MID

The nurse is providing the medication instructions to a client diagnosed with amyotrophic lateral sclerosis (ALS) who has been prescribed riluzole (Rilutek). Which statement indicates to the nurse that the client understands the instructions?

" I will need frequent checks of my liver enzymes".

When teaching patients who are at risk for Bell's policy because of previous herpes simplex infection, which information should the nurse include?

"Call the doctor if pain or herpes lesions occur you're the ear".

The client's spouse expresses concern that the client, who has Guillain-Barré syndrome, is becoming very depressed and will not leave the house. What is the nurse's best response?

"Contact the Guillain-Barré Foundation International for resources."

A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instruction should the nurse include in the teaching?

"Do not take antihistamines with this medication"

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?

"Hair loss is common and includes eyebrows and eyelashes"

A nurse is assessing a client who has a possible medical diagnosis of Glenn -Barre syndrome parentheses GBS which of the following is an appropriate question for the nurse to ask?

"Have you had a recent upper respiratory infection?"

A client newly diagnosed with myasthenia gravis (MG) is being discharged, and the nurse is teaching about proper medication administration. Which statement by the client demonstrates a need for further teaching.

"I can continue to take over-the-counter drugs."

A client with myasthenia gravis (MG) is receiving cholinesterase inhibitor drugs to improve muscle strength. The nurse is educating the family about this therapy. Which statement by a family member indicates a correct understanding of the nurse's instruction?

"I should call 911 if a sudden increase in weakness occurs."

A nurse is instructing a client how to decrease the nausea associated with chemotherapy and radiation which of the following statements indicates and understanding of the teaching

"I will eat foods that are served at room temperature."

A patient with amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia which nursing action will be included in the plan of care?

assisting the patient with active range of motion (ROM)

When teaching the patient with newly diagnosed multiple sclerosis (MS) about the disease, the nurse explains that

autoimmune processes cause gradual destruction of the myelin sheath of nerves in the brain and spinal cord

A nurse is modifying the diet of a client who has Parkinson's disease and is prescribed said look line, and MAOI. Which of the following food should a nurse eliminate?

cheddar cheese

A client has been diagnosed with ALS. The nurse caring for the client recognizes that a classic symptom of this disorder is which of the following

Dysphagia

A nurse in the cardiac care unit is caring for a client with acute right sided heart failure which of the following should the nurse expect?

Elevated central venous pressure (CVP)

A nurse is teaching a patient who has COPD about ways to facilitate eating, which of the following statements indicates a need for further teaching.

I WILL TAKE MY BRONCHODILATORS AFTER MEALS.

A nurse is providing discharge instructions for a client was congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

I plan to slow down if I am tired the day after exercising.

The client has Parkinson disease (PD). Which nursing intervention best protects the client from injury?

Monitoring the client's sleep patterns

A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?

Muscle contractions become progressively stronger

A nurse is caring for a client who has asthma and developed viral pharyngitis. Which of the following findings should the nurse expect?

Negative throat culture

A nurse is assessing a client who has asthma and signs of central cyanosis. Which of the following are should the nurse evaluate as the most reliable indicator of central cyanosis?

Oral Mucosa

The nurse's advice to a patient with myasthenia gravis MG to

Perform physically demanding activities early end of day.

Which should be the nurse's first intervention with a client diagnosed with Bell's Palsy?

Teach the client to protect the affected eye for injury

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

The P wave falls before the QRS complex.

A patient has a new prescription for bromocriptine (Parlodel) control symptoms of Parkinson's disease. Which information obtained by the nurse may indicate a need for decreasing the dose?

The patient's blood pressure is 90/46 mm Hg

A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?

WEAKNESS

Which of the following is an important modifiable risk factor for COPD?

Smoking

A 73-year-old patient with Parkinson's disease has a nursing diagnosis of impaired physical mobility related to bradykinesia. Which action will the nurse include in the plan of care?

Suggest that the patient rock from side to side to initiate leg movement.

A nurse is teaching a patient who has COPD and is to start using fluticasone by MDI twice daily, which of the following instructions should the nurse include?

inspect your mouth for lesions daily,

A patient with Guillain-Barré syndrome asks the nurse what has caused the disease. In responding to the patient, the nurse explains that Guillain-Barré syndrome

is due to an immune reaction that attacks the covering of the peripheral nerves

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease on which of the following medications should the nurse prepare to instruct the client?

levodopa/carbidopa

A patient with Guillan-Barre syndrome asks whether he is going to die as the paralysis spreads toward his chest. In responding to the patient, what should the nurse know to be able to answer this question?

most patients with Guillain-Barre syndrome make a complete recovery

Which body system is the major focus for nursing care of the client with Guillain-Barre

Respiratory

A 31-year-old woman who has multiple sclerosis (MS) asks the nurse about risks associated with pregnancy. Which response by the nurse is accurate?

