Diseases and Disorders : Multiple Sclerosis
Questions With Complete Solutions
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.
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 m correct answer: 4
The client newly diagnosed with multiple sclerosis (MS) states,
"I don't understand
how I got multiple sclerosis. Is it genetic?" On which statement
should the nurse base
the response?
1. Genetics may play a role in susceptibility to MS, but the
disease may be caused by a virus.
2. There is no evidence suggesting there is any chromosomal
involvement in
developing MS.
3. Multiple sclerosis is caused by a recessive gene, so both
parents had to have the
gene for the client to get MS.
4. Multiple sc correct answer: 1
,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 correct answer: 3
The nurse enters the room of a client diagnosed with acute
exacerbation of multiple sclerosis and finds the client crying.
Which statement is the most therapeutic response for the nurse
to make?
1. "Why are you crying? The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad
times."
4. "I will have the chaplain come and stay with you for a while."
This is stating a fact and offering se correct answer: 2
The client diagnosed with multiple sclerosis is scheduled for a
magnetic resonance imaging (MRI) scan of the head. Which
information should the nurse teach the client about the test?
1. The client will have wires attached to the scalp and lights will
flash off and on.
2. The machine will be loud and the client must not move the
head during the test.
, 3. The client will drink a contrast medium 30 minutes to one (1)
hour before the test.
4. The test will be repeated at intervals during a five (5)- correct
answer: 2
The 45-year-old client is diagnosed with primary progressive
multiple sclerosis and
the nurse writes the nursing diagnosis "anticipatory grieving
related to progressive loss." Which intervention should be
implemented?
1. Consult the physical therapist for assistive devices for
mobility.
2. Determine if the client has a legal power of attorney.
3. Ask if the client would like to talk to the hospital chaplain.
4. Discuss the client's wishes regarding end-of-life care.
The client should make perso correct answer: 4
The home health nurse is caring for the client newly diagnosed
with multiple
sclerosis. Which client issue is of most importance?
1. The client refuses to have a gastrostomy feeding.
2. The client wants to discuss if she should tell her fiancé.
3. The client tells the nurse life is not worth living anymore.
4. The client needs the flu and pneumonia vaccines.
A potential suicide statement is priority for the nurse when
caring for the client with MS. correct answer: 3
The nurse and a licensed practical nurse (LPN) are caring for a
group of clients.
Questions With Complete Solutions
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.
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 m correct answer: 4
The client newly diagnosed with multiple sclerosis (MS) states,
"I don't understand
how I got multiple sclerosis. Is it genetic?" On which statement
should the nurse base
the response?
1. Genetics may play a role in susceptibility to MS, but the
disease may be caused by a virus.
2. There is no evidence suggesting there is any chromosomal
involvement in
developing MS.
3. Multiple sclerosis is caused by a recessive gene, so both
parents had to have the
gene for the client to get MS.
4. Multiple sc correct answer: 1
,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 correct answer: 3
The nurse enters the room of a client diagnosed with acute
exacerbation of multiple sclerosis and finds the client crying.
Which statement is the most therapeutic response for the nurse
to make?
1. "Why are you crying? The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad
times."
4. "I will have the chaplain come and stay with you for a while."
This is stating a fact and offering se correct answer: 2
The client diagnosed with multiple sclerosis is scheduled for a
magnetic resonance imaging (MRI) scan of the head. Which
information should the nurse teach the client about the test?
1. The client will have wires attached to the scalp and lights will
flash off and on.
2. The machine will be loud and the client must not move the
head during the test.
, 3. The client will drink a contrast medium 30 minutes to one (1)
hour before the test.
4. The test will be repeated at intervals during a five (5)- correct
answer: 2
The 45-year-old client is diagnosed with primary progressive
multiple sclerosis and
the nurse writes the nursing diagnosis "anticipatory grieving
related to progressive loss." Which intervention should be
implemented?
1. Consult the physical therapist for assistive devices for
mobility.
2. Determine if the client has a legal power of attorney.
3. Ask if the client would like to talk to the hospital chaplain.
4. Discuss the client's wishes regarding end-of-life care.
The client should make perso correct answer: 4
The home health nurse is caring for the client newly diagnosed
with multiple
sclerosis. Which client issue is of most importance?
1. The client refuses to have a gastrostomy feeding.
2. The client wants to discuss if she should tell her fiancé.
3. The client tells the nurse life is not worth living anymore.
4. The client needs the flu and pneumonia vaccines.
A potential suicide statement is priority for the nurse when
caring for the client with MS. correct answer: 3
The nurse and a licensed practical nurse (LPN) are caring for a
group of clients.
