The nurse is teaching a patient with a new diagnosis of multiple sclerosis (MS) about self-care with this condition. What patient statement indicates to the nurse that the patient requires further teaching?

"I will adhere to my medication regimen even when I am not experiencing symptoms."

"I will maintain regular physical activity and exercise with planned rest periods."

"I will soak in a hot bath every night to help with muscle weakness and fatigue."

"I will identify strategies to control anxiety and physical stress to prevent exacerbations."

Answer and Explanation

The Correct Answer is C

Choice A reason: Adhering to the medication regimen even when not experiencing symptoms is crucial for managing multiple sclerosis (MS). MS is a chronic condition that requires consistent treatment to prevent relapses and slow disease progression. This statement indicates proper understanding of medication adherence.

Choice B reason: Maintaining regular physical activity and exercise with planned rest periods is important for managing MS. Physical activity helps maintain muscle strength, flexibility, and overall health, while planned rest periods prevent overexertion and fatigue. This statement indicates proper understanding of balancing activity and rest.

Choice C reason: Soaking in a hot bath every night to help with muscle weakness and fatigue requires further teaching. Heat can exacerbate MS symptoms, leading to increased fatigue and muscle weakness. Patients with MS are often advised to avoid hot baths and instead use cool or lukewarm water for comfort. This statement indicates a misunderstanding of how to manage symptoms effectively.

Choice D reason: Identifying strategies to control anxiety and physical stress to prevent exacerbations is important for managing MS. Stress can trigger MS relapses and worsen symptoms. Developing stress management techniques helps reduce the risk of exacerbations. This statement indicates proper understanding of the importance of stress management.

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Correct Answer is ["C","E"]

Explanation

Choice A reason: Taking iron with dairy products to enhance absorption is incorrect. Calcium in dairy products can interfere with the absorption of iron. It is recommended to take iron supplements with water or vitamin C-rich foods to enhance absorption.

Choice B reason: Always taking iron supplements with meals is not necessary and can reduce absorption. Iron is best absorbed on an empty stomach, although taking it with food can help reduce gastrointestinal side effects. The timing should be individualized based on the patient's tolerance.

Choice C reason: Iron will cause the stools to darken in color, which is a common and harmless side effect of iron supplements. Patients should be informed about this to prevent unnecessary concern.

Choice D reason: Limiting foods high in fiber due to the risk of diarrhea is not necessary. High-fiber foods are generally beneficial for overall health and can help prevent constipation, which is a more common side effect of iron supplements.

Choice E reason: Including vitamin C-rich foods or drinks with your iron supplement is recommended. Vitamin C enhances the absorption of non-heme iron from supplements and plant-based sources, improving the efficacy of the treatment.

A. Remind the patient that they will be responsible for caring for the ileostomy after discharge. B. Reassure the patient that this procedure will be reversed in a few months. C. Acknowledge the patient's reluctance and initiate discussion to explore their feelings. D. Discuss with the medical team during interdisciplinary rounds the need for a psychiatric referral.

Correct Answer is C

Explanation

Choice A reason: Reminding the patient that they will be responsible for caring for the ileostomy after discharge may increase their anxiety and reluctance. It does not address the underlying concerns or feelings.

Choice B reason: Reassuring the patient that the procedure will be reversed in a few months is not always accurate and may provide false hope. Each patient's situation is unique, and not all ileostomies are temporary.

Choice C reason: Acknowledging the patient's reluctance and initiating a discussion to explore their feelings is the most appropriate response. This approach allows the nurse to understand the patient's concerns, provide emotional support, and offer practical solutions to help the patient feel more comfortable with ostomy care.

Choice D reason: Discussing the need for a psychiatric referral during interdisciplinary rounds is not the immediate step. The nurse should first address the patient's feelings and concerns directly and provide support.

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The nurse is teaching a patient with a new diagnosis of multiple sclerosis (MS) about self-care with this condition. What patient statement indicates to the nurse that the patient requires further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge education to a patient with iron deficiency anemia. The patient has been prescribed to take an oral iron supplement. What will the nurse include in the teaching for this patient? (Select All That Apply)

Correct Answer is ["C","E"]

Explanation

The nurse is caring for a patient with inflammatory bowel disease who has been discharged with an ileostomy. The patient expresses reluctance to participate in aspects of ostomy care. What is the nurse's most appropriate response to this observation?

Correct Answer is C

Explanation

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