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    Hesi lpn exit proctored exam

    The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to assist with the personal care of a client experiencing an acute exacerbation of multiple sclerosis. Which instruction should the PN provide the UAP?

    Explanation & Rationale

    A. Keep head of the bed elevated at all times: This is not specific to multiple sclerosis care and is unnecessary unless respiratory compromise is present. B. Face the client directly when speaking: This instruction is more relevant to clients with hearing impairment, not MS. C. Encourage self-care but allow rest periods: Clients with MS often experience fatigue. Encouraging independence while allowing rest prevents overexertion and conserves energy. D. Offer to assist the client with a hot bath: Hot baths can worsen MS symptoms by increasing body temperature, which may exacerbate fatigue and neurological symptoms.

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