The nurse is caring for a patient waiting for proper diagnosis with Multiple Sclerosis (MS) or Myasthenia Gravis (MG). The patient is reporting severe fatigue. Which priority intervention would the nurse implement to address this issue for either diagnosis?

Teach the importance of hot showers to help relax.

Have the patient prioritize activities early in the day.

Schedule activities late in day and in the evening.

Provide supplemental oxygen when fatigued.

Answer and Explanation

The Correct Answer is B

A. Teach the importance of hot showers to help relax: While hot showers may help some people relax, they can also increase fatigue or exacerbate symptoms in conditions like MS or MG. Heat intolerance is a common symptom of MS, and in MG, fatigue can be worsened by hot environments. Therefore, hot showers may not be advisable for these patients.

B. Have the patient prioritize activities early in the day: Fatigue is a hallmark symptom in both Multiple Sclerosis (MS) and Myasthenia Gravis (MG), and patients often experience more energy in the morning. For this reason, it's crucial to schedule the most important and energy-demanding activities early in the day when the patient has more strength and stamina. This helps conserve energy throughout the day and manage fatigue more effectively.

C. Schedule activities late in day and in the evening: Fatigue typically worsens as the day goes on for patients with MS or MG, so scheduling activities later in the day when the patient’s energy levels are lower can worsen the fatigue and make it harder to complete tasks.

D. Provide supplemental oxygen when fatigued: Providing supplemental oxygen is generally reserved for patients who are experiencing hypoxemia or respiratory distress. Fatigue in MS or MG is usually not related to oxygen deficiency, so supplemental oxygen is not an appropriate intervention for general fatigue in these conditions.

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Correct Answer is A

Explanation

A. NSTEMI (Non-ST-Elevation Myocardial Infarction) refers to a heart attack where there is partial blockage or damage to the heart muscle but less severe than in STEMI (ST-Elevation Myocardial Infarction). The damage in NSTEMI typically affects a smaller area of the heart muscle, and it may not involve a full-thickness injury like in STEMI. This response provides the client with a clear, understandable explanation of their condition.

B. This statement is incorrect because NSTEMI is not the same as angina. Angina is chest pain due to temporary lack of blood flow to the heart, while NSTEMI involves actual damage to the heart muscle due to a more significant reduction in blood flow, even if the heart attack is less severe than a STEMI.

C. While NSTEMI is a serious condition, it does not automatically require open heart surgery. Treatment often involves medications (like antiplatelets or anticoagulants) and procedures like angioplasty or stenting to address the blockage, not necessarily surgery.

D. This response is somewhat misleading. Cardiac catheterization may be used to assess the severity and location of the blockage, but it is not always used to directly correct the problem. Procedures such as angioplasty or stent placement may follow the catheterization, but not all patients with NSTEMI will need immediate intervention.

A. Fully compensated respiratory alkalosis B. Fully compensated respiratory acidosis C. Partially compensated metabolic acidosis D. Partially compensated metabolic alkalosis

Correct Answer is A

Explanation

A. The pH is normal but leaning toward alkalosis (7.44).

The PaCO₂ is low (30 mmHg), indicating respiratory alkalosis.

The HCO₃⁻ is also low (18 mEq/L), showing metabolic compensation.

Since pH is within normal limits and both respiratory and metabolic components are abnormal, full compensation has occurred.

B. This is incorrect

C. This is incorrect

D. This is incorrect

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The nurse is caring for a patient waiting for proper diagnosis with Multiple Sclerosis (MS) or Myasthenia Gravis (MG). The patient is reporting severe fatigue. Which priority intervention would the nurse implement to address this issue for either diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client tells the nurse, "My physician told me that I had an NSTEMI. I thought all heart attacks were the same. Can you explain this to me?" What would be the nurse's best response?

Correct Answer is A

Explanation

The nurse is analyzing a client's arterial blood gas (ABG) values with the following results: pH 7.44, PaCO2 30 mmHg. PaO2 90 mmHg, and HCO3 18 mEq/L. Which acid base imbalance should the nurse associate with these results? ABG pH 7.35-7.45 PC02 35-45 mmHg pa02 80-100 mmHg PHCO3 22-26 mEq/L

Correct Answer is A

Explanation

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The nurse is caring for a patient waiting for proper diagnosis with Multiple Sclerosis (MS) or Myasthenia Gravis (MG). The patient is reporting severe fatigue. Which priority intervention would the nurse implement to address this issue for either diagnosis?

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