Med-Surg Success - MS, Guillain-Barre Syndrome, MG Questions with complete solutions
The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical
manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia. - (answer)4
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. - (answer)1
The 30-year-old female client is admitted with complaints of numbness, tingling, a crawling sensation
affecting the extremities, and double vision which has occurred two (2) times in the month. Which
question is most important for the nurse to ask the client?
1. "Have you experienced any difficulty with your menstrual cycle?"
2. "Have you noticed a rash across the bridge of your nose?"
3. "Do you get tired easily and sometimes have problems swallowing?"
4. "Are you taking birth control pills to prevent conception?" - (answer)3
, Med-Surg Success - MS, Guillain-Barre Syndrome, MG Questions with complete solutions
The nurse enters the room of a client diagnosed with acute exacerbation of multiple sclerosis and finds
the client crying. Which statement is the most therapeutic response for the nurse to make?
1. "Why are you crying? The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad times."
4. "I will have the chaplain come and stay with you for a while." - (answer)2
The client diagnosed with multiple sclerosis is scheduled for a magnetic resonance imaging (MRI) scan of
the head. Which information should the nurse teach the client about the test?
1. The client will have wires attached to the scalp and lights will flash off and on.
2. The machine will be loud and the client must not move the head during the test.
3. The client will drink a contrast medium 30 minutes to one (1) hour before the test.
4. The test will be repeated at intervals during a five (5)- to six (6)-hour period. - (answer)2
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. - (answer)4
The home health nurse is caring for the client newly diagnosed with multiple sclerosis. Which client
issue is of most importance?
1. The client refuses to have a gastrostomy feeding.
2. The client wants to discuss if she should tell her fiancé.
The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical
manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia. - (answer)4
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. - (answer)1
The 30-year-old female client is admitted with complaints of numbness, tingling, a crawling sensation
affecting the extremities, and double vision which has occurred two (2) times in the month. Which
question is most important for the nurse to ask the client?
1. "Have you experienced any difficulty with your menstrual cycle?"
2. "Have you noticed a rash across the bridge of your nose?"
3. "Do you get tired easily and sometimes have problems swallowing?"
4. "Are you taking birth control pills to prevent conception?" - (answer)3
, Med-Surg Success - MS, Guillain-Barre Syndrome, MG Questions with complete solutions
The nurse enters the room of a client diagnosed with acute exacerbation of multiple sclerosis and finds
the client crying. Which statement is the most therapeutic response for the nurse to make?
1. "Why are you crying? The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad times."
4. "I will have the chaplain come and stay with you for a while." - (answer)2
The client diagnosed with multiple sclerosis is scheduled for a magnetic resonance imaging (MRI) scan of
the head. Which information should the nurse teach the client about the test?
1. The client will have wires attached to the scalp and lights will flash off and on.
2. The machine will be loud and the client must not move the head during the test.
3. The client will drink a contrast medium 30 minutes to one (1) hour before the test.
4. The test will be repeated at intervals during a five (5)- to six (6)-hour period. - (answer)2
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. - (answer)4
The home health nurse is caring for the client newly diagnosed with multiple sclerosis. Which client
issue is of most importance?
1. The client refuses to have a gastrostomy feeding.
2. The client wants to discuss if she should tell her fiancé.
