Exam (elaborations)
Multiple Sclerosis Set Questions And Answers
- Course
- MULTIPLE SCLEROSIS
- Institution
- Concordia University ( )
Multiple Sclerosis Set Questions And Answers
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Multiple Sclerosis Set Questions And AnswersSharon, a 58-year-old female client, presents to the hospital with
an exacerbation of multiple sclerosis (MS) symptoms. She was
diagnosed with the disease 4 years ago after noticing some
unusual muscle movement and weakness. She continues to work
full-time so that she can maintain her health insurance coverage
for herself and her two sons in college. In performing the health
admission assessment, the nurse identifies several abnormalities.
Which clinical symptoms are associated with MS? Select a
correct answer: B. Bladder infection
D. Numbness in legs
Sharon has been taking beta interferon to manage the disease.
What is the purpose of this medication?
A. Modifies the course of disease progression
B. Provides pain relief
C. Supports immune function to help normalize bowel function
D. Helps normalize glucose levels correct answer: A. Modifies
the course of disease progression
CORRECT. Beta interferon is used to slow the progression of
disease. It does not provide pain relief or normalize glucose
levels. This medication has no direct effect on bowel function.
Sharon is now experiencing increased muscle spasticity. Which
medication can be added to the treatment plan to help alleviate
this clinical symptom?
A. Corticosteroids
B. Bronchodilators
, C. Muscle relaxants
D. Pain analgesics correct answer: Muscle relaxants
CORRECT. Muscle relaxants are typically used to treat muscle
spasms for MS clients. Corticosteroids are used for treatment of
inflammatory effects. Bronchodilators are not indicated in the
treatment plan for MS. Pain analgesics provide pain relief but do
not alleviate muscle spasticity.
Sharon is prescribed a corticosteroid while in the hospital. She
tells the nurse, "I hate that medication. It makes me feel like I'm
crazy. Why is it needed?" What rationale should the nurse
provide?
A. "It suppresses your adrenal gland so it doesn't have to work
as hard."
B. "It decreases the inflammatory and immunologic factors
involved in the exacerbation."
C. "It provides an increased glucose level so you won't become
hypoglycemic."
D. "We can give you something if you feel crazy." correct
answer: "It decreases the inflammatory and immunologic
factors involved in the exacerbation.
"CORRECT. Strategies used to treat attacks include
corticosteroids and plasma exchange (plasmapheresis) to
decrease the inflammatory and immunologic factors involved in
the exacerbation.
Which finding leads the nurse to believe that additional
education on managing the disease is required for this client?
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