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Terms in this set (48)
Which suggestion would the nurse Allow adequate time for the patient to eat meals.
discuss with the patient with 3 multiple choice options
Parkinson's disease (PD) and their
spouse to improve nutrition after a
swallowing study shows that patient is
able to swallow and does not
aspirate?
Which teaching from the nurse is - Avoid driving while on the medication.
important for the patient advised to - Do not stop the medication abruptly.
use diazepam for multiple sclerosis? - Avoid taking alcohol with the medication.
Select all that apply.
3 multiple choice options
Which is an initial manifestation of • Pill-rolling tremors
Parkinson's disease (PD) ?
3 multiple choice options
which reaction would occur when the Lose balance and fall backward
nurse performs a pull test on a pt with
3 multiple choice options
suspected Parkinson's disease ?
Which surgical option would the nurse - Ablation
discuss with the patient with - Deep brain stimulation
Parkinson's disease - Transplantation
(PD) and the patient's caregivers when
the patient is unresponsive to
medication therapy and is being
considered for surgery? Select all that
apply.
, Arrange the neuropathological The primary neuropathological condition is an
changes in the order of occurrence autoimmune process orchestrated by activated T
in a patient with multiple sclerosis. cells.
1. An environmental factor or virus in genetically
susceptible individuals may initially trigger this
process.
2. The activated T cells in the systemic circulation
migrate to the CNS, disrupting the blood-brain
barrier.
Subsequent antigen-antibody reaction within the
CNS activates the inflammatory response and leads
to the demyelination of axons.
3. Initially, attacks on the myelin sheaths of the
neurons in the brain and the spinal cord result in
damage to the myelin sheath. However, the nerve
fibre is not affected.
4. As ongoing inflammation occurs, the nearby
oligodendrocytes are affected, and the myelin
loses the ability to regenerate.
5 Eventually damage occurs to the underlying
axon. Nerve impulse transmission is disrupted,
resulting in the permanent loss of nerve function.
6. As inflammation subsides, glial scar tissue
replaces the damaged tissue, leading to the
formation of hard. sclerotic plaques.
Which suggestion would the nurse - Use slip-on shoes.
give to family members of a patient - Use an elevated toilet seat.
with Parkinson's disease (PD) to - Elevate the legs on an ottoman when sitting.
promote self-care and
independence? Select all that apply.
Which diagnostic study would the - Computed tomography (CT) scan
nurse identify to a patient when - Evoked response testing
undergoing tests to establish a - Cerebrospinal fluid analysis
diagnosis of multiple sclerosis (MS)?
Select all that apply.