Evolve questions Multiple Sclerosis Flashcards

The home health nurse has been discussing interventions to prevent constipation in a client with multiple sclerosis. The nurse determines that the client is using the information most effectively if the client reports which action?

1.Drinking a total of 1000 mL/day

2.Giving self an enema every morning before breakfast

3.Taking stool softeners daily and a glycerin suppository once a week

4.Initiating a bowel movement every other day, 45 minutes after the largest meal of the day

The home health nurse is visiting a client with a diagnosis of multiple sclerosis. The client has been taking oxybutynin. The nurse evaluates the effectiveness of the medication by asking the client which assessment question?

1."Are you consistently fatigued?"

2."Are you having muscle spasms?"

3."Are you getting up at night to urinate?"

4."Are you having normal bowel movements?"

A client is admitted with an exacerbation of multiple sclerosis. The nurse is assessing the client for possible precipitating risk factors. Which factor, if reported by the client, would the nurse identify as being unrelated to the exacerbation?

1.Annual influenza vaccination

2.Ingestion of increased fruits and vegetables

3.An established routine of walking 2 miles each evening

4.A recent period of extreme outside ambient temperatures

A client with multiple sclerosis is experiencing muscle weakness, spasticity, and an ataxic gait. On the basis of this information, the nurse would include which client problem in the plan of care?

1.Inability to care for self

2.Interruption in skin integrity

3.Interruption in physical mobility

4.Inability to perform daily activities

The nurse is planning care for the client with a neurogenic bladder caused by multiple sclerosis. The nurse plans for fluid administration of at least 2000 mL/day. Which plan would be most helpful to this client?

1.400 to 500 mL with each meal and 500 to 600 mL in the evening before bedtime

2.400 to 500 mL with each meal and additional fluids in the morning but not after midday

3.400 to 500 mL with each meal, with all extra fluid concentrated in the afternoon and evening

4.400 to 500 mL with each meal and 200 to 250 mL at midmorning, midafternoon, and late afternoon

A client with multiple sclerosis tells a home health care nurse about having increasing difficulty in transferring from the bed to a chair. What is the initial nursing action?

1.Observe the client demonstrating the transfer technique.

2.Start a restorative nursing program before an injury occurs.

3.Seize the opportunity to discuss potential nursing home placement.

4.Determine the number of falls that the client has had in recent weeks.

A client with multiple sclerosis is receiving baclofen. The nurse assessing the client monitors for which finding as an indication of a primary therapeutic response to the medication?

1.Decreased nausea

2.Decreased muscle spasms

3.Increased muscle tone and strength

4.Increased range of motion of all extremities

The nurse is providing medication instructions to a client with multiple sclerosis receiving baclofen. Which information would the nurse include in the instructions?

1.Watch for urinary retention as a side effect.

2.Stop taking the medication if diarrhea occurs.

3.Restrict fluid intake while taking this medication.

4.Notify the primary health care provider if fatigue occurs.

A client with multiple sclerosis is receiving diazepam, a centrally acting skeletal muscle relaxant. Which finding, if noted during the nursing assessment, would indicate that the client is experiencing a side/adverse effect of this medication?

1.Headache

2.Drowsiness

3.Urinary retention

4.Increased salivation

Baclofen is prescribed for the client with multiple sclerosis. The nurse determines that the medication is having the intended effect if which finding is noted in the client?

1.Increased muscle tone

2.Increased range of motion

3.Decreased muscle spasms

4.Decreased local pain and tenderness

notify the primary health care provider if which finding is noted on the laboratory report sheet?

1.Creatinine level 0.6 mg/dL (53 mcmol/L)

2.Platelet count 290,000 mm³ (290 × 10⁹/L)

3.Alanine aminotransferase (ALT) 96 U/L (96 U/L)

4.Blood urea nitrogen level 10 mg/dL (3.6 mmol/L)

The nurse is assigned to care for a client with multiple sclerosis who is receiving an intravenous dose of methocarbamol. The nurse monitors the client, knowing that which is an expected side effect?

1.Insomnia

2.Excitability

3.Hypertension

4.Dark green–colored urine

The nurse is caring for a client with an exacerbation of multiple sclerosis. Which medication(s) will the nurse expect to be prescribed to hasten recovery from the exacerbation?

1.Carbamazepine and phenytoin by mouth

2.Lioresal by mouth and diazepam intravenously

3.Phenytoin intravenously, then tapered to oral route

4.Methylprednisolone and cyclophosphamide intravenously