The nurse is presenting a talk for the monthly Nursing Case Study education group. Which client would be a good choice for a case study on multiple sclerosis (MS)?

A) Brazilian with chronic parasitic infestation
B) Italian with colonized methicillin resistant staphylococcus aureus (MRSA)
C) Northern Canadian who has smoked for 25 years
D) African-American man in his 20s with a vitamin D deficiency


Answer: C

The client with the greatest risk lives the farthest from the equator and smokes. Smokers are at increased risk of MS. Brazilians and Italians live close to the equator, which lowers the risk of MS. Chronic parasitic infestation lowers the immune response, which lowers the risk of MS. African-Americans and men are at lower risk of developing MS. It is theorized that vitamin D deficiency may increase risk of MS because it is seen less in locales near the equator.

Nursing

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