JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NEUROLOGICAL PROBLEMS ASSESSMENT
ASSESSMENT AREAS:
MULTIPLE SCLEROSIS
* Indicates required question
Email
*
Your email
Q1. The nurse provides discharge teaching to a client with multiple sclerosis. Which instruction is most important for the nurse to include?
*
1 point
1. Ambulate as tolerated every day.
2. Avoid overexposure to heat or cold.
3. Perform stretching and strengthening exercises.
4. Participate in social activities.
Q2. The nurse provides care to a client who is scheduled to undergo lumbar puncture during a workup for suspected multiple sclerosis (MS). Which information does the nurse include when preparing the client for lumbar puncture?
*
1 point
1. "You will receive general anesthesia for this procedure."
2. "You cannot eat or drink for 8 hours immediately before having the procedure."
3. "You will need to remain very still during the procedure."
4. "You will wear a compression dressing at the puncture site for 24 hours after the procedure."
Q3. A client with a diagnosis of multiple sclerosis is learning to walk with a cane. Which of the following instructions regarding safety is CORRECT?
*
1 point
1. Move the cane at the same time as the weak side.
2. Place the cane near the feet to ensure stability.
3. Hold the cane on the weaker side of the body.
4. Position the cane one foot forward with each step.
Q4. The wife of a client with multiple sclerosis (MS) confides in the nurse that because of his ataxia (uncoordinated movements), her husband takes up to an hour to get dressed every morning. The wife asks the nurse for advice. What is the nurse's BEST response?
*
1 point
1. "Let him take as long as he needs."
2. "Just let him stay in his pajamas and robe."
3. "Give him half an hour, then help him finish."
4. "Offer to help him every 10 to 15 minutes."
Q5. The nurse is teaching a female client with multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to:
*
1 point
A. Take a hot bath.
B. Rest in an air-conditioned room.
C. Increase the dose of muscle relaxants.
D. Avoid naps during the day.
Q6. Nurse Linda is preparing a client with multiple sclerosis for discharge from the hospital to home. Which of the following instructions is most appropriate?
*
1 point
A. “Practice using the mechanical aids that you will need when future disabilities arise”.
B. “Follow good health habits to change the course of the disease”.
C. “Keep active, use stress reduction strategies, and avoid fatigue”.
D. “You will need to accept the necessity for a quiet and inactive lifestyle”.
Q7. The nurse provides education during the discharge of a client with a diagnosis of multiple sclerosis. Which statement, by the nurse, is the priority to include in the teaching?
*
1 point
1.“Schedule the occupational therapist to do a safety assessment of your home.”
2.“Participate in exercise every day.”
3.“Keep a supply of incontinence products available.”
4.“Contact family and friends to see what support they can offer.”
Q8. 4.The nurse has provided health teaching for a patient recently diagnosed with multiple sclerosis. Which of the following statements by the patient indicates that FURTHER teaching is required?
Select one:
*
1 point
1. "I should drink plenty of fluids and include fiber in my diet."
2. "I should do daily moderate exercises even during periods of exacerbation."
3. "I should avoid extreme temperatures."
4. "I should avoid individuals with infections."
Q9. After receiving a change-of-shift report at 7:00 AM, which of these patients will you assess first?
*
1 point
A. A 23-year-old with a migraine headache who is complaining of severe nausea associated with retching.
B. A 45-year-old who is scheduled for a craniotomy in 30 minutes and needs preoperative teaching.
C. A 59-year-old with Parkinson’s disease who will need a swallowing assessment before breakfast.
D. A 63-year-old with multiple sclerosis who has an oral temperature of 101.80 F and flank pain.
Q10. The nurse provides care for a client who is diagnosed with progressive multiple sclerosis (MS) and prescribed interferon beta. Which statement indicates a need to further assess the client for maladaptive coping?
*
1 point
“1. We enjoy spending quality time at home together and it doesn’t increase the risk for infection.”
“2. All we ever talk about is hand washing and the risk for infection. Can we discuss something positive?”
“3. Sometimes it is frustrating that we cannot have people over due to the medications. It is worth it though to avoid infection.”
“ 4. monitor for signs and symptoms of infection since the medication suppresses the immune system.”
Q11. A client is newly diagnosed with multiple sclerosis. The nurse is reviewing the plan of care. Which client goal will be included?
Select all that apply.
*
1 point
• A. The client will participate in physical and occupational therapies.
• B. The client will be free of urinary incontinence.
• C. The client will understand the use of stool softeners.
• D. The client will strive to obtain 8 hours of sleep at night and take naps during the day.
• E. The client will seek out psychological counseling as needed.
Required
Q12. The nurse is caring for a client with a diagnosis of multiple sclerosis. During this hospitalization, the client reports disturbed sleep, depression, and feelings of powerlessness. Which statement does the nurse say to the client?
*
1 point
• A. "It is important to keep specialists appointments when discharged."
• B. "Tell me about your family and other support systems you have."
• C. "Tell me how you arrange your transportation needs."
• D. "It is best for you to learn as much as you can about this condition."
Q13. A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which of the following would indicate that the client is experiencing a side effect related to this medication?
*
1 point
1. Headache
2. Drowsiness
3. Urinary retention
4. Increased salivation
Q14. A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol). The nurse would expect which of the following outcomes after administration of this medication?
*
1 point
1. A decrease in muscle spasticity and involuntary movements
2. A slowed progression of Multiple Sclerosis related plaques
3. A decrease in the length of the exacerbation
4. A stabilization of mood and sleep
Q15. What signs/symptoms would the nurse expect to assess in a client diagnosed with multiple sclerosis (MS)?
Select all that apply
*
1 point
1. Fatigue
2. Ptosis
3. Blurry vision
4. Leg weakness
5. Limited facial expression
6. Electric shock sensation when bending neck forward
Required
Q16. A client with multiple sclerosis is voicing concerns to the nurse about incoordination when walking. Which of the following instructions by the nurse would be most appropriate at this time?
*
1 point
1."Avoid excess stretching of your lower extremities.
2."Build strength by increasing the duration of daily exercise."
3."Let me speak with your health care provider about getting a wheelchair."
4."You should keep your feet apart and use a cane when walking."
Q17. One of the complications associated with the improper use of crutches is:
*
1 point
A. Axillary nerve damage
B. Solar plexus nerve damage
C. Carpal tunnel syndrome
D. Trigeminal nerve damage
Q18. The nurse is caring for a client with Multiple Sclerosis (MS) undergoing plasmapheresis. The nurse understands that plasmapheresis controls symptoms of MS by removing which of the following elements from the blood?
*
1 point
A. Catecholamines
B. Antibodies
C. Plasma proteins
D. Lymphocytes
Q19. The client asks the nurse, “What are the risk factors for developing multiple sclerosis?”
Which statement is a risk factor for multiple sclerosis (MS)?
*
1 point
1. A close relative with MS may indicate a risk for MS.
2. Living in the southern United States predisposes a person to MS.
3. Use of tobacco product is the number-one risk for developing MS.
4. A sedentary lifestyle can cause a person to develop MS.
Q20. A client diagnosed with a spinal cord injury is being treated for a neurogenic bladder. Which medication does the nurse expect to be prescribed as part of this client's bladder retraining program?
*
1 point
1. Diphenhydramine.
2. Diazepam.
3. Dicyclomine.
4. Bethanechol.
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
