A client with multiple sclerosis is prescribed diazepam (Valium). ...

[Kikoku]

A client with multiple sclerosis is prescribed diazepam (Valium). What assessment finding indicates that the medication is effective for the client?
 
  A) Muscle spasticity is reduced.
  B) Blood glucose level is within normal limits.
  C) The client states that muscles are weak.
  D) Ophthalmologic examination shows no evidence of cataracts.

Question 2

A client with multiple sclerosis is observed transferring from the bed to a motorized wheelchair and applying splints to the lower extremities before entering the bathroom to perform morning self-care.
 
  What could the nurse conclude regarding this observation?
  A) The client uses assistive devices to optimize autonomy.
  B) The client needs instruction to conduct morning care before applying splints to lower extremities.
  C) The client is dependent upon assistive devices.
  D) The client is reliant upon assistive devices for independent.

[livaneabi]

Answer to Question 1

Answer: A

Diazepam (Valium) is a muscle relaxant commonly used for clients with multiple sclerosis. Diazepam (Valium) does not cause muscle weakness. Evidence of medication effectiveness would be an observed reduction in muscle spasticity. Glucose intolerance would be assessed if the client were prescribed an adrenal corticosteroid. Cataract development is also a side effect of adrenal corticosteroids.

Answer to Question 2

Answer: A

The nurse observed the client independently transfer from the bed to a motorized wheelchair, apply splints, and enter the bathroom to perform morning self-care. This is evidence that the client uses assistive devices to optimize autonomy. The statement Client is reliant upon assistive devices for independence indicates that the client is not autonomous. The statement Client is dependent upon assistive devices also indicates the client is not autonomous. The statement Client needs instruction to conduct morning care before applying splints to lower extremities does not take into consideration the client's preference, which might be to apply the splints before doing self-care.

[Kikoku]

Thank you

[livaneabi]

No problemo