Multiple Sclerosis Final exam with
correct responses
1) A client diagnosed with multiple sclerosis has an acute onset of
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visual changes, fatigue, and leg weakness. The client says that the last
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time this happened, recovery occurred in a few weeks. Which
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classification of multiple sclerosis is the client experiencing?
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A) Progressive-relapsing
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B) Secondary-progressive
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C) Relapsing-remitting
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D) Primary-progressive - correct answer -C) Relapsing-remitting
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There are four classifications of multiple sclerosis. The client has an
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exacerbation of symptoms and has a history of full recovery. This is
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classified as relapsing-remitting and is the most common type.
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Primary-progressive is a steady worsening of the disease with
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occasional minor recovery. Secondary-progressive begins as
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relapsing-remitting but the disease becomes worse between
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exacerbation. Progressive-relapsing is rare, with the disease
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progressing from the onset with periods of exacerbation.
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3) A client with a history of relapsing-remitting multiple sclerosis is
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expecting her first child. What would be indicated for this client?
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A) Suggest reproductive counseling, as multiple sclerosis can be
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genetic.
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, B) Instruct to expect a period of remission after delivery of the baby.
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C) Instruct to expect an exacerbation of symptoms while pregnant.
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D) Discuss pain control during labor, as contractions will be severe. -
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correct answer -A) Suggest reproductive counseling, as multiple
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sclerosis can be genetic.
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A definite genetic factor has not been established; however, studies
| | | | | | | | |
suggest that genetic factors make some individuals more susceptible
| | | | | | | | |
to the disorder than others. Reproductive counseling would be
| | | | | | | | |
recommended for this client. Pregnancy often brings about remission
| | | | | | | | |
of multiple sclerosis, but with a slightly increased relapse rate
| | | | | | | | | |
postpartum. The strength of uterine contractions in a client with
| | | | | | | | | |
multiple sclerosis is not severe, and because clients often have
| | | | | | | | | |
lessened sensation, labor may be almost painless.
| | | | | | |
What is relapsing-remitting MS? - correct answer --The most common
| | | | | | | | |
for of MS (85% of cases).
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-Onset is usually around 20-40 years.
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-More common in women | | |
2) A young adult client complains of blurred vision and muscle spasms
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that come and go over the past several months. On what information
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from the client's history should the nurse focus to help identify this
| | | | | | | | | | | |
help problem?
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A) Family history of Parkinson disease
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B) Family history of epilepsy
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C) Is an immigrant from Germany
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correct responses
1) A client diagnosed with multiple sclerosis has an acute onset of
| | | | | | | | | | |
visual changes, fatigue, and leg weakness. The client says that the last
| | | | | | | | | | | |
time this happened, recovery occurred in a few weeks. Which
| | | | | | | | | |
classification of multiple sclerosis is the client experiencing?
| | | | | | | |
A) Progressive-relapsing
|
B) Secondary-progressive
|
C) Relapsing-remitting
|
D) Primary-progressive - correct answer -C) Relapsing-remitting
| | | | | |
There are four classifications of multiple sclerosis. The client has an
| | | | | | | | | |
exacerbation of symptoms and has a history of full recovery. This is
| | | | | | | | | | | |
classified as relapsing-remitting and is the most common type.
| | | | | | | | |
Primary-progressive is a steady worsening of the disease with
| | | | | | | | |
occasional minor recovery. Secondary-progressive begins as
| | | | | |
relapsing-remitting but the disease becomes worse between
| | | | | | |
exacerbation. Progressive-relapsing is rare, with the disease
| | | | | | |
progressing from the onset with periods of exacerbation.
| | | | | | | |
3) A client with a history of relapsing-remitting multiple sclerosis is
| | | | | | | | | |
expecting her first child. What would be indicated for this client?
| | | | | | | | | | |
A) Suggest reproductive counseling, as multiple sclerosis can be
| | | | | | | |
genetic.
|
, B) Instruct to expect a period of remission after delivery of the baby.
| | | | | | | | | | | |
C) Instruct to expect an exacerbation of symptoms while pregnant.
| | | | | | | | |
D) Discuss pain control during labor, as contractions will be severe. -
| | | | | | | | | | |
correct answer -A) Suggest reproductive counseling, as multiple
| | | | | | | |
sclerosis can be genetic.
| | | |
A definite genetic factor has not been established; however, studies
| | | | | | | | |
suggest that genetic factors make some individuals more susceptible
| | | | | | | | |
to the disorder than others. Reproductive counseling would be
| | | | | | | | |
recommended for this client. Pregnancy often brings about remission
| | | | | | | | |
of multiple sclerosis, but with a slightly increased relapse rate
| | | | | | | | | |
postpartum. The strength of uterine contractions in a client with
| | | | | | | | | |
multiple sclerosis is not severe, and because clients often have
| | | | | | | | | |
lessened sensation, labor may be almost painless.
| | | | | | |
What is relapsing-remitting MS? - correct answer --The most common
| | | | | | | | |
for of MS (85% of cases).
| | | | | |
-Onset is usually around 20-40 years.
| | | | | |
-More common in women | | |
2) A young adult client complains of blurred vision and muscle spasms
| | | | | | | | | | |
that come and go over the past several months. On what information
| | | | | | | | | | | |
from the client's history should the nurse focus to help identify this
| | | | | | | | | | | |
help problem?
| |
A) Family history of Parkinson disease
| | | | |
B) Family history of epilepsy
| | | |
C) Is an immigrant from Germany
| | | | |
