The nurse is completing the admission assessment of a client with multiple sclerosis (MS). Which finding(s) should be reported to the healthcare provider immediately? Select all that apply.
Tinnitus.
Tachycardia.
Tremors.
Paresthesia.
Fever.
Correct Answer : B,E
Choice A reason: Tinnitus is not an immediate concern in the context of multiple sclerosis.
Choice B reason: Tachycardia should be reported immediately as it could indicate an underlying cardiovascular issue or autonomic dysfunction.
Choice C reason: Tremors are a common symptom of multiple sclerosis and do not require immediate reporting unless there is a significant change.
Choice D reason: Paresthesia is also a common symptom of multiple sclerosis and does not require immediate reporting unless there is a significant change.
Choice E reason: Fever should be reported immediately as it can indicate an infection, which can exacerbate multiple sclerosis symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The neurology unit supervisor oversees the neurology unit but does not typically coordinate individual patient care progression.
Choice B reason: The risk management nurse focuses on identifying and mitigating risks within the healthcare setting but does not coordinate patient care.
Choice C reason: An adult nurse practitioner may provide direct care but does not typically coordinate the overall progression of care.
Choice D reason: The nurse case manager is responsible for coordinating the patient's care plan, ensuring continuity of care, and managing transitions between different levels of care.
Correct Answer is D
Explanation
Choice A reason: Nausea and headache are common side effects of many medications, including linezolid, but they are not the most critical findings that need immediate reporting to the healthcare provider.
Choice B reason: Increased fatigue is a concerning symptom but may be related to the underlying infection or other factors. It is important to monitor but is not the most urgent finding in this context.
Choice C reason: Yellow-tinged sputum may indicate an ongoing infection, but it is not uncommon in cases of pneumonia. It should be monitored but does not require immediate reporting unless there are other concerning symptoms.
Choice D reason: Watery diarrhea is the most important finding to report because linezolid can cause Clostridioides difficile-associated diarrhea (CDAD), a potentially serious condition. Early detection and treatment are crucial to prevent complications.
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