The nurse receives report on a client with multiple sclerosis who is scheduled to be treated with Cytoxan. The nurse anticipates that the client will be:
a. wheelchair enabled.
b. experiencing motor weakness.
c. complaining of fatigue.
d. diagnosed with optic neuritis.
ANS: A
Cytoxan is used to treat a client who has progressive multiple sclerosis and who usually is wheelchair enabled.
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The nurse is asking the patient reflective, clarifying questions to help the patient make a list of what is important and not important in life and the time commitment for each. Which standardized (NIC) nursing intervention does this action implement?
1) Spiritual support 2) Self-Esteem Enhancement 3) Values Clarification 4) Hope Inspiration
Which statement made by a client after cataract surgery indicates the need for further teaching regarding activities that can increase intraocular pressure?
A. "I will avoid wearing tight shirt collars and ties." B. "I will take stool softeners daily to prevent having to strain." C. "I will try not to sneeze, cough, or blow my nose for the next 2 weeks." D. "I will place items from high shelves on low shelves to avoid having my arms above my head."
When recording assessments during the construction of the problem-oriented medical record, the examiner should:
a. combine all data into one assessment. b. create an assessment for each problem on the problem list. c. create an assessment for every abnormal physical finding. d. create an assessment for every symptom presented in the history.
A teenager in the clinic is refusing to eat during her pregnancy because she does not want to "get fat." What information should the nurse provide on the outcomes of the infant related to poor maternal weight gain?
A) The infant will be small and could have problems B) There is little impact on the infant, the mother will suffer complications C) It will just make the baby smaller but there are no other problems associated D) The fetus could develop congenital anomalies