GUARANTEED PASS ANSWERS GRADED A+
● The nurse is teaching a female client with multiple sclerosis. When
teaching the client how to reduce fatigue, the nurse should tell the client
to:
a. take a hot bath.
b. rest in an air-conditioned room
c. increase the dose of muscle relaxants.
d. avoid naps during the day. Answer: Answer B. Fatigue is a common
symptom in clients with multiple sclerosis. Lowering the body
temperature by resting in an air-conditioned room may relieve fatigue;
however, extreme cold should be avoided. A hot bath or shower can
increase body temperature, producing fatigue. Muscle relaxants,
prescribed to reduce spasticity, can cause drowsiness and fatigue.
Planning for frequent rest periods and naps can relieve fatigue. Other
measures to reduce fatigue in the client with multiple sclerosis include
treating depression, using occupational therapy to learn energy
conservation techniques, and reducing spasticity.
● A male client is having a tonic-clonic seizures. What should the nurse
do first?
a. Elevate the head of the bed.
b. Restrain the client's arms and legs.
c. Place a tongue blade in the client's mouth.
,d. Take measures to prevent injury.. Answer: Answer D. Protecting the
client from injury is the immediate priority during a seizure. Elevating
the head of the bed would have no effect on the client's condition or
safety. Restraining the client's arms and legs could cause injury. Placing
a tongue blade or other object in the client's mouth could damage the
teeth.
● A female client with Guillain-Barré syndrome has paralysis affecting
the respiratory muscles and requires mechanical ventilation. When the
client asks the nurse about the paralysis, how should the nurse respond?
a. "You may have difficulty believing this, but the paralysis caused by
this disease is temporary."
b. "You'll have to accept the fact that you're permanently paralyzed.
However, you won't have any sensory loss."
c. "It must be hard to accept the permanency of your paralysis."
d. "You'll first regain use of your legs and then your arms.". Answer:
Answer A. The nurse should inform the client that the paralysis that
accompanies Guillain-Barré syndrome is only temporary. Return of
motor function begins proximally and extends distally in the legs.
● The nurse is working on a surgical floor. The nurse must logroll a
male client following a:
a. laminectomy.
b. thoracotomy.
c. hemorrhoidectomy.
, d. cystectomy.. Answer: Answer A. The client who has had spinal
surgery, such as laminectomy, must be logrolled to keep the spinal
column straight when turning. The client who has had a thoracotomy or
cystectomy may turn himself or may be assisted into a comfortable
position. Under normal circumstances, hemorrhoidectomy is an
outpatient procedure, and the client may resume normal activities
immediately after surgery.
● A female client with a suspected brain tumor is scheduled for
computed tomography (CT). What should the nurse do when preparing
the client for this test?
a. Immobilize the neck before the client is moved onto a stretcher.
b. Determine whether the client is allergic to iodine, contrast dyes, or
shellfish.
c. Place a cap over the client's head.
d. Administer a sedative as ordered.. Answer: Answer B. Because CT
commonly involves use of a contrast agent, the nurse should determine
whether the client is allergic to iodine, contrast dyes, or shellfish. Neck
immobilization is necessary only if the client has a suspected spinal cord
injury. Placing a cap over the client's head may lead to misinterpretation
of test results; instead, the hair should be combed smoothly. The
physician orders a sedative only if the client can't be expected to remain
still during the CT scan.
● During a routine physical examination to assess a male client's deep
tendon reflexes, the nurse should make sure to: