A 39-year-old mother of four has a 6-year history of multiple sclerosis. During planning, the nurse remembers this is a degenerative neurological disease that
a. occurs most often in tropical climates.
b. occurs most often in the older adult.
c. has classic signs and symptoms that are readily recognized.
d. results from demyelination of the nerve sheath.
D
In patients with multiple sclerosis, multiple foci of demyelination are distributed randomly in the white matter of the brain stem, spinal cord, optic nerves, and cerebrum.
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Which nursing diagnosis has the highest priority after surgery for the open reduction and external fixation of an ankle?
a. Risk for activity intolerance b. Risk for infection c. Risk for impaired physical mobility d. Risk for constipation
The physician prescribes metoprolol tartrate (a beta blocker) for an African American patient with hypertension. Based on the patient's ethnicity, the nurse should monitor the effectiveness of therapy closely, because:
1) Higher doses of the drug may be needed to be effective. 2) More gastrointestinal side effects occur with this group. 3) Flushing and palpitations are common among African Americans. 4) Rebound hypotension commonly occurs in this group.
The nurse is providing emergency care to patients injured in a house fire. Which patient would the nurse prepare for transfer to a burn center for additional care and treatment?
1. 15-year-old child with 5% total body surface area burns to the left arm 2. 10-year-old child with partial-thickness burns to the face and left hand 3. 30-year-old female with superficial burns to the arms and neck 4. 35-year-old male with partial-thickness burn to a part of his back
To promote a well-balanced diet, what information should the nurse who is helping the client select foods from the hospital menu take into account?
1. Vitamin supplementation can substitute for good nutrition. 2. Clients who cannot consume fat-soluble vitamins daily should be given a supplement. 3. Daily intake of water-soluble vitamins is essential to maintain and improve health. 4. All vitamins must be taken into the body by eating enriched foods.