NR 304 EXAM 8 ALL QUESTIONS WITH CORRECT
ANSWERS
Which statement indicates that the family has a good understanding of the
changes in motor movement associated with Parkinson's disease?
"I can offer smaller meals with bite-size portions and a liquid supplement."
For which side effects in the client with Parkinson's disease who has been
taking a combination carbidopa-levodopa drug (Sinemet) for 3 years will the
nurse monitor?
Abnormal movements
Following 3 or more years of treatment, about one third of clients develop involuntary
movements that are thought to be treatment-related.
Which teaching intervention is most appropriate for the client with Parkinson's
disease?
Fall precautions
Rigidity in movement increases the risk of falls.
Which nursing intervention will assist in preventing respiratory complications
in the client with Parkinson's disease?
Elevation of the back rest will help prevent aspiration.
Maintaining the back rest elevation at greater than 30 degrees
In planning discharge for the client with Parkinson's disease, the nurse
collaborates with the physical therapist for which outcome?
Maintaining physical strength and mobility
The nurse correlates which pathophysiologic process to the client with a
diagnosis of multiple sclerosis (MS)?
Damage to the myelin sheath causes an inflammatory response.
Which clinical manifestations would serve to alert the nurse to the early onset
of MS?
, Nystagmus and ataxia
Early signs and symptoms of MS include changes in motor skills, vision, and
sensation.
A client presents with an acute exacerbation of multiple sclerosis. Which drug
will the nurse be prepared to administer?
Methylprednisolone (Medrol)
Methylprednisolone is the drug of choice for acute exacerbations of the disease.
Which neurologic test or procedure requires the nurse to determine whether
an informed consent has been obtained from the client before the test or
procedure?
Lumbar puncture for cerebrospinal fluid (CSF) sampling
The nurse reminds a group of students about the major component of
pathophysiology in multiple sclerosis (MS), which is
...plaques occur anywhere in the white matter of the central nervous system (CNS).
A client is being treated in the clinic for an exacerbation of multiple sclerosis.
The nurse would anticipate administering which drug?
Interferon 1b (Betaseron)
A client with MS is being taught self-care measures to prevent constipation.
The nurse would realize goals for teaching had been met when the client
states he/she will avoid
laxatives.
The nurse formulates the following nursing diagnosis for a client with MS:
Impaired Physical Mobility related to muscle weakness. Useful interventions
the nurse could plan include
having the client perform ROM exercises at least two times daily.
The most helpful intervention by the nurse for a client experiencing a
parkinsonian crisis would be to
place the client in a nonstimulating environment.
When teaching the patient with newly diagnosed multiple sclerosis (MS) about
the disease, the nurse explains that?
autoimmune processes cause gradual destruction of the myelin sheath of nerves in
the brain and spinal cord.
ANSWERS
Which statement indicates that the family has a good understanding of the
changes in motor movement associated with Parkinson's disease?
"I can offer smaller meals with bite-size portions and a liquid supplement."
For which side effects in the client with Parkinson's disease who has been
taking a combination carbidopa-levodopa drug (Sinemet) for 3 years will the
nurse monitor?
Abnormal movements
Following 3 or more years of treatment, about one third of clients develop involuntary
movements that are thought to be treatment-related.
Which teaching intervention is most appropriate for the client with Parkinson's
disease?
Fall precautions
Rigidity in movement increases the risk of falls.
Which nursing intervention will assist in preventing respiratory complications
in the client with Parkinson's disease?
Elevation of the back rest will help prevent aspiration.
Maintaining the back rest elevation at greater than 30 degrees
In planning discharge for the client with Parkinson's disease, the nurse
collaborates with the physical therapist for which outcome?
Maintaining physical strength and mobility
The nurse correlates which pathophysiologic process to the client with a
diagnosis of multiple sclerosis (MS)?
Damage to the myelin sheath causes an inflammatory response.
Which clinical manifestations would serve to alert the nurse to the early onset
of MS?
, Nystagmus and ataxia
Early signs and symptoms of MS include changes in motor skills, vision, and
sensation.
A client presents with an acute exacerbation of multiple sclerosis. Which drug
will the nurse be prepared to administer?
Methylprednisolone (Medrol)
Methylprednisolone is the drug of choice for acute exacerbations of the disease.
Which neurologic test or procedure requires the nurse to determine whether
an informed consent has been obtained from the client before the test or
procedure?
Lumbar puncture for cerebrospinal fluid (CSF) sampling
The nurse reminds a group of students about the major component of
pathophysiology in multiple sclerosis (MS), which is
...plaques occur anywhere in the white matter of the central nervous system (CNS).
A client is being treated in the clinic for an exacerbation of multiple sclerosis.
The nurse would anticipate administering which drug?
Interferon 1b (Betaseron)
A client with MS is being taught self-care measures to prevent constipation.
The nurse would realize goals for teaching had been met when the client
states he/she will avoid
laxatives.
The nurse formulates the following nursing diagnosis for a client with MS:
Impaired Physical Mobility related to muscle weakness. Useful interventions
the nurse could plan include
having the client perform ROM exercises at least two times daily.
The most helpful intervention by the nurse for a client experiencing a
parkinsonian crisis would be to
place the client in a nonstimulating environment.
When teaching the patient with newly diagnosed multiple sclerosis (MS) about
the disease, the nurse explains that?
autoimmune processes cause gradual destruction of the myelin sheath of nerves in
the brain and spinal cord.
