Multiple Sclerosis NCLEX Review || 100% verified 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. correct answers 4.Dysphagia is a common
problem of clients diagnosed with multiple sclerosis,and this places the client at risk for
aspiration pneumonia. Some clients diagnosed with multiple sclerosis eventually become
immobile and are at risk for pneumonia.
1. These are clinical manifestations of multiple sclerosis and are expected.
2. These are expected clinical manifestations of multiple sclerosis.
3. These are expected clinical manifestations of multiple sclerosis.
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. correct answers 1.The exact cause of MS is not known,but there is a theory
stating a slow virus is partially responsible. A failure of apart of the immune system may also
beat fault. A genetic predisposition involving chromosomes 2, 3, 7, 11, 17, 19, and X may be
involved.
, 2. There is some evidence supporting a genetic component involved in developing MS.
3. A specific gene has not been identified to know if the gene is recessive or dominant.
4. The X chromosome, not the Y chromosome,may be involved.
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?" correct answers 3.These are clinical
manifestation of MS and can go un diagnosed for years be-cause of the remitting-relapsing
nature of the disease. Fatigue and difficulty swallowing are other symptoms of MS.
1. MS does not affect the menstrual cycle.
2. A rash across the bridge of the nose suggests systemic lupus erythematosus
4. Taking birth control medications should not produce these symptoms or the pattern of
occurrence.
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."
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. correct answers 4.Dysphagia is a common
problem of clients diagnosed with multiple sclerosis,and this places the client at risk for
aspiration pneumonia. Some clients diagnosed with multiple sclerosis eventually become
immobile and are at risk for pneumonia.
1. These are clinical manifestations of multiple sclerosis and are expected.
2. These are expected clinical manifestations of multiple sclerosis.
3. These are expected clinical manifestations of multiple sclerosis.
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. correct answers 1.The exact cause of MS is not known,but there is a theory
stating a slow virus is partially responsible. A failure of apart of the immune system may also
beat fault. A genetic predisposition involving chromosomes 2, 3, 7, 11, 17, 19, and X may be
involved.
, 2. There is some evidence supporting a genetic component involved in developing MS.
3. A specific gene has not been identified to know if the gene is recessive or dominant.
4. The X chromosome, not the Y chromosome,may be involved.
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?" correct answers 3.These are clinical
manifestation of MS and can go un diagnosed for years be-cause of the remitting-relapsing
nature of the disease. Fatigue and difficulty swallowing are other symptoms of MS.
1. MS does not affect the menstrual cycle.
2. A rash across the bridge of the nose suggests systemic lupus erythematosus
4. Taking birth control medications should not produce these symptoms or the pattern of
occurrence.
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."
