1.Muscle flaccidity is a hallmark symptom of MS.
3.Dysmetria is the inability to control muscular action characterized by overestimating or under
estimating range of movement.
4.Fatigue is a symptom of MS.
5.Dysphagia, or difficulty swallowing, is associated with MS.
2. Lethargy is the state of prolonged sleepiness or serious drowsiness and is not associated with MS.
- ✔✔The nurse is admitting a client diagnosed with multiple sclerosis. Which clinical manifestation
should the nurse assess?Select all that apply.
1. Muscle flaccidity.
2. Lethargy.
3. Dysmetria.
4. Fatigue.
5. Dysphagia.
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 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.
1.The nurse should listen without being judgmental about any alternative therapy the client is
considering. Alternative therapies, such as massage and relaxation, are frequently beneficial and
, enhance the medical regimen. - ✔✔The male client diagnosed with multiple sclerosis states he has
been investigating alternative therapies to treat his disease. Which intervention is most appropriate by
the nurse?
1. Encourage the therapy if it is not contraindicated by the medical regimen.
2. Tell the client only the health-care provider should discuss this with him.
3. Ask how his significant other feels about this deviation from the medical regimen.
4. Suggest the client research an investigational therapy instead.
1.This will assist the client and significant other to maintain a close relation-ship without putting undue
pressure on the client.
2. This is a real physical problem, not a psychological one.
3. The problem is impotence, not libido
4. The problem is not psychosocial. It is aphysical problem, and staying calm willnot hel - ✔✔The
nurse writes the client problem of "altered sexual functioning" for a male client diagnosed with
multiple sclerosis (MS). Which intervention should be implemented?
1. Encourage the couple to explore alternative ways of maintaining intimacy.
2. Make an appointment with a psychotherapist to counsel the couple.
3. Explain daily exercise will help increase libido and sexual arousal.
4. Discuss the importance of keeping physically calm during sexual intercourse.
2.MRI scans require the client to lie stilland not move the body; the clientshould be warned about the
loud noise
1. This describes an evoked potential electroencephalogram (EEG).
3. The client does not drink any contrast medium. If contrast is used, it will be given IVP for a CT
scan.
4. The test is performed at one time - ✔✔The client diagnosed with multiple sclerosis is scheduled
for a magnetic resonanceimaging (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.This is stating a fact and offering self. Both are therapeutic techniques for conversations.
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