Neurological Disorders Q 58 - Gyan Darpan : Learning Portal
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Monday, 18 April 2022

Neurological Disorders Q 58

The nurse is teaching a female client with multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to:
     A. Take a hot bath.
     B. Rest in an air-conditioned room.
     C. Increase the dose of muscle relaxants.
     D. Avoid naps during the day.

Correct Answer: B. Rest in an air-conditioned room.

Fatigue is a common symptom in clients with multiple sclerosis. Lowering the body temperature by resting in an air-conditioned room may relieve fatigue; however, extreme cold should be avoided. Other measures to reduce fatigue in the client with multiple sclerosis include treating depression, using occupational therapy to learn energy conservation techniques, and reducing spasticity.

Option A: A hot bath or shower can increase body temperature, producing fatigue. Assist with physical therapy. Increase patient comfort with massages and relaxing baths. Reduces fatigue and promotes a sense of wellness.
Option C: Muscle relaxants, prescribed to reduce spasticity, can cause drowsiness and fatigue. Amantadine (Symmetrel) and pemoline (Cylert) are useful in treatment of fatigue. Positive antiviral drug effect in 30%–50% of patients. Use may be limited by side effects of increased spasticity, insomnia, paresthesias of hands and feet.
Option D: Planning for frequent rest periods and naps can relieve fatigue. Plan care consistent rest periods between activities. Encourage afternoon naps. Reduces fatigue, aggravation of muscle weakness.

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