Multiple sclerosis 3. 9

Your patient comes in complaining of consistent fatigue, numbness in their feet, vertigo, and an episode where she was unable to see. What test might you run? 1. CT 2. Labs 3. MRI 4. Head to toe assessment

3. MRI most effective way to find out if some may have MS

The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical manifestation warrants immediate intervention? 1. The client has scanning speech and diplopia. 2. The client has dysarthria and scotomas. 3. The client has muscle weakness and spasticity. 4. The client has a congested cough and dysphagia.

4.Dysphagia is a common problem of clients diagnosed with multiple sclerosis,and this places the client at risk for aspiration pneumonia. Some clients diagnosed with multiple sclerosis eventually become immobile and are at risk for pneumonia. 1. These are clinical manifestations of multiple sclerosis and are expected. 2. These are expected clinical manifestations of multiple sclerosis. 3. These are expected clinical manifestations of multiple sclerosis.

Which of the following symptoms you as the nurse expect to see in the patient with primary progressive multiple sclerosis? (Select All that Apply): A) Unilateral Vision Loss B) Fatigue C) Diarrhea D) Intention tremors E) Paralytic ileus

Answer: A, B and D.

What are important things to remember to tell your patient when teaching them how to self cath? 1. You dont need to do a sterile field anywhere except in the hospital. 2. All caths are one time use 3. Make sure to cath only once a week 4. Wash your cath with warm water and soap after use

1, 4

The nurse is admitting a client diagnosed with multiple sclerosis. Which clinical manifestation should the nurse assess?Select all that apply. 1. Muscle flaccidity. 2. Lethargy. 3. Dysmetria. 4. Fatigue. 5. Dysphagia.

1.Muscle flaccidity is a hallmark symptom of MS. 3.Dysmetria is the inability to control muscular action characterized by overestimating or under estimating range of movement. 4.Fatigue is a symptom of MS. 5.Dysphagia, or difficulty swallowing, is associated with MS. 2. Lethargy is the state of prolonged sleepiness or serious drowsiness and is not associated with MS.

What are some ways to help a patient with MS manage their bladder? 1. Cath them every time they urinate 2. Help them go q2 hrs to help reduce bladder stasis 3. Fluid restriction to help decrease need to urinate 4. Call provider to add diuretic 5. Drink 1-2 L a day to dilute urine and decrease bladder irritation 6. Teach them to self cath

2, 5, 6

What nursing diagnosis might you make with a patient who has MS? SATA 1. Risk for infection 2. Impaired physical mobility 3. Impaired vocal chords 4. Risk for flight of ideas 5. Impaired urinary elimination 6. Ineffective self health management

2, 5, 6 Good balance of exercise and rest, minimize caffeine intake, nutritious and well-balanced meals, increase roughage if constipated, treatment regimen, management of medications, self-catheterization if necessary adequate intake of fiber to aid in regular bowel habits, emotional adjustments, lifestyle changes

The 30-year-old female client is admitted with complaints of numbness, tingling, a crawling sensation affecting the extremities, and double vision which has occurred two(2) times in the month. Which question is most important for the nurse to ask the client? 1. "Have you experienced any difficulty with your menstrual cycle?" 2. "Have you noticed a rash across the bridge of your nose?" 3. "Do you get tired easily and sometimes have problems swallowing?" 4. "Are you taking birth control pills to prevent conception?"

The 30-year-old female client is admitted with complaints of numbness, tingling, a crawling sensation affecting the extremities, and double vision which has occurred two(2) times in the month. Which question is most important for the nurse to ask the client? 1. "Have you experienced any difficulty with your menstrual cycle?" 2. "Have you noticed a rash across the bridge of your nose?" 3. "Do you get tired easily and sometimes have problems swallowing?" 4. "Are you taking birth control pills to prevent conception?" 3.These are clinical manifestation of MS and can go un diagnosed for years be-cause of the remitting-relapsing nature of the disease. Fatigue and difficulty swallowing are other symptoms of MS. 1. MS does not affect the menstrual cycle. 2. A rash across the bridge of the nose suggests systemic lupus erythematosus 4. Taking birth control medications should not produce these symptoms or the pattern of occurrence.