A nurse assesses a client with early-onset multiple sclerosis ...

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A nurse assesses a client with early-onset multiple sclerosis (MS). Which clinical manifestation should the nurse expect to find?
 
  a. Hyperresponsive reflexes
  b. Excessive somnolence
  c. Nystagmus
  d. Heat intolerance

Question 2

A nurse is caring for a client with paraplegia who is scheduled to participate in a rehabilitation program. The client states, I do not understand the need for rehabilitation; the paralysis will not go away and it will not get better. How should the nur
 
  a. If you don't want to participate in the rehabilitation program, I'll let the provider know.
  b. Rehabilitation programs have helped many clients with your injury. You should give it a chance.
  c. The rehabilitation program will teach you how to maintain the functional ability you have and prevent further disability.
  d. When new discoveries are made regarding paraplegia, people in rehabilitation programs will benefit first.

[SVictor]

Answer to Question 1

ANS: C
Early signs and symptoms of MS include changes in motor skills, vision, and sensation. Hyperresponsive reflexes, excessive somnolence, and heat intolerance are later manifestations of MS.

Answer to Question 2

ANS: C
Participation in rehabilitation programs has many purposes, including prevention of disability, maintenance of functional ability, and restoration of function. The other responses do not meet this client's needs.

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Excellent

[smrtceo]

TYSM