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LATEST EXAM
A nurse assesses a client with early-onset multiple sclerosis (MS). Which clinical
manifestation should the nurse expect to find?
a. Hyperresponsive reflexes
b. Excessive somnolence
c. Nystagmus
d. Heat intolerance - ANSWER-c. Nystagmus
Early signs and symptoms of MS include changes in motor skills, vision, and
sensation. Hyperresponsive reflexes, excessive somnolence, and heat intolerance
are later manifestations of MS.
,A nurse cares for a client who presents with an acute exacerbation of multiple
sclerosis (MS). Which prescribed medication should the nurse prepare to
administer?
a. Baclofen (Lioresal)
b. Interferon beta-1b (Betaseron)
c. Dantrolene sodium (Dantrium)
d. Methylprednisolone (Medrol) - ANSWER-d. Methylprednisolone
Methylprednisolone is the drug of choice for acute exacerbations of the disease.
The other drugs are not used to treat acute exacerbations of MS. Interferon beta-1b
is used to treat and control MS, decrease specific symptoms, and slow the
progression of the disease. Baclofen and dantrolene sodium are prescribed to
lessen muscle spasticity associated with MS.
A nurse assesses a client with multiple sclerosis after administering prescribed
fingolimod (Gilenya). For which adverse effect should the nurse monitor?
a. Peripheral edema
b. Black tarry stools
c. Bradycardia
d. Nausea and vomiting - ANSWER-c. Bradycardia
Fingolimod (Gilenya) is an antineoplastic agent that can cause bradycardia,
especially within the first 6 hours after administration. Peripheral edema, black and
tarry stools, and nausea and vomiting are not adverse effects of fingolimod.
A nurse is teaching a client with multiple sclerosis who is prescribed
cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement
should the nurse include in this clients discharge teaching?
a. Take warm baths to promote muscle relaxation.
, b. Avoid crowds and people with colds.
c. Relying on a walker will weaken your gait.
d. Take prescribed medications when symptoms occur. - ANSWER-b. Avoid
crowds and people with colds.
The client should be taught to avoid people with any type of upper respiratory
illness because these medications are immunosuppressive. Warm baths will
exacerbate the clients symptoms. Assistive devices may be required for safe
ambulation. Medication should be taken at all times and should not be stopped.
A nurse assesses the health history of a client who is prescribed ziconotide (Prialt)
for chronic back pain. Which assessment question should the nurse ask?
a. Are you taking a nonsteroidal anti-inflammatory drug?
b. Do you have a mental health disorder?
c. Are you able to swallow medications?
d. Do you smoke cigarettes or any illegal drugs? - ANSWER-b. Do you have a
mental health disorder?
Clients who have a mental health or behavioral health problem should not take
ziconotide. The other questions do not identify a contraindication for this
medication.
A nurse assesses a client who is recovering from a lumbar laminectomy. Which
complications should alert the nurse to urgently communicate with the health care
provider? (Select all that apply.)
a. Surgical discomfort
b. Redness and itching at the incision site
c. Incisional bulging
d. Clear drainage on the dressing