NUR 130 Exam 4
1. Which of the following are the most commonly reported clinical manifesta-
tions of MS? Select all that apply.
Aphasia
Numbness
Fatigue Spasticity
Depression
Pain: Numbness, pain, spasticity, fatigue, depression
2. The diagnosis of multiple sclerosis is based on which test?
Magnetic resonance imaging CSF electrophoresis Evoked potential studies
Neuropsychological testing: Magnetic resonance imaging
3. When providing discharge teaching for a client with multiple sclerosis (MS), the
nurse should include which instruction?
"Restrict fluid intake to 1,500 ml/day." "Avoid hot baths and showers." "Limit your
fruit and vegetable intake." "Avoid taking daytime naps.": Avoid hot baths and showers
4. A nurse is providing education to a client with newly diagnosed multiple
sclerosis (MS). Which of the following will the nurse include?: Avoid hot temperatures.
5. A client has been hospitalized for diagnostic testing. The client has just been
diagnosed with multiple sclerosis, which the physician
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,explains is an autoim-mune disorder. How would the nurse explain an
autoimmune disease to the client?: A disorder in which killer T cells and autoantibodies attack or destroy
natural cells—those cells that are "self"
6. Which is a chronic, degenerative, progressive disease of the central nervous
system characterized by the occurrence of demyelination in the brain and spinal
cord?
Parkinson disease Creutzfeldt-Jakob disease Huntington disease Multiple scle-rosis:
Multiple sclerosis
7. A client has an exacerbation of multiple sclerosis. The physician orders
dantrolene (Dantrium), 25 mg P.O. daily. Which assessment finding indicates
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, the medication is effective?
Increased ability to sleep Relief from pain Relief from constipation Reduced muscle
spasticity: Reduced muscle spasticity
8. A nurse is teaching a client with multiple sclerosis (MS). When teaching the
client how to reduce fatigue, the nurse should tell the client to:
rest in an air-conditioned room. increase the dose of muscle relaxants. avoid naps
during the day. take a hot bath.: rest in an air-conditioned room.
9. Which of the following is considered a central nervous system (CNS) disor-der?
Myasthenia gravis Multiple sclerosis Bell's palsy Guillain-Barré: Multiple sclerosis
10. The nurse is advising a client with multiple sclerosis on methods to minimize
spasticity and contractures. Which of the following techniques would the nurse
instruct the client to perform?
Relax in a hot bath. Exercise following a circuit training regimen. Apply warm
packs to the affected area. Avoid swimming and any weight-bearing activity.: - Apply
warm packs to the attected area.
11. A client is newly diagnosed with relapsing-remitting multiple sclerosis
(RRMS). Which instruction should the nurse provide?
"You should take your medications only during times of relapse." "You will have a
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1. Which of the following are the most commonly reported clinical manifesta-
tions of MS? Select all that apply.
Aphasia
Numbness
Fatigue Spasticity
Depression
Pain: Numbness, pain, spasticity, fatigue, depression
2. The diagnosis of multiple sclerosis is based on which test?
Magnetic resonance imaging CSF electrophoresis Evoked potential studies
Neuropsychological testing: Magnetic resonance imaging
3. When providing discharge teaching for a client with multiple sclerosis (MS), the
nurse should include which instruction?
"Restrict fluid intake to 1,500 ml/day." "Avoid hot baths and showers." "Limit your
fruit and vegetable intake." "Avoid taking daytime naps.": Avoid hot baths and showers
4. A nurse is providing education to a client with newly diagnosed multiple
sclerosis (MS). Which of the following will the nurse include?: Avoid hot temperatures.
5. A client has been hospitalized for diagnostic testing. The client has just been
diagnosed with multiple sclerosis, which the physician
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18
,explains is an autoim-mune disorder. How would the nurse explain an
autoimmune disease to the client?: A disorder in which killer T cells and autoantibodies attack or destroy
natural cells—those cells that are "self"
6. Which is a chronic, degenerative, progressive disease of the central nervous
system characterized by the occurrence of demyelination in the brain and spinal
cord?
Parkinson disease Creutzfeldt-Jakob disease Huntington disease Multiple scle-rosis:
Multiple sclerosis
7. A client has an exacerbation of multiple sclerosis. The physician orders
dantrolene (Dantrium), 25 mg P.O. daily. Which assessment finding indicates
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18
, the medication is effective?
Increased ability to sleep Relief from pain Relief from constipation Reduced muscle
spasticity: Reduced muscle spasticity
8. A nurse is teaching a client with multiple sclerosis (MS). When teaching the
client how to reduce fatigue, the nurse should tell the client to:
rest in an air-conditioned room. increase the dose of muscle relaxants. avoid naps
during the day. take a hot bath.: rest in an air-conditioned room.
9. Which of the following is considered a central nervous system (CNS) disor-der?
Myasthenia gravis Multiple sclerosis Bell's palsy Guillain-Barré: Multiple sclerosis
10. The nurse is advising a client with multiple sclerosis on methods to minimize
spasticity and contractures. Which of the following techniques would the nurse
instruct the client to perform?
Relax in a hot bath. Exercise following a circuit training regimen. Apply warm
packs to the affected area. Avoid swimming and any weight-bearing activity.: - Apply
warm packs to the attected area.
11. A client is newly diagnosed with relapsing-remitting multiple sclerosis
(RRMS). Which instruction should the nurse provide?
"You should take your medications only during times of relapse." "You will have a
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