MG, rather than only addressing occasional weakness and fatigue.

D. Doubling the dose without medical advice can be dangerous. The prescribed dose should be followed, and any changes should be discussed with a healthcare provider to avoid potential overdose or side effects.

A. Call the physician. B. Administer a second nitroglycerin 4mg tablet sublingually. C. Increase the oxygen level to 4L via nasal cannula. D. Re-check vital signs.

Correct Answer is D

Explanation

A. Calling the physician is important if the patient’s condition worsens or if the chest pain persists after the full protocol of nitroglycerin administration (usually up to 3 doses, 5 minutes apart). However, this is not the immediate next action.
B. Incorrect dosage. The standard dose of sublingual nitroglycerin is 0.4 mg. Giving 4 mg would be a serious overdose and unsafe.
C. Increasing oxygen might be appropriate if the patient is hypoxic (e.g., low O₂ saturation), but this is not automatically done without assessing vitals first.
D. Before administering a second dose of nitroglycerin, it is essential to re-check the patient’s blood pressure and other vital signs. Nitroglycerin can cause hypotension, and giving another dose without verifying stability can be dangerous.

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The nurse is caring for a patient diagnosed with Multiple Sclerosis (MS) who is complaining of diplopia. Which intervention would be appropriate for the patient with this problem?

Nursing Test Bank

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