The nurse is providing education to a young female recently diagnosed with multiple sclerosis. Select the common symptoms the nurse should include in the education plan that the patient should report to their health care provider. (Select all that apply)

Diplopia

Fatigue that worsens with heat

Muscle weakness, spasticity, tremors

Orthostatic hypotension

Numbness and tingling

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: Diplopia, or double vision, is a symptom of multiple sclerosis that results from damage to the optic nerve or the brainstem. It can affect one or both eyes, and it can cause difficulty with reading, driving, and other activities that require visual coordination.

Choice B reason: Fatigue that worsens with heat is a symptom of multiple sclerosis that occurs due to the impaired transmission of nerve impulses in the central nervous system. Heat can exacerbate this impairment and make the patient feel more tired, weak, and sluggish.

Choice C reason: Muscle weakness, spasticity, tremors are symptoms of multiple sclerosis that result from damage to the motor pathways in the brain and spinal cord. They can affect the patient's mobility, balance, coordination, and speech.

Choice D reason: Orthostatic hypotension, or a sudden drop in blood pressure when standing up, is not a common symptom of multiple sclerosis. It can be caused by other conditions, such as dehydration, anemia, or heart problems.

Choice E reason: Numbness and tingling are symptoms of multiple sclerosis that result from damage to the sensory pathways in the brain and spinal cord. They can affect any part of the body, but they are more common in the limbs, face, and trunk.

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Correct Answer is A

Explanation

Choice A reason: This is correct. A white blood cell count of 1000/mm3 indicates severe neutropenia, which is a condition of having abnormally low levels of neutrophils, a type of white blood cell that fights infections. Neutropenic precautions are measures to protect the client from exposure to pathogens, such as wearing a mask, gloves, and gown, avoiding contact with sick people, and practicing good hygiene.

Choice B reason: This is incorrect. A red blood cell count of 5 million/mm3 is within the normal range for both males and females. It does not indicate any risk of infection or bleeding.

Choice C reason: This is incorrect. A clotting time of 10 minutes is also within the normal range, which is 8 to 15 minutes. It does not indicate any risk of infection or bleeding.

Choice D reason: This is incorrect. A thrombocyte count of 90,000 cells/mm3 is low, but not low enough to require neutropenic precautions. Thrombocytes, also known as platelets, are responsible for blood clotting. A low thrombocyte count increases the risk of bleeding, but not infection. The normal range for thrombocyte count is 150,000 to 450,000 cells/mm3.

A. Patient sways from side-to-side when standing with feet close together. B. Patient's pupils do not respond equally to direct light from a flashlight. C. Patient takes two attempts to touch their nose while their eyes are closed. D. Patient complains of mild dizziness.

Correct Answer is A

Explanation

Choice A reason:Swaying during a Romberg test indicates a positive result, suggesting proprioceptive deficits or sensory ataxia.

Choice B reason: Unequal pupil response to light relates to cranial nerve function, not balance assessed by the Romberg test.

Choice C reason: This is incorrect. Patient taking two attempts to touch their nose while their eyes are closed is a mild impairment of coordination, which may be due to neurologic changes or other factors such as fatigue or medication. This is not a significant finding that requires immediate attention.

Choice D reason: This is incorrect. Patient complaining of mild dizziness is a common symptom of neurologic changes or vestibular dysfunction. It is not a serious finding that requires immediate attention. The nurse should monitor the patient and provide comfort measures.

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The nurse is providing education to a young female recently diagnosed with multiple sclerosis. Select the common symptoms the nurse should include in the education plan that the patient should report to their health care provider. (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing hematology laboratory results of a client receiving intravenous chemotherapy for leukemia. Which of the following laboratory findings prompts the nurse to initiate neutropenic precautions?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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