Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice Questions, Chapter 58 - Neuro Problems
Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice
Questions, Chapter 58 - Neuro Problems
Study online at https://quizlet.com/_8ahgyq
1. 20. A 38-year-old woman has newly di- 20. a. Most patients with multiple sclerosis
agnosed multiple sclerosis (MS) and asks (MS) have
the nurse what is going to happen to her. remissions and exacerbations of neurolog-
What is the best response by the nurse? ic dysfunction or a relapsing-remitting initial
course followed by progression with or with-
a. "You will have either periods of attacks out occasional relapses, minor remissions, and
and remissions or progression of nerve plateaus that progressively cause loss of motor,
damage over time." sensory, and cerebellar functions. Intellectual
b. "You need to plan for a continuous function generally remains intact but patients
loss of movement, sensory functions, may experience anger, depression, or eupho-
and mental capabilities." ria. A few people have chronic progressive de-
c. "You will most likely have a steady terioration and some may experience only oc-
course of chronic progressive nerve dam- casional and mild symptoms for several years
age that will change your after onset.
personality."
d. "It is common for people with MS to
have an acute attack of weakness and
then not to have any other symptoms
for years."
2. 21. During assessment of a patient ad- 21. c. Specific neurologic dysfunction of MS is
mitted to the hospital with an acute ex- caused by
acerbation of MS, what should the nurse destruction of myelin and replacement with
expect to find? glial scar tissue at specific areas in the nervous
system. Motor, sensory, cerebellar, and emo-
a. Tremors, dysphasia, and ptosis tional dysfunctions, including paresthesias as
b. Bowel and bladder incontinence and well as patchy blindness, blurred vision, pain
loss of memory radiating along the dermatome of the nerve,
c. Motor impairment, visual distur- ataxia, and severe fatigue, are the most com-
bances, and paresthesias mon manifestations of MS. Constipation and
bladder dysfunctions, short-term memory loss,
actualstudy Page 1
, Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice Questions, Chapter 58 - Neuro Problems
Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice
Questions, Chapter 58 - Neuro Problems
Study online at https://quizlet.com/_8ahgyq
d. Excessive involuntary movements, sexual dysfunction, anger, and depression or
hearing loss, and ataxia euphoria may also occur. Excessive involuntary
movements and tremors are not seen in MS.
3. 22. The nurse explains to a patient newly d. There is no specific diagnostic test for MS.
diagnosed with MS that the diagnosis is A diagnosis is made primarily by history and
made primarily by clinical manifestations. Certain diagnostic tests
may be used to help establish a diagnosis
a. spinal x-ray findings. of MS. Positive findings on MRI include evi-
b. T-cell analysis of the blood. dence of at least two inflammatory demyeli-
c. analysis of cerebrospinal fluid. nating lesions in at least two different loca-
d. history and clinical manifestations. tions within the central nervous system (CNS).
Cerebrospinal fluid (CSF) may have increased
immunoglobulin G and the presence of oligo-
clonal banding. Evoked potential responses
are often delayed in persons with MS.
4. 23. Mitoxantrone (Novantrone) is being 23. b. Mitoxantrone (Novantrone) cannot be
considered as treatment for a patient used for more than 2 to 3 years because it
with progressive-relapsing MS. The nurse is an antineoplastic drug that causes cardiac
explains that a disadvantage of this drug toxicity, leukemia, and infertility. It is a mono-
compared with other drugs used for MS clonal antibody given IV monthly when patients
is what? have inadequate responses to other drugs.
It increases the risk of progressive multifocal
a. It must be given subcutaneously every leukoencephalopathy.
day.
b. It has a lifetime dose limit because of
cardiac toxicity.
c. It is an anticholinergic agent that caus-
es urinary incontinence.
actualstudy Page 2
, Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice Questions, Chapter 58 - Neuro Problems
Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice
Questions, Chapter 58 - Neuro Problems
Study online at https://quizlet.com/_8ahgyq
d. It is an immunosuppressant agent that
increases the risk for infection.
5. Priority Decision: A patient with MS has a 24. c. The main goal in care of the patient with
nursing diagnosis of self-care deficit re- MS is to keep the patient active and maximally
lated to muscle spasticity and neuromus- functional and promote self-care as much as
cular deficits. In providing care for the possible to maintain independence. Assistive
patient, what is most important for the devices encourage independence while pre-
nurse to do? serving the patient's energy. No care activity
that the patient can do for himself or herself
a. Teach the family members how to care should be performed by others. Involvement
adequately for the patient's needs. of the family in the patient's care and mainte-
b. Encourage the patient to maintain so- nance of social interactions are also important
cial interactions to prevent social isola- but are not the priority in care.
tion.
c. Promote the use of assistive devices
so the patient can participate in self-care
activities.
d. Perform all activities of daily living
(ADLs) for the patient to conserve the pa-
tient's energy.
