Chapter 69

18. The nurse is caring for a patient who is hospitalized with an exacerbation of MS. To ensure the patients safety, what nursing action should be performed? A. ensure that suction apparatus is set up at the bedside B. pad the patient's bed rails C. maintain bed rest whenever possible D. provide several small meals each day

A

37. A patient with MS has been admitted to the hospital following an acute exacerbation. When planning the patients care, the nurse addresses the need to enhance the patients bladder control. What aspect of nursing care is most likely to meet this goal? A. establish a timed voiding schedule B. avoid foods that change the pH of urine C. perform intermittent catheterization q6h D. administer anticholinergic drugs as ordered

A

6. The nurse is working with a patient who is newly diagnosed with MS. What basic information should the nurse provide to the patient? A. MS is a progressive demyelinating disease of the nervous system B. MS usually occurs more frequently in men C. MS typically has an acute onset D. MS is sometimes caused by a bacterial infection

A

25. The nurse is caring for a 77-year-old woman with MS. She states that she is very concerned about the progress of her disease and what the future holds. The nurse should know that elderly patients with MS are known to be particularly concerned about what variables? Select all that apply. A. possible nursing home placement B. pain associated with physical therapy C. increasing disability D. becoming a burden on the family E. loss of appetite

A, C, D

3. The nurse is caring for a patient with multiple sclerosis (MS). The patient tells the nurse the hardest thing to deal with is the fatigue. When teaching the patient how to reduce fatigue, what action should the nurse suggest? A. taking a hot bath at least once daily B. resting in an air-conditioned room whenever possible C. increasing the dose of muscle relaxants D. avoiding naps during the day

B

34. A patient diagnosed with MS has been admitted to the medical unit for treatment of an MS exacerbation. Included in the admission orders is baclofen (Lioresal). What should the nurse identify as an expected outcome of this treatment? A. reduction in the appearance of new lesions on the MRI B. decreased muscle spasms in the lower extremities C. increased muscle strength in the upper extremities D. decreased severity and duration of exacerbations

B

19. A 33-year-old patient presents at the clinic with complaints of weakness, incoordination, dizziness, and loss of balance. The patient is hospitalized and diagnosed with MS. What sign or symptom, revealed during the initial assessment, is typical of MS? A. diplopia, history of increased fatigue, and decreased or absent deep tendon reflexes B. flexor spasm, clonus, and negative Babinskis reflex C. blurred vision, intention tremor, and urinary hesitancy D. hyperactive abdominal reflexes and history of unsteady gait and episodic paresthesia in both legs

C

16. A middle-aged woman has sought care from her primary care provider and undergone diagnostic testing that has resulted in a diagnosis of MS. What sign or symptom is most likely to have prompted the woman to seek care? A. cognitive declines B. personality changes C. contractures D. difficulty in coordination

D

7. The nurse is creating a plan of care for a patient who has a recent diagnosis of MS. Which of the following should the nurse include in the patients care plan? A. encourage patient to void every hour B. order a low-residue diet C. provide total assistance with all ADLs D. instruct the patient on daily muscle stretching

D