1. When preparing discharge teaching for a 27 year old female diagnosed with multiple

sclerosis, the nurse knows to include:

a) decrease fiber intake

b) addressing different methods of birth control

c) recommend joining a gym or a competitive sport

d) suggest that coffee or energy drinks should only be taken early in the day to

decrease fatigue and to avoid interfering with sleep

Correct answer: B

Rationale: pregnancy can lead to undue stress and is also associated with being a

precipitating factor. Iggy chapter 45 pg.983 ppt and lecture

2. What does an inverted T wave signify? (Select all that apply)

a) Hypokalemia

b) Hyperkalemia

c) Pulmonary Embolism

d) Left Ventricle Hypertrophy

e) Right Ventricle Distension

Answers: 1, 3, 4; Iggy Chapter 36, pg. 717

Rationale: T wave inversion can be an indication of hypokalemia, pulmonary embolism

or left ventricle hypertrophy. (This is from my notes, but all answers are in Chapter 36)

3. The nurse is assessing a patient with left-sided heart failure. Which assessment

findings does the nurse expect to see in this patient? (Select all that apply)

a) Displacement of the apical impulse to the left

b) S³ heart sound

c) Paroxysmal nocturnal dyspnea

d) Jugular venous distention

e) Oliguria during the day

f) Wheezes or crackles

Answers: A, B, C, E, F

Clinical Decision-Making Study Guide; Medical Surgical Nursing-Patient Centered

Collaborative Care, 7th Edition Revised Reprint; Ignatavicius, Workman; Ch 37,Pg346

item #15

4. A nurse is caring for a 50-year old male with a diagnosis of Amyotrophic lateral

sclerosis (ALS). The patient understands there is no cure for ALS and is