Multiple Sclerosis Practice Questions

Which information should the nurse include in the discharge plan for a client with MS who has an impaired peripheral sensation? Select all that apply. A. Carefully test the temperature of bath water B. Avoid kitchen activities because of the risk for injury C. Avoid hot water bottles and heating pads D. Inspect the skin daily for injury or pressure points E. Wear warm clothing when outside in cold temperatures.

A,C,D,E

A nurse is teaching a client who has MS and a new prescription for baclofen. Which of the following statements should the nurse include in the teaching? A. "This medication will help you with your tremors." B." This medication will help you wth your bladder function." C. "This medication may cause your skin to bruise easily." D. " This medication may cause you to experience weakness".

A. "This medication with help you with your tremors".

The nurse is assessing a client with a tentative diagnosis of MS. Which assessment finding would the nurse identify as a characteristic of early signs of MS? A. Diplopia B. Resting tremor C. Flaccid Paralysis D. Unilateral neglect

A. Diplopia

A nurse is beginning a physical assessment of a client who has a new diagnosis of MS. Which of the following findings should the nurse expect? Select all that apply. A. Areas of paresthesia B. Involuntary eye movements C. Alopecia D. Increased salivation E. Ataxia

A. areas of paresthesia B. Involuntary eye movements E. Ataxia

The nurse is teaching a client with bladder dysfunction from MS about bladder training at home. Which instructions should the nurse include in the teaching plan? Select all that apply. A. Restrict fluids to 1000ml/24 hours B. Drink 400-500ml with each meal C. Drink fluids mid-morning, mid afternoon, and late afternoon. D.Attempt to void at least every 2 hours E.Use Intermittent catherization as needed.

B,C,D,E

When assessing the client with MS for potential complications of the disease, the nurse should assess the client for which of the following? Select all that apply. A. Dehydration B. Falls C. seizures D. Skin breakdown E. Fatigue

B,D,E

A nurse is teaching a client who has a new prescription for baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? Select all that apply. A. "I will stop taking this medication right away if I develop dizziness." B. "I know the doctor will gradually increase my dose of this medication for a while". C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication." E. "I should take this medication on an empty stomach every morning."

B. "I know the doctor will gradually increase my dose of this medication for a while". C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication."

A nurse is caring for a client who has MS. Which of the following should the nurse expect? A. Fluctuations in Blood pressure B. Loss of cognitive function C. ineffective cough D. Drooping eyelids

B. Loss of cognitive function

A client with MS lives with her daughter and 3-year old granddaughter. The daughter asks the nurse what she can do at hometown help her mother. which measure would be most beneficial? A. psychotherapy B. regular exercise C. Day care for the granddaughter D. Weekly visits by another person with MS

B. Regular exercise

Which is not a typical clinical manifestation of MS? A. Double vision B. Sudden bursts of energy C.Weakness in the extremities D. Muscle tremors

B. Sudden bursts of energy

A client has had MS for 15 years and has received various drug therapies.What is the primary reason why the nurse has found it difficult to evaluate the effectiveness of the drugs that the client has used? A. the client exhibits intolerance to the drugs B. The client experiences spontaneous remissions from time to time C. The client requires multiple drugs simultaneously D. The client endures long periods of exacerbation before the illness responds to a particular drug.

B. The client experiences spontaneous remissions from time to time

The nurse is preparing a client with MS for discharger from the hospital to home. The nurse should tell the client: A. "you will need to. accept the necessity for a quiet and inactive lifestyle" B." Keep active, use stress reduction strategies, and avoid fatigue" C "Follow good health habits to change the course of the disease" D."Practice using the mechanical aids that you will need when the future disabilities arise".

B." Keep active, use stress reduction strategies, and avoid fatigue"

Which outcome is not realistic to establish with a client who has MS? the client will develop: A.increased joint mobility B. Improved muscle strength C. Clearer thinking D. Mood elevation

C. Clearer thinking

The right hand of the client with MS trembles severely whenever she attempts a voluntary action. she spills her coffee twice at lunch and cannot get her dress fastened securely. which is the best legal documentation in nurses' notes of the chart for this client assessment? A. "has an intention tremor of the right hand" B. "right-hand tremor worsens with purposeful acts C. "needs assistance with dressing and eating due to severe trembling and clumsiness" D. "slight shaking of right hand increases to severe tremor when client tries to button her clothes or drink from a cup"

D. "slight shaking of right hand increases to severe tremor when client tries to button her clothes or drink from a cup"

When the nurses talks with a client with MS who has slurred speech, which nursing intervention is contraindicated? A. Encouraging the client to speak slowly B. Encouraging the client to speak distinctly C. Asking the client to so repeat indistinguishable words D. Asking the client to speak louder when tired

D. Asking the client to speak louder when tired

A client with MS tells the UAP after physical therapy that she is too tired to take a bath. What is the priority nursing diagnosis at this time? A. Fatigue related to disease state B. Activity intolerance due to generalized weakness C. Impaired Physical Mobility related to neuromuscular impairment D. Bathing self-care defect related to fatigue and neuromuscular weakness.

D. Bathing self-care deficit related to fatigue and neuromuscular weakness.

A client with multiple sclerosis is is experiencing bowel incontinence and is starting a bowel retraining program. Which strategy is not appropriate? A. Eating a diet high in fiber B. Setting a regular time for elimination C. Using an elevated toilet seat D. Limiting fluid intake to 1000mL/day

D. Limiting fluid intake to 1000mL/day

Which intervention should the nurse suggest to help a client with MS avoid episodes of urinary incontinence? A. Limit fluid intake to 1,000mL/day B. Insert an indwelling urinary catheter C. Establish a regular voiding schedule D. Administer prophylactic antibiotics, as prescribed.

C. Establish a regular coding schedule

A client with MS is receiving baclofen. The nurse determines that the drug is effective when: A. Induces sleep B. Stimulates the clients appetite C. Relives muscle spasticity D. Reduces the bacterial urine count

C. relives muscle spasticity