MS chapter 24

14. The nurse is aware that the signs and symptoms of Guillain-Barr syndrome (GBS) occur following a virus infection at about _____ days postinfection.

10 to 21

12. The nurse is educating the family of a patient in the late stages of amyotrophic lateral sclerosis (ALS). What teaching point is most important for the nurse to include?

The patients cognitive and mental capacity will most likely remain intact throughout the disease progression.

19. The home health nurse assesses the patient with Parkinsons disease who has just been placed on carbidopa-levodopa. What side effects should the nurse be alert for when assessing this patient? (Select all that apply.)

a. Urinary retention b. Rash c. Increased diaphoresis d. Orthostatic hypotension

26. Two viruses that are especially associated with the etiology of Guillain-Barr syndrome (GBS) are ___________ and ___________.

cytomegalovirus, Epstein-Barr virus

6. The nurse encourages the patient with multiple sclerosis (MS) that his disease appears to be the most common type, which is:

relapsing-remitting.

9. The nurse is aware that the diagnosis of multiple sclerosis (MS) is based on:

signs and symptoms assessed and reported by the patient.

25. The triad of Parkinsons disease is __________, __________, and __________.

tremor, bradykinesia, rigidity

22. The nurse is caring for a patient with Guillain-Barr syndrome. What will be the focus of nursing care? (Select all that apply.)

Assessment of advancing paralysis Provision for ventilation support Maintenance of adequate nutrition Prevention of complications of immobility

7. The nurse explains that multiple sclerosis (MS) is most likely caused by:

environmental factors and genetic predisposition.

10. The nurse anticipates that drug therapy for an acute severe attack of multiple sclerosis (MS) will be:

intravenous methylprednisolone.

24. The nurse is caring for a patient with Huntingtons chorea. Which symptoms typically would be seen in the patient with this disease? (Select all that apply.)

Fidgeting Restlessness Constant movement Dementia

16. The nurse is assessing a patient diagnosed with myasthenia gravis. Which symptom would the nurse expect to assess?

Ptosis

2. The nurse is assessing a patient with Parkinsons disease. What does the nurse anticipate to assess in regard to tremors?

Decreasing when there is voluntary movement

17. The patient with myasthenia gravis asks the nurse if she will be able to use the computer for her job. Which symptom will most affect the patients ability to use the computer?

Diplopia

20. The nurse is preparing a care plan for a person with late-stage Parkinsons disease. What complications should the nurse plan interventions to address? (Select all that apply.)

Dysphagia Immobility Insomnia Urinary incontinence

21. The nurse outlines nutritional needs for the patient with multiple sclerosis (MS). What interventions should be emphasized for inclusion in the dietary intake? (Select all that apply.)

Intake of at least 1500 mL of fluid daily Inclusion of high-fiber foods Adding calcium and vitamin D

5. The caregiver of a patient with Parkinsons disease is concerned with the patients recent weight loss. What suggestion by the home health nurse will be most helpful to the caregiver in enhancing the patients nutrition?

Provide six mini-meals throughout the day.

1. The nurse is explaining Parkinsons disease to the student nurse. Which statement by the nurse is correct regarding the pathophysiology of the disease?

Regardless of the actual etiology, Parkinsons is caused by depletion of dopamine and excess of acetylcholine.

15. The person who has Huntingtons disease asks if his disease will affect children he might have. Which statement by the nurse is most accurate?

Yes. Because of the nature of Huntingtons disease, 50% of your children will have the disease.

18. The nurse is planning care for a patient with Parkinsons disease. Which nursing diagnosis is most appropriate for the patient experiencing bradykinesia?

Risk for falls

3. The technical or vocational nurse agrees that an appropriate nursing diagnosis for a person with Parkinsons disease would be:

Risk for falls related to unsteady gait.

8. A patient with multiple sclerosis is seen by the home health nurse and complains of severe fatigue. What is the best suggestion by the nurse to help diminish the effects of fatigue?

Scheduling rest periods during the day

4. To enhance more erect posture in the patient with Parkinsons disease, the nurse would encourage the patient to practice which activity?

Sleep in the prone position.

23. The student nurse is researching relapsing progressive forms of multiple sclerosis. What characteristics would the student discover as typical of this form of the disease? (Select all that apply.)

Steady worsening Clear acute relapses

11. The home health nurse caring for a patient with multiple sclerosis (MS) is planning an exercise program with the patient. Which is the best type of exercise for this patient?

Swimming

27. The test for the diagnosis of myasthenia gravis in which muscle strength is increased within 1 minute of the injection is the __________ test.

Tensilon

13. The home care nurse is visiting a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which statement by the patient indicates the acceptance of grief from the condition and prognosis?

The patient talks with his family about his desires for his funeral.