A Client Is Experiencing Muscle Weakness and an Ataxic Gait

question 19

Multiple Choice

A client is experiencing muscle weakness and an ataxic gait. The client has a diagnosis of multiple sclerosis (MS) . Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client. What nursing intervention should be most appropriate to address the nursing diagnosis?

• A) Use pressure-relieving devices when the client is in bed or in a wheelchair.
• B) Change body position every 2 hours.
• C) Help the client perform range-of-motion (ROM) exercises every 8 hours.
• D) Use a footboard and trochanter rolls.

Recognize the significance of validating and interpreting patient data for accurate nursing decision-making.

Implement problem-oriented assessment approaches effectively.

Utilize appropriate interviewing techniques considering cultural sensitivities and patient's conditions.

Assess patient's pain using the PQRST method accurately.

---

Definitions:

Terminal Illness

A disease or condition that is expected to lead to the death of the patient within a relatively short period, often characterized by a lack of effective treatment options.

Passive Euthanasia

The act of allowing a person to die by withholding or withdrawing treatment that could extend life, such as life support, without directly causing death.

Passive Euthanasia

The act of allowing a person to die by withholding or withdrawing life-sustaining treatments, rather than actively causing death.

Voluntary Active Euthanasia

The act of intentionally ending a person's life to relieve pain and suffering, with the patient's consent.