The nurse is caring for a patient with multiple sclerosis (MS) who is experiencing changes to their bowel function. What intervention will the nurse implement for this patient?
Implement a fluid restriction of 1500 mL in 24 hours
Provide a bland, low-residue diet
Establish a bowel routine with daily stool softeners
Consult surgeon to discuss colostomy creation
The Correct Answer is C
Choice A reason: Implementing a fluid restriction could worsen constipation and bowel function in patients with multiple sclerosis.
Choice B reason: Providing a bland, low-residue diet is less effective in managing bowel function compared to establishing a regular bowel routine.
Choice C reason: Establishing a bowel routine with daily stool softeners helps maintain regular bowel movements and prevents constipation, which is important for patients with multiple sclerosis.
Choice D reason: Consulting a surgeon for colostomy creation is a more invasive intervention that is not the first line of treatment for changes in bowel function in multiple sclerosis patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The order to administer Hydrochlorothiazide should be clarified because thiazide diuretics can increase calcium levels, which could worsen hypercalcemia in a patient with a history of hyperparathyroidism.
Choice B reason: Monitoring intake and output and daily weights are essential for managing fluid balance in heart failure patients and do not need clarification.
Choice C reason: Administering Calcitonin helps lower calcium levels, which is appropriate for treating hypercalcemia in a patient with hyperparathyroidism.
Choice D reason: Preparing the patient for possible hemodialysis may be necessary if the patient's kidney function deteriorates, especially with elevated BUN and creatinine levels.
Correct Answer is B
Explanation
Choice A reason: Encouraging the patient to engage in moderate exercise to improve circulation is not appropriate during a sickle cell crisis. Exercise can increase oxygen demand and exacerbate the crisis. Rest and avoiding strenuous activities are recommended.
Choice B reason: Applying warm compresses to the painful areas can help reduce discomfort and improve circulation. Warmth helps relax muscles and dilate blood vessels, providing relief during a sickle cell crisis.
Choice C reason: Suggesting the patient drink caffeinated beverages to stay alert and energized is not appropriate. Caffeine can cause dehydration, which can worsen the sickling of red blood cells. Maintaining hydration with water and non-caffeinated beverages is essential.
Choice D reason: Recommending cold showers to help reduce pain and swelling is incorrect. Cold can cause vasoconstriction, which can worsen pain and reduce blood flow to affected areas. Warm compresses are preferred.
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