"MS symptoms may be worse after the pregnancy.

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

"Tell me more about these fears of dying from a heart attack."

When planning care for a patient with MS who has a nursing diagnosis of risk for activity intolerance related to extremity weakness secondary to stress, the most appropriate patient goal is

"The patient will complete ADLs without fatigue"

Which assessment is most important for the nurse to make regarding a patient with myasthenia gravis?

Respiratory effort

A client has Guillain-Barré syndrome. Which interdisciplinary health care team members will the nurse plan to collaborate with to help prevent pressure ulcers related to immobility in the client Guillain-Barré syndrome? Select all that apply.

ALL Family Members Dietitian Occupational therapist (OT)

A nurse is planning to perform an electrocardiogram (ECG) for a client who has a history of coronary heart disease. Which of the following actions should the nurse take? (Select all that apply.)

ALL Inspect the electrode pads. instruct the client not talk during the test

A nurse is assessing a client who has Bell's Palsy. Which of the following manifestations are expected findings for Bell's Palsy? SATA

ALL Muscle distortion Impaired Taste Pain behind the ear

A patient with Parkinson's disease is admitted to the hospital for treatment of pneumonia. Which nursing interventions will be included in the plan of care (select all that apply)?

ALL Use an elevated toilet seat Cut patient's food into small pieces

The client newly diagnosed with Parkinson disease is being discharged. Which instruction is best for the nurse to provide to the client's spouse?

Administer medications promptly on schedule to maintain therapeutic drug levels.

The client with amyotrophic lateral sclerosis (ALS) is degenerating rapidly and will soon need respiratory support. What will the nurse plan to review with this client?

Advance directives

A nurse is caring for a 30-year-old patient with myasthenia gravis who is prescribed medications to alleviate the major symptoms of this disease. Which drug classification would the nurse most expect to be used to treat MG?

Anticholinesterase

To access the functioning of the trigeminal and facial nerves (CN V and VII, ) the nurse should?

Apply a cotton wisp strand to the cornea

A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Before doing so, the nurse should perform which of the following actions?

Ask the clients to take a few sips of water.

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?

Bradykinesia

A nurse in the emergency department is caring for a client who has myasthenia gravis and is in crisis. The nurse knows that which of the following factors can cause myasthenic crisis?

Developing a respiratory infection

A patient hospitalized with a new diagnosis of Guillain-Barré syndrome has numbness and weakness of both feet. The nurse will anticipate teaching the patient about

IV infusion of immunoglobulin (Sandoglobulin)

Which nursing diagnosis is of highest priority for a patient with Parkinson's disease who is unable to move the facial muscles?

Imbalanced nutrition: less than body requirements

When obtaining a health history and physical assessment for a patient with possible multiple sclerosis (MS), the nurse should

Inquire about any urinary tract problems

A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatment. Which of the following prognoses should the nurse discuss with the client?

Poor

A nurse suspects a client who has myasthenia gravis is experiencing a myasthenia crisis. Which of the following intervention should the nurse take?

Prepare the client for mechanical ventilation

When a 74 year old patient is seen in the Health clinic with new development of a stooped posture, shuffling gait, and pill rolling type tremor, the nurse will anticipate teaching the patient about

anti-Parkinson's drugs

The nurse encourages the ventilated client with advanced clean bird syndrome GBS to communicate by which simple technique

blinking for yes or no

A nurse is assessing the respiratory pattern of an older adult client who is receiving end of life care. Which of the following assessment findings should the nurse identify as Cheyne- Stokes respirations?

breathing ranging from very deep very shallow periods of apnea

A nurse is caring for a patient who has Parkinson's disease and is to start taking diphenhydramine (Benadryl) 25 mg PO TID. Which of the following therapeutic outcomes should the nurse expect to see when evaluating the client's response to diphenhydramine?

decreased tremors

The client with advanced clean bear syndrome GBS is no longer able to perform ADLs independently. Which priority problem best identifies measures to prevent pressure ulcers?

impaired physical mobility related to weakness, paralysis, and ataxia

The nurse is reinforcing discharging instruction with a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria (lack of coordination), and sensory changes. Which of the following nursing statements are appropriate?

implement a schedule to include period of rest

When obtaining a healthy history and physical assessment for 36-year-old female patient with possible multiple sclerosis (MS), the nurse should

inquire about urinary tract problems