NCLEX-RN
Fundamentals of Nursing NCLEX RN Questions Questions
Extract:
The home health nurse is caring for a 67-year-old female client with progressive multiple sclerosis.
Item 4 of 6
Current Medications
Nurses' Notes
• cephalexin 500 mg p.o. every six hours for 10 days
• diazepam 5 mg p.o. daily PRN muscle spasm
• multivitamin 1 tablet daily
• ergocalciferol 10,000 international units p.o. Daily
Question 1 of 5
For each potential intervention, click to specify whether the intervention is indicated or not indicated for the client with progressive multiple sclerosis.
| Potential Interventions | Indicated | Not Indicated |
|---|---|---|
| Obtain a referral for occupational therapy for fatigue and energy conservation training | ||
| Promote rest by encouraging daytime napping over consistent nighttime sleep | ||
| Encourage the client to walk to the mailbox at midday for sun exposure | ||
| Instruct the client to increase fluid intake with caffeinated beverages | ||
| Obtain an order for physical therapy for home mobility and coordination evaluation | ||
| Educate the client on the early signs of cystitis and the importance of completing antibiotics | ||
| Educate the client to wear slippers while walking inside |
Correct Answer: A,E,F,G
Rationale: Occupational therapy, physical therapy, cystitis education, and slipper use are indicated to address fatigue, mobility, infection prevention, and fall risk. Daytime napping and midday sun exposure are not indicated due to heat sensitivity and inconsistent sleep.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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