A nurse assesses a client with early-onset multiple sclerosis (MS). Which clinical manifestation should the nurse expect to find?
a. Hyperresponsive reflexes
b. Excessive somnolence
c. Nystagmus
d. Heat intolerance
ANS: C
Early signs and symptoms of MS include changes in motor skills, vision, and sensation. Hyperresponsive reflexes, excessive somnolence, and heat intolerance are later manifestations of MS.
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1. Tell the parents they are not allowed to come into the examination room. 2. Provide time alone with both the adolescent and the parents. 3. Let the parents know the nurse will share the information with them after the exam. 4. Do not ask the parents their opinions of the adolescent's friends.
After being diagnosed with type 2 diabetes, a client has expressed her intention to "turn over a new leaf" and commit to a vigorous exercise regime
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The nurse is teaching a group of Asian adolescents who are lactose intolerant
Of the following foods, which would the nurse recommend as a good food for them to eat to get the needed calcium in the diet without causing symptoms related to the lactose intolerance? A) Chocolate pudding B) Nonfat milk C) Soybean curd D) Cottage cheese