You patient is newly diagnosed with multiple sclerosis (MS). What basic information should you provide to the patient?
It is a progressive demylinating disease of the nervous system.
A client with multiple sclerosis is admitted to the unit. When the nurse assesses the client she notices that the client is demonstrating involuntary rhythmic eye movements. What term will the nurse use in her documentation to describe these involuntary rhythmic eye movements?
When providing discharge teaching for a client with multiple sclerosis (MS), the nurse should include which instruction?
"Avoid hot baths and showers."
A nurse is caring for a client with multiple sclerosis. Client education about the disease process includes which of the following explanations about the cause of the disorder?
The immune system recognizes one's own tissues as "foreign."
A group of nursing students is giving an oral report on multiple sclerosis (MS) to their med-surg class. What primary manifestation would the students report is the most likely to be assessed in a patient diagnosed with MS?
Difficulty in coordination
A client with multiple sclerosis is being discharged. The nurse understands that living with chronic conditions imposes many challenges, including the need to accomplish the following. Choose all that apply.
• Alleviate and manage symptoms • Validate family functioning • Validate individual self-worth
The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe?
Diplopia and ptosis
The nurse is preparing discharge teaching for a patient diagnosed with urinary retention secondary to multiple sclerosis. The nurse will teach the patient to self-catheterize at home upon discharge. What teaching method is most effective for this patient?
A discussion and demonstration between the nurse and the patient
A patient diagnosed with multiple sclerosis has been admitted to your unit for treatment of an MS exacerbation. Included in the admission orders is baclofen (Lioresal). What would you include as an expected outcome of this medication?
Decreased muscle spasms in the lower extremities
Which of the following is the most common clinical manifestation of multiple sclerosis?
A 33-year-old nurse presents at the clinic with complaints of weakness, incoordination, dizziness, and loss of balance. The patient is hospitalized and diagnosed with multiple sclerosis (MS). What sign or symptom, revealed during the initial assessment, is typical of MS?
Blurred vision, intention tremor, and urinary hesitancy
A patient with amyotrophic lateral sclerosis (ALS) is being visited by the Home Health Nurse. The nurse is creating a care plan for this patient. What nursing diagnosis is appropriate for a patient with this condition?
Impaired verbal communication
The nurse is planning care for a client with Guillain-Barre syndrome. The priority client outcome would be which of the following?
Maintains effictive respirations and airway clearance
A client with Guillain-Barré syndrome has paralysis affecting the respiratory muscles and requires mechanical ventilation. When the client asks the nurse about the paralysis, how should the nurse respond?
"The paralysis caused by this disease is temporary."
A client is hospitalized with Guillain-Barré syndrome. Which nursing assessment finding is most significant?
Even, unlabored respirations
A patient with Parkinson's disease is being cared for on your unit. The nurse would be correct in identifying what neurotransmitter as being decreased in this disease?
A home care nurse makes a visit to a client with Parkinson's disease who is being cared for by his spouse. During the visit, the spouse says, "I'm just so tired. I have to do just about everything for him." Which response by the nurse would be most appropriate?
"You sound a bit overwhelmed. Tell me more about what's happening."
During a health history, a client explains that he was just diagnosed with Parkinson's disease and wants to know what to expect. What should the nurse include during client teaching?
Abnormal body movements such as tremors may occur at rest along with asymmetry of movement.
A patient with Parkinson's disease is undergoing a swallow study because she is experiencing difficulties when swallowing. What consistency is most appropriate for this patient to reduce the risk of aspiration?
Semisolid food with thick liquids
Which of the following medications is the most effect agent in the treatment of Parkinson's disease (PD)?
A client with Parkinson's disease has been receiving levodopa as treatment for the past 7 years. The client comes to the facility for an evaluation and the nurse observes facial grimacing, head bobbing, and smacking movements. The nurse interprets these findings as which of the following?
Which of the following is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of small patches of demyelination in the brain and spinal cord?
The nurse observes the client and notes a shuffling gait. The nurse recognizes this finding is consistent with:
A nurse is assessing a client with Parkinson's disease. Which of the following would the nurse expect to find?
Slowing of activity
A client has just been diagnosed with Parkinson's disease. The nurse is teaching the client and family about dietary issues related to this diagnosis. Which of the following are risks for this client? Select all that apply.
• Dysphagia • Choking • Constipation
A patient with Hungtington's disease has just been admitted to a long-term care facility. The charge nurse is creating a care plan for this patient. Nutritional management for a patient with Huntington's disease often focuses on which of the following characteristics?
The patient will have an increased appetite.
Which of the following diseases is a chronic, progressive, hereditary disease of the nervous system that results in progressive involuntary dancelike movements and dementia?
Want to see the other 27 Flashcards in neuro?JOIN TODAY FOR FREE!