a nurse is collecting data from a client who has multiple sclerosis which of the following findings should the nurse expect
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Nursing Elites

ATI LPN

ATI PN Comprehensive Predictor 2023

1. A healthcare provider is collecting data from a client who has multiple sclerosis. Which of the following findings should the healthcare provider expect?

Correct answer: B

Rationale: Ataxia, which refers to difficulty with coordination, is a common symptom seen in individuals with multiple sclerosis. Nystagmus, the involuntary eye movement, can also occur in multiple sclerosis but is not as common as ataxia. Fatigue is a common symptom in multiple sclerosis, but ataxia is more specific. Fever is not a typical finding associated with multiple sclerosis.

2. How should a healthcare provider manage a patient with a fever?

Correct answer: A

Rationale: When managing a patient with a fever, the appropriate approach involves administering antipyretics to reduce the fever and monitoring the patient's vital signs to assess their response to treatment. Administering antipyretics helps to lower the body temperature and manage fever symptoms effectively. Monitoring vital signs is crucial to ensure the patient's condition is improving. Providing cold compresses, as mentioned in choice B, can help in managing fever symptoms, but it does not address the root cause of the fever. Encouraging the patient to rest, as stated in choice C, is beneficial for recovery, but increasing fluid intake is essential to prevent dehydration. Restricting fluid intake and providing bed rest, as in choice D, can lead to dehydration and hinder the body's ability to fight off the infection causing the fever. Therefore, the best course of action for a healthcare provider is to administer antipyretics while closely monitoring the patient's vital signs.

3. A nurse is providing discharge instructions to a client with home oxygen therapy. What safety measure should the nurse emphasize?

Correct answer: B

Rationale: The correct safety measure that the nurse should emphasize is to keep oxygen tanks upright and away from heat sources. This is crucial to prevent the risk of fire or explosion. Choice A is incorrect as smoking near oxygen can lead to a fire hazard. Choice C is also incorrect as storing oxygen tanks in enclosed spaces can be dangerous. Choice D, although related to safety, does not address the immediate risk of keeping oxygen tanks away from heat sources.

4. The nurse is caring for a client following an acute myocardial infarction. The client is concerned that providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the nurse implement to promote the client's independence?

Correct answer: C

Rationale: Instructing the client to focus on gradually resuming self-care tasks is the most appropriate strategy to promote independence while managing fatigue. This approach encourages the client to regain autonomy by engaging in self-care activities at their own pace. Requesting an occupational therapy consult (Choice A) may be beneficial but does not directly address the client's concern regarding fatigue and self-care. Assigning assistive personnel (Choice B) may hinder the client's independence by taking over tasks the client could potentially perform. Asking about family assistance (Choice D) does not empower the client to regain self-care abilities.

5. A client with an NG tube is reporting nausea and a decrease in gastric secretions. What is the nurse's first action?

Correct answer: B

Rationale: The correct first action for a client with an NG tube experiencing nausea and decreased gastric secretions is to irrigate the NG tube with sterile water. This helps alleviate blockages and can improve the client's symptoms. Increasing the suction pressure (Choice A) may exacerbate the issue and cause further discomfort. Turning the client onto their left side (Choice C) is not directly related to addressing the reported symptoms. Replacing the NG tube with a new one (Choice D) should be considered only after attempting initial interventions like irrigation.

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