2800 Final

Which are the most commonly reported clinical manifestations of multiple sclerosis? Select all that apply -Aphasia -Pain -Fatigue -Spasticity -Depression

-Pain -Fatigue -Spasticity -Depression

A client has started on interferon bet for treatment of multiple sclerosis. What should the nurse include in the teaching? Select all that apply. -Interferon beta does not have any known side effects -Seek emergency treatment if you develop flu-like symptoms -This drug can reduce symptoms but will not alter disease activity -The medication will be given daily by subcutaneous injection -Interferon beta alters your immune response

-This drug can reduce symptoms but will not alter disease activity -The medication will be given daily by subcutaneous injection -Interferon beta alters your immune response

A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. The client is no longer able to express their wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may cause -Autonomy -Deception -Ethical distress -Paternalism

Ethical distress

A nurse is developing a teaching plan for a client diagnosed with osteoarthritis. What instruction should the nurse give to the client to minimize injury? -Wear worn, comfortable shoes -Install safety devices in the home -Wear protective devices when exercises -Get help when lifting objects

Install safety devices in the home

A client has a history of osteoarthritis. Which signs and symptoms should the nurse expect to find on the physical assessment? -Joint pain and crepitus -Tophi and enlarged joints -Hot, inflamed joints: get smaller in size

Joint pain and crepitus

A client is exhibiting diminished range of motion, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated with age-related changes in which area? -Joints -Bones -Ligaments -Muscles

Joints

Which is not a symptom of osteoarthritis? -deep, aching pain with motion early in the disease -morning stiffness that lasts at least 1 hour -limited joint motion -instability of weight-bearing joints

Morning stiffness that lasts at least 1 hour

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? -Avoiding naps during the day -Resting in an air-conditioned room whenever possible -Increasing the dose of muscle relaxants -Taking a hot bath at least once daily

Resting in an air-conditioned room whenever possible

Which newer pharmacological therapy, used to treat osteoarthritis, is thought to prevent the loss of cartilage and repair chondral defects, as well as have some anti-inflammatory effects? -Glucosamine -Capsaicin -Viscosupplementation -Chondrotin

Viscosupplementation

Which nursing interventions might need to be considered in a care plan for a client with advanced multiple sclerosis? Select all that apply. -Obtain daily weights to monitor weight gain -Ensure access to a language board when communicating with the client -Establish a voiding time schedule -Encourage chin tuck method when assisting the client with meals -Encourage the client to walk with feet wide apart

-Ensure access to a language board when communicating with the client -Establish a voiding time schedule -Encourage the client to walk with feet wide apart