NUR 130 Exam 4 Review Questions and Correct Answers

Which of the following are the most commonly reported clinical manifestations of MS? Select all that apply. Aphasia Numbness Fatigue Spasticity Depression Pain Numbness, pain, spasticity, fatigue, depression The diagnosis of multiple sclerosis is based on which test? Magnetic resonance imaging CSF electrophoresis Evoked potential studies Neuropsychological testing Magnetic resonance imaging When providing discharge teaching for a client with multiple sclerosis (MS), the nurse should include which instruction? "Restrict fluid intake to 1,500 ml/day." "Avoid hot baths and showers." "Limit your fruit and vegetable intake." "Avoid taking daytime naps." Avoid hot baths and showers A nurse is providing education to a client with newly diagnosed multiple sclerosis (MS). Which of the following will the nurse include? Avoid hot temperatures. A client has been hospitalized for diagnostic testing. The client has just been diagnosed with multiple sclerosis, which the physician explains is an autoimmune disorder. How would the nurse explain an autoimmune disease to the client? A disorder in which killer T cells and autoantibodies attack or destroy natural cells—those cells that are "self" Which is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of demyelination in the brain and spinal cord? Parkinson disease Creutzfeldt-Jakob disease Huntington disease Multiple sclerosis Multiple sclerosis A client has an exacerbation of multiple sclerosis. The physician orders dantrolene (Dantrium), 25 mg P.O. daily. Which assessment finding indicates the medication is effective? Increased ability to sleep Relief from pain Relief from constipation Reduced muscle spasticity Reduced muscle spasticity A nurse is teaching a client with multiple sclerosis (MS). When teaching the client how to reduce fatigue, the nurse should tell the client to: rest in an air-conditioned room. increase the dose of muscle relaxants. avoid naps during the day. take a hot bath. rest in an air-conditioned room. Which of the following is considered a central nervous system (CNS) disorder? Myasthenia gravis Multiple sclerosis Bell's palsy Guillain-Barré Multiple sclerosis The nurse is advising a client with multiple sclerosis on methods to minimize spasticity and contractures. Which of the following techniques would the nurse instruct the client to perform? Relax in a hot bath. Exercise following a circuit training regimen. Apply warm packs to the affected area. Avoid swimming and any weight-bearing activity. Apply warm packs to the affected area. A client is newly diagnosed with relapsing-remitting multiple sclerosis (RRMS). Which instruction should the nurse provide? "You should take your medications only during times of relapse." "You will have a steady and gradual decline in function." "You must avoid stress and extreme fatigue, because these can trigger a relapse." "Your type of MS is the least common, making it difficult to manage." "You must avoid stress and extreme fatigue, because these can trigger a relapse." A patient diagnosed with MS 2 years ago has been admitted to the hospital with another relapse. The previous relapse was followed by a complete recovery with the exception of occasional vertigo. What type of MS does the nurse recognize this patient most likely has? Primary progressive Benign Disabling Relapsing-remitting (RR) Relapsing-remitting (RR) Which term most precisely refers to the incision of the common bile duct for removal of stones? Choledochotomy Choledocholithotomy Choledochoduodenostomy Cholecystostomy Choledocholithotomy