6. 25. A patient with newly diagnosed MS 25. b. Corticosteroids used in treating acute
has been hospitalized for evaluation andexacerbations of MS should not be abruptly
stopped by the patient because adrenal in-
initial treatment of the disease. Follow-
ing discharge teaching, the nurse real- sufficiency may result and prescribed taper-
ing doses should be followed. Infections may
izes that additional instruction is needed
when the patient says what? exacerbate symptoms and should be avoided
and high-protein diets with vitamin supple-
a. "It is important for me to avoid ex- ments are advocated. Long-term planning for
posure to people with upper respiratory increasing disability is also important.
infections."
actualstudy Page 3
Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice
Questions, Chapter 58 - Neuro Problems
Study online at https://quizlet.com/_8ahgyq
1. 20. A 38-year-old woman has newly di- 20. a. Most patients with multiple sclerosis
agnosed multiple sclerosis (MS) and asks (MS) have
the nurse what is going to happen to her. remissions and exacerbations of neurolog-
What is the best response by the nurse? ic dysfunction or a relapsing-remitting initial
course followed by progression with or with-
a. "You will have either periods of attacks out occasional relapses, minor remissions, and
and remissions or progression of nerve plateaus that progressively cause loss of motor,
damage over time." sensory, and cerebellar functions. Intellectual
b. "You need to plan for a continuous function generally remains intact but patients
loss of movement, sensory functions, may experience anger, depression, or eupho-
and mental capabilities." ria. A few people have chronic progressive de-
c. "You will most likely have a steady terioration and some may experience only oc-
course of chronic progressive nerve dam- casional and mild symptoms for several years
age that will change your after onset.
personality."
d. "It is common for people with MS to
have an acute attack of weakness and
then not to have any other symptoms
for years."
2. 21. During assessment of a patient ad- 21. c. Specific neurologic dysfunction of MS is
mitted to the hospital with an acute ex- caused by
acerbation of MS, what should the nurse destruction of myelin and replacement with
expect to find? glial scar tissue at specific areas in the nervous
system. Motor, sensory, cerebellar, and emo-
a. Tremors, dysphasia, and ptosis tional dysfunctions, including paresthesias as
b. Bowel and bladder incontinence and well as patchy blindness, blurred vision, pain
loss of memory radiating along the dermatome of the nerve,
c. Motor impairment, visual distur- ataxia, and severe fatigue, are the most com-
bances, and paresthesias mon manifestations of MS. Constipation and
bladder dysfunctions, short-term memory loss,
actualstudy Page 1
, Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice Questions, Chapter 58 - Neuro Problems
Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice
Questions, Chapter 58 - Neuro Problems
Study online at https://quizlet.com/_8ahgyq
d. Excessive involuntary movements, sexual dysfunction, anger, and depression or
hearing loss, and ataxia euphoria may also occur. Excessive involuntary
movements and tremors are not seen in MS.
3. 22. The nurse explains to a patient newly d. There is no specific diagnostic test for MS.
diagnosed with MS that the diagnosis is A diagnosis is made primarily by history and
made primarily by clinical manifestations. Certain diagnostic tests
may be used to help establish a diagnosis
a. spinal x-ray findings. of MS. Positive findings on MRI include evi-
b. T-cell analysis of the blood. dence of at least two inflammatory demyeli-
c. analysis of cerebrospinal fluid. nating lesions in at least two different loca-
d. history and clinical manifestations. tions within the central nervous system (CNS).
Cerebrospinal fluid (CSF) may have increased
immunoglobulin G and the presence of oligo-
clonal banding. Evoked potential responses
are often delayed in persons with MS.
4. 23. Mitoxantrone (Novantrone) is being 23. b. Mitoxantrone (Novantrone) cannot be
considered as treatment for a patient used for more than 2 to 3 years because it
with progressive-relapsing MS. The nurse is an antineoplastic drug that causes cardiac
explains that a disadvantage of this drug toxicity, leukemia, and infertility. It is a mono-
compared with other drugs used for MS clonal antibody given IV monthly when patients
is what? have inadequate responses to other drugs.
It increases the risk of progressive multifocal
a. It must be given subcutaneously every leukoencephalopathy.
day.
b. It has a lifetime dose limit because of
cardiac toxicity.
c. It is an anticholinergic agent that caus-
es urinary incontinence.
actualstudy Page 2
, Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice Questions, Chapter 58 - Neuro Problems
Lewis Ch 59 Chronic Neurologic Problems NCLEX, Seizure Multiple Choice
Questions, Chapter 58 - Neuro Problems
Study online at https://quizlet.com/_8ahgyq
d. It is an immunosuppressant agent that
increases the risk for infection.
5. Priority Decision: A patient with MS has a 24. c. The main goal in care of the patient with
nursing diagnosis of self-care deficit re- MS is to keep the patient active and maximally
lated to muscle spasticity and neuromus- functional and promote self-care as much as
cular deficits. In providing care for the possible to maintain independence. Assistive
patient, what is most important for the devices encourage independence while pre-
nurse to do? serving the patient's energy. No care activity
that the patient can do for himself or herself
a. Teach the family members how to care should be performed by others. Involvement
adequately for the patient's needs. of the family in the patient's care and mainte-
b. Encourage the patient to maintain so- nance of social interactions are also important
cial interactions to prevent social isola- but are not the priority in care.
tion.
c. Promote the use of assistive devices
so the patient can participate in self-care
activities.
d. Perform all activities of daily living
(ADLs) for the patient to conserve the pa-
tient's energy.
6. 25. A patient with newly diagnosed MS 25. b. Corticosteroids used in treating acute
has been hospitalized for evaluation andexacerbations of MS should not be abruptly
stopped by the patient because adrenal in-
initial treatment of the disease. Follow-
ing discharge teaching, the nurse real- sufficiency may result and prescribed taper-
ing doses should be followed. Infections may
izes that additional instruction is needed
when the patient says what? exacerbate symptoms and should be avoided
and high-protein diets with vitamin supple-
a. "It is important for me to avoid ex- ments are advocated. Long-term planning for
posure to people with upper respiratory increasing disability is also important.
infections."
actualstudy Page 3
