CHI Module Questions

A family is concerned about their care plan for a patient with Parkinson's disease. What is the nurses best response?

"Clients with Parkinson's live for years. Our goal focuses on good nutrition, exercise and a safe and supportive environment"

A nurse is teaching a client who has SLE about self-care. Which of the following statements by the client indicates an understanding of the teaching? 1. "I should use a mild hair shampoo." 2. "I should limit my time to 10 minutes in the tanning bed." 3. "I will apply powder to any skin rash." 4. "I will inspect my skin once a month for rashes."

"I should use mild hair shampoo." time in the sun and tanning beds should be limited to almost none without protection rashes should be treated with steroid cream skin must be inspected regularly for rashes

The patient asks the nurse how riluzole helps Lou Gehrig's disease. What is the nurse's best response? 1. "Riluzole decreases a transmitter in the brain that can cause damage to your brain cells." 2. "Riluzole decreases the amount of a neurotransmitter called GABA in your brain so you can control your movement." 3. "Riluzole prevents your upper motor neurons from communicating with your lower motor neurons." 4. "Riluzole causes a decrease in sodium and prevents your symptoms."

1. "Riluzole decreases a transmitter in the brain that can cause damage to your brain cells."

A nurse is teaching a client who has multiple sclerosis and a new prescription for baclofen. Which of the following statements should the nurse include in the teaching? 1. "This medication can cause you to experience dizziness." 2. "This medication will help you with your tremors." 3. "This medication will help you with your bladder function." 4. "This medication can cause your skin to bruise easily."

1. "This medication can cause you to experience dizziness."

A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? 1. Loss of cognitive function 2. Fluctuations in blood pressure 3. Ineffective cough 4. Drooping eye lids

1. Loss of cognitive function

You're developing a plan of care for a patient with multiple sclerosis who presents with Uhthoff's Sign. What interventions will you include in the patient's plan of care? 1. Avoid movements of the head and neck downward 2. Educate the patient on three ways to avoid overheating during exercise 3. Keep room temperature hot 4. Encourage patient to use warm packs and heating pads for symptoms

2. Educate the patient on three ways to avoid overheating during exercise (Uhtoff's Sign is a condition of myelin sheath disorders that cause overheating of the body with high temperature and exercise)

Which of the following are clinical manifestations of Lou Gehrig's disease? 1. Leg pain with walking & Slurred speech 2. Numbness and tingling in the extremities & muscle hypertrophy 3. Slurred speech, fasciculations, & muscle atrophy 4. Fasciculations & Intermittent chest pain

3. Slurred speech, fasciculations, & muscle atrophy

A nurse cares for a patient with amyotrophic lateral sclerosis (ALS). The patient states, "I do not want to be placed on a mechanical ventilator." What is the best response? 1. "Using the incentive spirometer each hour will delay the need for a ventilator." 2. "Why are you afraid of being placed on a breathing machine?" 3. "You should discuss this with your family and health care provider." 4. "What would you like to be done if you begin to have difficulty breathing?"

4. "What would you like to be done if you begin to have difficulty breathing?"

A nurse assesses a patient with a neurologic disorder. Which assessment finding would the nurse identify as a late manifestation of amyotrophic lateral sclerosis (ALS)? 1. Muscle weakness 2. Dysphagia 3. Dysarthria 4. Impairment of respiratory muscles

4. Impairment of respiratory muscles

A nurse is assessing a client who has a new diagnosis of SLE. Which of the following findings should the nurse expect? 1. Petechiae on thighs 2. Systolic murmur 3. Weight gain 4. Alopecia

Alopecia slow onset of symptoms include chronic fatigue, fevers, joint/muscle pain weakness and swelling, blurred vision, anorexia/weight loss and anemia, depression and the butterfly rash visibly seen on the face

What are recognized as clinical manifestations of PD?

Flexed trunk, uncontrolled drooling

Weakness and wasting is treated with Tetrabenazine (Xenazine) to suppress the chorea in what disease?

Huntington's Disease

What symptoms indicate late stage Parkinson's disease in a patient?

Increased resistance to passive movement, tremor that occurs most often at rest

A nurse is reviewing the POC for a client w/SLE c/o fatigue, joint tenderness, swelling and difficulty urinating. Which of the following lab findings should the nurse anticipate? 1. Decreased BUN & increased serum C3 and C4 2. Positive ANA titer & 2+ urine protein 3. Negative ANA titer & casts in the urine 4. Increased hemoglobin & creatinine

Positive ANA titer & 2+ urine protein SLE can be seen in the following labs skin biopsy for Lupus cells and cellular inflammation ANA= antinuclear antibodies in 95% of clients ESR= elevated erythrocyte sedimentation rate BUN/Creat= elevated with kidney involvement UA indicating protein in urine, casts and RBCs with kidney involvement CBC showing pancytopenia, low RBC and WBC

What is a possible nursing diagnosis for PD?

Risk for injury