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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. - CORRECT ANSWER-4
Which of the following statements made by a patient diagnosed with multiple
sclerosis (MS) would alert the healthcare provider that the patient requires
additional instruction about the disease? Select all that apply.
1. "A hot bath in the evenings will help relax my muscles and relieve pain."
2. "I will avoid foods that are high in fiber to prevent problems with my bowels."
,3. "It's important for me to inspect my skin daily make sure there aren't any
injuries."
4. "Use of stress reduction strategies can decrease the severity of my symptoms."
- CORRECT ANSWER-1,2
The patient should be taught about factors that can exacerbate symptoms, such
as heat and stress. In addition, the patient is at risk for burns due to impaired
peripheral sensation, so bathing temperatures should be carefully monitored.
The healthcare provider is teaching a group of patients diagnosed with multiple
sclerosis (MS) about common bladder problems. Which of the following will the
healthcare provider include? Select all that apply.
1. "Drinking caffeinated beverages can help you empty your bladder completely."
2. "MS may cause the bladder to contract and empty more often than usual."
3. "You should not attempt to urinate until you feel that your bladder is full."
4. "Drink 1.5 - 2 liters of water each day so your urine isn't too concentrated."
5. "Drinking lots of citrus juices will decrease the amount of bacteria in your
urinary tract."
6. "Patients with MS are at increased risk of developing urinary tract infections." -
CORRECT ANSWER-2, 4, 6
,MS heightens a patient's risk of urinary tract infections. Patients should plan to
void on a regular basis. Voiding at least every 2 hours will decrease urine stasis.
When assessing a patient diagnosed with multiple sclerosis (MS), which of the
following would require immediate action by the healthcare provider?
1) Fatigue and depression
2) Paresthesia and tremor
3) Nystagmus and diplopia
4) Dysphagia and congested cough - CORRECT ANSWER-4
These are all signs and symptoms of MS, but some can be more serious than
others. Select the clinical manifestations of MS that may result in a serious
secondary problem for the patient.Dysphagia puts the patient at risk for
aspiration pneumonia, and the congested cough is an indication that aspiration
has already occurred.
The healthcare provider is planning care for a patient diagnosed with multiple
sclerosis (MS). Which of the following is the priority intervention?
1) Advise the patient to drink liquids through a straw
2) Monitor the patient's temperature to avoid overheating
, 3) Teach the patient's family how to meet the patient's needs
4) Encourage bed rest in order to conserve strength - CORRECT ANSWER-1
Problems related to dysphagia (such as aspiration) can be minimized if the patient
drinks liquids through a straw. Sensitivity to heat is a concern with MS, but
monitoring the patient's temperature is not necessary.
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 sclerosis is caused by an autosomal dominant gene on the Y
chromosome,so only fathers can pass it on. - CORRECT ANSWER-1.