Exam (elaborations)
Multiple Sclerosis Practice Questions With Complete Solutions
- Course
- MULTIPLE SCLEROSIS
- Institution
- Concordia University ( )
Multiple Sclerosis Practice Questions With Complete Solutions
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Multiple Sclerosis Practice Questions WithComplete Solutions
Which of the following statements made by a patient diagnosed
with multiple sclerosis (MS) would alert the healthcare provider
that the patient requires additional instruction about the disease?
Select all that apply.
1. "A hot bath in the evenings will help relax my muscles and
relieve pain."
2. "I will avoid foods that are high in fiber to prevent problems
with my bowels."
3. "It's important for me to inspect my skin daily make sure there
aren't any injuries."
4. "Use of stress reduction stra correct answer: 1,2
The patient should be taught about factors that can exacerbate
symptoms, such as heat and stress. In addition, the patient is at
risk for burns due to impaired peripheral sensation, so bathing
temperatures should be carefully monitored.
The healthcare provider is teaching a group of patients
diagnosed with multiple sclerosis (MS) about common bladder
problems. Which of the following will the healthcare provider
include? Select all that apply.
1. "Drinking caffeinated beverages can help you empty your
bladder completely."
2. "MS may cause the bladder to contract and empty more often
than usual."
,3. "You should not attempt to urinate until you feel that your
bladder is full."
4. "Drink 1.5 - 2 liters of water each day so your ur correct
answer: 2, 4, 6
MS heightens a patient's risk of urinary tract infections. Patients
should plan to void on a regular basis. Voiding at least every 2
hours will decrease urine stasis.
When assessing a patient diagnosed with multiple sclerosis
(MS), which of the following would require immediate action by
the healthcare provider?
1) Fatigue and depression
2) Paresthesia and tremor
3) Nystagmus and diplopia
4) Dysphagia and congested cough correct answer: 4
These are all signs and symptoms of MS, but some can be more
serious than others. Select the clinical manifestations of MS that
may result in a serious secondary problem for the
patient.Dysphagia puts the patient at risk for aspiration
pneumonia, and the congested cough is an indication that
aspiration has already occurred.
The healthcare provider is planning care for a patient diagnosed
with multiple sclerosis (MS). Which of the following is the
priority intervention?
1) Advise the patient to drink liquids through a straw
2) Monitor the patient's temperature to avoid overheating
3) Teach the patient's family how to meet the patient's needs
,4) Encourage bed rest in order to conserve strength correct
answer: 1
Problems related to dysphagia (such as aspiration) can be
minimized if the patient drinks liquids through a straw.
Sensitivity to heat is a concern with MS, but monitoring the
patient's temperature is not necessary.
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 s correct answer: 1.
The exact cause of MS is not known,but there is a theory stating
a slow virus is partially responsible. A failure of apart of the
immune system may also beat fault. A genetic predisposition
involving chromosomes 2, 3, 7, 11, 17, 19, and X may be
involved.
2. There is some evidence supporting a genetic component
involved in developing MS.
3. A specific gene has not been identified to know if the gene is
recessive or dominant.
, 4. The X chromosome, not the Y chromosome,may be involved.
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 correct answer: 3.
These are clinical manifestation of MS and can go un diagnosed
for years be-cause of the remitting-relapsing nature of the
disease. Fatigue and difficulty swallowing are other symptoms
of MS.
1. MS does not affect the menstrual cycle.
2. A rash across the bridge of the nose suggests systemic lupus
erythematosus
4. Taking birth control medications should not produce these
symptoms or the pattern of occurrence.
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?
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