Exam (elaborations)
Multiple Sclerosis, Myasthenia Gravis, GBS Exam/Questions and Answers
- Course
- Institution
Multiple Sclerosis, Myasthenia Gravis, GBS Exam/Questions and Answers
[Show more]
Seller
Follow
Victorious23
Reviews received
Content preview
Multiple Sclerosis, Myasthenia Gravis,GBS Exam/Questions and Answers
1. The nurse is assessing a 48-year-old client diagnosed with multiple
sclerosis. Which clinical manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia. - - 4. Dysphagia is a
common problem of clients diagnosed with multiple sclerosis, and this places
the client at risk for aspiration pneumonia. Some clients diagnosed with
multiple sclerosis eventually become immobile and are at risk for
pneumonia.
- 2. The client newly diagnosed with multiple sclerosis (MS) states, "I don't
understand how I got multiple sclerosis. Is it genetic?" On which statement
should the nurse base the response?
1. Genetics may play a role in susceptibility to MS, but the disease may be
caused by a virus.
2. There is no evidence suggesting there is any chromosomal involvement in
developing MS.
3. Multiple sclerosis is caused by a recessive gene, so both parents had to
have the gene for the client to get MS.
4. Multiple sclerosis is caused by an autosomal dominant gene on the Y
chromosome, so only fathers can pass it on. - - 2. 1. The exact cause of MS
is not known, but there is a theory stating a slow virus is partially
responsible. A failure of a part of the immune system may also be at fault. A
genetic predisposition involving chromosomes 2, 3, 7, 11, 17, 19, and X may
be involved.
- 3. The 30-year-old female client is admitted with complaints of numbness,
tingling, a crawling sensation affecting the extremities, and double vision
which has occurred two (2) times in the month. Which question is most
important for the nurse to ask the client?
1. "Have you experienced any difficulty with your menstrual cycle?"
2. "Have you noticed a rash across the bridge of your nose?"
3. "Do you get tired easily and sometimes have problems swallowing?"
4. "Are you taking birth control pills to prevent conception?" - - 3. These are
clinical manifestation of MS and can go undiagnosed for years be cause of
the remitting-relapsing nature of the disease. Fatigue and difficulty
swallowing are other symptoms of MS.
, - 4. The nurse enters the room of a client diagnosed with acute exacerbation
of multiple sclerosis and finds the client crying. Which statement is the most
therapeutic response for the nurse to make?
1. "Why are you crying? The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad times."
4. "I will have the chaplain come and stay with you for a while." - - 2. This is
stating a fact and offering self. Both are therapeutic techniques for
conversations.
- 5. The client diagnosed with multiple sclerosis is scheduled for a magnetic
resonance imaging (MRI) scan of the head. Which information should the
nurse teach the client about the test?
1. The client will have wires attached to the scalp and lights will flash off and
on.
2. The machine will be loud and the client must not move the head during
the test.
3. The client will drink a contrast medium 30 minutes to one (1) hour before
the test.
4. The test will be repeated at intervals during a five (5)- to six (6)-hour
period. - - 2. MRI scans require the client to lie still and not move the body;
the client should be warned about the loud noise.
- 6. The 45-year-old client is diagnosed with primary progressive multiple
sclerosis and the nurse writes the nursing diagnosis "anticipatory grieving
related to progressive loss." Which intervention should be implemented?
1. Consult the physical therapist for assistive devices for mobility.
2. Determine if the client has a legal power of attorney.
3. Ask if the client would like to talk to the hospital chaplain.
4. Discuss the client's wishes regarding end-of-life care. - - 4. The client
should make personal choices about end-of-life issues while it is possible to
do so. This client is progressing toward immobility and all the complications
related to it.
- 7. The home health nurse is caring for the client newly diagnosed with
multiple sclerosis. Which client issue is of most importance?
1. The client refuses to have a gastrostomy feeding.
2. The client wants to discuss if she should tell her fiancé.
3. The client tells the nurse life is not worth living anymore.
4. The client needs the flu and pneumonia vaccines. - - 3. A potential suicide
statement is priority for the nurse when caring for the client with MS.
- 8. The nurse and a licensed practical nurse (LPN) are caring for a group of
clients.Which nursing task should not be assigned to the LPN?
1. Administer a skeletal muscle relaxant to a client diagnosed with low back
pain.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79316 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now