Nursing MSN 571 MOCK EXAM 2024 |Question and Answer| 100% Correct

Nursing MSN 571 MOCK EXAM 2024 |Question and Answer| 100% Correct Relapsing-remitting MS *Ans* characterized by periods of improvement and stability in between attacks. Relapse and remission. This is due to the remyelination of axons. Primary Progressive MS *Ans* Disease progression from onset, without plateaus or remissions, steady decline Secondary Progressive MS *Ans* initial relapsing-remitting MS that suddenly begins to have decline without periods of remission auto immune disorder *Ans* when your immune system starts to attack cells that belong to you Spacticity *Ans* abnormal increase in muscle tone or stiffness of muscle Vertigo in MS *Ans* dizziness and feeling off balance are common symptoms of MS, can be caused by MS legions on cerebellum Hyperreflexia *Ans* Abnormally increased reflexes resulting from nervous system damage Dysmetria *Ans* inability to control the distance, power, and speed of a muscular action 4 P's of energy conservation *Ans* prioritize, plan, pace, position MS symptoms *Ans* Fatigue, muscle weakness, loss of motor control, cognition impairment, pain, heat sensitivity, ataxia, dysphagia MS assessments *Ans* - Modified Fatigue Impact Scale - Nine-Hole Peg Test or Purdue Pegboard Test - MS Spasticity Scale - 6 min walk test - TECA (test of everyday cognitive ability) - tremor severity scale - box of blocks MS interventions *Ans* educate on energy conservation techniques teaching how to use modifications/adaptive equipment (like cooling vests, sock aids) implementing environment changes (grab rails, more places to sit, etc) Guillan-Barre syndrome *Ans* A disease of unknown etiology that causes paralysis that progresses quickly starting at feet, typically has a full recovery Guillan-Barre syndrome symptoms *Ans* - absence of deep tendon reflexes - sensory loss in glove and stocking like pattern - PAIN - urinary dysfunction - fatigue - respiratory muscle paralysis - ANS response postural HTN & Tachycardia 3 phases of Guillain-Barre *Ans* 1. Acute inflammatory 2. plateau 3. recovery Assessments for guillain-barre acute and plateau *Ans* functional assessments interviews on comfort and anxiety general screening interventions for guillain-barre acute and plateau *Ans* positioning, temp modifications, education assessments for guillain-barre recovery *Ans* assess mobility, ADLs, communication, leisure, school, and work