Which of the ff. medications might be ordered to help control symptoms of multiple sclerosis, and possibly induce a remission?

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Question 1 of 5

Which of the ff. medications might be ordered to help control symptoms of multiple sclerosis, and possibly induce a remission?

Correct Answer: C

Rationale: ACTH (Adrenocorticotropic hormone) might be ordered to help control symptoms of multiple sclerosis and possibly induce a remission. ACTH is sometimes used as a treatment option for multiple sclerosis due to its anti-inflammatory properties. It can help reduce inflammation in the central nervous system and, in some cases, lead to a decrease in symptoms and possibly induce a remission. However, it is important to note that ACTH is not commonly used as a first-line treatment for multiple sclerosis and is usually reserved for cases that are refractory to other medications.

Question 2 of 5

Which of the ff. would the nurse explain to the patient is indicated by a Snellen chart finding 20/80?

Correct Answer: A

Rationale: The Snellen chart is a chart used to measure visual acuity. The numbers in a Snellen fraction indicate the distance from which a person with normal eyesight can see the letters on the chart. In the case of 20/80, this means that the person can see at 80 feet what a person with normal eyesight can see at 20 feet. So, option A is correct as it accurately explains what is indicated by a Snellen chart finding of 20/80.

Question 3 of 5

Which of the following is usually the first symptom of a cataract that the nurse would expect a patient to report during assessment?

Correct Answer: B

Rationale: Blurring of vision is typically the first symptom of a cataract that the nurse would expect a patient to report during assessment. As a cataract develops, it causes clouding of the eye's lens, leading to a decrease in the clarity of vision. This blurriness can progress over time, impacting the patient's ability to see clearly. Other symptoms such as glare sensitivity, poor night vision, double vision, and color fading may also be present as the cataract progresses. Dry eyes, eye pain, and loss of peripheral vision are not typically the initial symptoms associated with cataracts.

Question 4 of 5

A client with severe head trauma sustained in a car accident is admitted to the intensive care unit. Thirty six-hours later, the client's urine output suddenly rises above 200mL/hour, leading the nurse to suspect diabetes insipidus. Which laboratory findings support the nurse's suspicion of diabetes insipidus?

Correct Answer: B

Rationale: Diabetes insipidus is a condition characterized by the inability of the kidneys to adequately concentrate urine, leading to excessive dilute urine production. In diabetes insipidus, both urine and serum osmolality levels are typically below normal due to the dilution of urine. When urine output suddenly rises above 200mL/hour in a client with severe head trauma, it may indicate diabetes insipidus, especially if the urine and serum osmolality levels are below normal. This abnormality in osmolality levels is due to the impaired ability of the kidneys to concentrate urine, resulting in decreased urine osmolality and subsequent dilution of the serum osmolality.

Question 5 of 5

The lowest fasting plasma glucose level suggestive of a diagnosis of diabetes is:

Correct Answer: B

Rationale: A fasting plasma glucose level of 126mg/dl or higher is considered to be indicative of diabetes mellitus. This value represents the threshold for diagnosing diabetes based on fasting glucose levels according to the American Diabetes Association (ADA) criteria. Fasting glucose levels between 100-125mg/dl indicate impaired fasting glucose, which is a precursor to diabetes. Therefore, a fasting plasma glucose level of 126mg/dl is the lowest level at which a diagnosis of diabetes can be suggested.

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