A client with relapsing-remitting multiple sclerosis tells the ...

[BRWH]

A client with relapsing-remitting multiple sclerosis tells the nurse that even though the primary symptoms of exacerbation are leg spasms and blurred vision, the hardest part is trying to get through the day because of being so tired.
 
  Which diagnosis should the nurse identify as a priority for this client?
  A) Fatigue
  B) Disturbed Sensory Perception
  C) Impaired Physical Mobility
  D) Self-Care Deficit

Question 2

The nurse is planning a teaching seminar for a group of young adult clients who are at risk for obesity. What statement should the nurse include in the program for this group?
 
  A) There are drugs that are good to use to reduce weight.
  B) Obesity puts the client at risk for anorexia nervosa.
  C) Proper diet and exercise programs
  D) The obese client will eventually be bulimic.

[bfulkerson77]

Answer to Question 1

Answer: A

The client states that the worst part of the disease exacerbation is being tired even though leg spasms and blurred vision are present. The nurse should identify the diagnosis of Fatigue as being a priority for this client. The diagnoses of Impaired Physical Mobility because of the leg spasms and Disturbed Sensory Perception because of the blurred vision are additional nursing diagnoses applicable for this client, but they are not the priority based on the client's statement. The client may or may not have a Self-Care Deficit.

Answer to Question 2

Answer: C

The young adults who are at risk for obesity need education about changing lifestyles and the importance of preventing obesity as opposed to treating it. Education should include tips on eating healthy and exercising. Drugs used for obesity are not without risk. Bulimia and anorexia nervosa are not eating disorders that are caused by obesity.