PrepU ch. 64
The nurse has been educating a client newly diagnosed with MS. Which statement by the client indicates an understanding of the education? "I will stretch daily as directed by the physical therapist." "I should participate in non-weight-bearing exercises." "I will take hot tub baths to decrease spasms." "The exercises should be completed quickly to reduce fatigue."
"I will stretch daily as directed by the physical therapist."
A client with myasthenia gravis is admitted with an exacerbation. The nurse is educating the client about plasmapheresis and explains this in which of the following statements? Mestinon therapy is initiated. Immune globulin is given intravenously. Antibodies are removed from the plasma. The thymus gland is removed.
Antibodies are removed from the plasma.
The nurse is advising a client with multiple sclerosis on methods to minimize spasticity and contractures. Which of the following techniques would the nurse instruct the client to perform? Avoid swimming and any weight-bearing activity. Apply warm packs to the affected area. Relax in a hot bath. Exercise following a circuit training regimen.
Apply warm packs to the affected area.
The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe? Loss of proprioception Patchy blindness Numbness Diplopia and ptosis
Diplopia and ptosis
A patient suspected of having Guillain-Barré syndrome has had a lumbar puncture for cerebrospinal fluid (CSF) evaluation. When reviewing the laboratory results, what does the nurse find that is diagnostic for this disease? White blood cells in the CSF Elevated protein levels in the CSF Glucose in the CSF Red blood cells present in the CSF
Elevated protein levels in the CSF
Which is often the most disabling clinical manifestation of multiple sclerosis? Fatigue Ataxia Spasticity Pain
Fatigue
A client with Guillain-Barre syndrome cannot swallow and has a paralytic ileus; the nurse is administering parenteral nutrition intravenously. The nurse is careful to assess which of the following related to intake of nutrients? Urinary output and capillary refill Gag reflex and bowel sounds Respiratory status Condition of skin
Gag reflex and bowel sounds
The nurse is caring for a client with Guillain-Barré syndrome (GBS). The client also has an ascending paralysis. Knowing the potential complications of the disorder, what should the nurse keep always ready at the bedside? Incentive spirometer Blood pressure apparatus Nebulizer and thermometer Intubation tray and suction apparatus
Intubation tray and suction apparatus
The diagnosis of multiple sclerosis is based on which test? Evoked potential studies Magnetic resonance imaging (MRI) Cerebrospinal fluid (CSF) electrophoresis Neuropsychological testing
Magnetic resonance imaging (MRI)
Which is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of demyelination in the brain and spinal cord? Multiple sclerosis Parkinson disease Huntington disease Creutzfeldt-Jakob disease
Multiple sclerosis
The nurse is performing an initial assessment on a client who is admitted to rule out myasthenia gravis. Which of the following findings would the nurse expect to observe? Difficulty with urination Facial distortion and pain Muscle weakness and hyporeflexia of the lower extremities Ptosis and diplopia
Ptosis and diplopia
Which of the following is the first-line therapy for myasthenia gravis (MG)? Lioresal (Baclofen) Pyridostigmine bromide (Mestinon) Azathioprine (Imuran) Deltasone (Prednisone)
Pyridostigmine bromide (Mestinon)
A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia gravis is confirmed by: a positive sweat chloride test. Kernig's sign. a positive edrophonium (Tensilon) test. Brudzinski's sign.
a positive edrophonium (Tensilon) test.
The nurse is caring for a patient with GBS in the intensive care unit and is assessing the patient for autonomic dysfunction. What interventions should be provided in order to determine the presence of autonomic dysfunction? Assess the respiratory rate and oxygen saturation. Listen to the bowel sounds. Assess the peripheral pulses. Assess the blood pressure and heart rate.
Assess the blood pressure and heart rate.
