Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

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What is the most effective way to manage fatigue in a patient with an exacerbation of MS?

Schedule high-energy activities in the evening

Incorporate moderate conditioning exercise in the morning

In managing fatigue for a patient with an exacerbation of multiple sclerosis (MS), incorporating moderate conditioning exercise in the morning is the most effective approach. Exercise is known to improve overall stamina and can help in reducing fatigue by enhancing physical conditioning and promoting energy efficiency. When performed at a moderate level, morning exercise can activate the body’s natural rhythm and may help the patient feel more awake and alert for the rest of the day. It also contributes to better sleep patterns, which can further reduce feelings of fatigue. Engaging in regular physical activity is beneficial, as it helps maintain muscle strength, reduces deconditioning, and may improve mood, which is important as emotional well-being can significantly influence a patient’s perception of fatigue. In contrast, scheduling high-energy activities in the evening may not align with the natural energy levels of someone experiencing fatigue due to MS. Long periods of rest throughout the day can actually lead to increased feelings of fatigue when it results in deconditioning, and while some rest is necessary, prolonged inactivity can exacerbate the symptoms. Limiting physical activity completely can lead to further decline in physical fitness and stamina, which ultimately might worsen fatigue in the long term. Therefore, a balanced approach that includes moderate exercise in the morning is essential for managing fatigue effectively in

Encourage long periods of rest throughout the day

Limit physical activity completely

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