Which outcome would the nurse include in the care plan for a patient with multiple sclerosis (MS)? Select all that apply.

Make decisions about health and lifestyle modifications to manage MS

Cure the disease

Maintain or improve muscle strength and mobility

Maintain urinary continence

Maintain independence in performing ADLs

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: The nurse would include making decisions about health and lifestyle modifications to manage MS because this helps the patient to make informed choices that can alleviate symptoms and improve their quality of life. Modifying aspects such as diet, exercise, and stress management can play a significant role in managing the disease and preventing relapses.

Choice B reason: Curing the disease is not currently a feasible outcome for multiple sclerosis, as there is no known cure. The focus of the care plan is typically on managing symptoms, slowing the progression of the disease, and improving the patient's quality of life rather than curing the disease.

Choice C reason: Maintaining or improving muscle strength and mobility is crucial for patients with MS, as the disease often affects muscle control and strength. Including this outcome in the care plan helps to reduce the risk of falls, improve the patient's ability to perform daily tasks, and enhance overall physical function.

Choice D reason: Maintaining urinary continence is an important aspect of care for MS patients, as the disease can affect bladder control. Including this outcome helps to ensure the patient's comfort and dignity, prevent urinary tract infections, and improve their quality of life.

Choice E reason: Maintaining independence in performing activities of daily living (ADLs) is essential for patients with MS to ensure they can continue to perform tasks such as bathing, dressing, and eating. This outcome supports the patient's self-esteem and promotes a sense of autonomy.

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

Explanation

Choice A reason: Upper endoscopy is not typically used to diagnose cholecystitis. It is more commonly used to examine the upper gastrointestinal tract, such as the esophagus, stomach, and duodenum.

Choice B reason: Stool samples are not relevant for diagnosing cholecystitis. They are more commonly used to detect gastrointestinal infections or bleeding.

Choice C reason: Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable diagnostic tool for cholecystitis, especially when there is suspicion of bile duct obstruction or gallstones.

Choice D reason: Abdominal ultrasound is the most common and preferred imaging test for diagnosing cholecystitis. It can visualize the gallbladder and detect gallstones, inflammation, or other abnormalities.

A. Urine output of 30 mL/hr B. Blood pressure is 90/40 C. IV site is infiltrated D. Oral fluid intake of 100 mL for 8 hours

Correct Answer is B

Explanation

Choice A reason: Urine output of 30 mL/hr is concerning as it is on the lower end of normal and can indicate dehydration or impaired renal function. However, in this context, it is less immediately alarming compared to severely low blood pressure.

Choice B reason: Blood pressure of 90/40 is critically low and indicates hypotension, which can be a sign of severe dehydration or shock, especially in a patient with ongoing nausea and vomiting. This requires immediate attention and intervention to stabilize the patient and prevent further complications.

Choice C reason: An infiltrated IV site is a problem that needs to be addressed to ensure proper administration of fluids and medications. However, it is not as immediately life-threatening as hypotension.

Choice D reason: Oral fluid intake of 100 mL for 8 hours is inadequate, suggesting that the patient may be dehydrated. While concerning, it is not as acutely critical as low blood pressure, which directly affects perfusion and organ function.

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Which outcome would the nurse include in the care plan for a patient with multiple sclerosis (MS)? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Indicate which two tests might be prescribed for patients admitted with symptoms of cholecystitis? Select all that apply.

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

Explanation

The nurse is caring for a patient who has nausea and vomiting. Which assessment data should be of most concern to the nurse?

Correct Answer is B

Explanation

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