Chapter 50 Neuro

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Questions and Answers

The nurse is caring for a patient experiencing an acute exacerbation of multiple sclerosis (MS). Which pathophysiological change leads to the symptoms of MS?

  • Myelin buildup in the central nervous system
  • Demyelination and destruction of nerve fibers (correct)
  • Gamma aminobutyric acid (GABA) deficiency
  • Reduced acetylcholine receptors with impaired nerve impulse transmission

The nurse is caring for patients with a variety of neuromuscular disorders. Which findings are most concerning?

  • Evidence of severe muscle wasting
  • Indications of the development of respiratory distress (correct)
  • Interruption of skin integrity over bony prominences
  • Difficulty maintaining weight due to difficulty swallowing

A patient who is prescribed neostigmine for newly diagnosed MG asks how the medication works. Which response should the nurse provide to the patient?

  • It is a muscle relaxant to prevent the cramping in your muscles
  • It provides potassium to your muscles so they will contract better.
  • It makes more neurotransmitters available so your muscles can contract. (correct)
  • It reduces the inflammation in your nerves so they transmit signals better.

The nurse is caring for a patient who is diagnosed with MG. What is the nurse’s priority of care?

<p>Monitor the patient’s respiratory function and the ability to swallow effectively. (D)</p> Signup and view all the answers

A mother of two young children has a 1-year history of MS and recently stopped helping in the children’s classrooms because of fatigue and weakness. What advice should the nurse give to help the patient best cope with the problem?

<p>You may plan to be there for shorter visits so you can rest. (B)</p> Signup and view all the answers

The nurse is speaking with the family of a patient diagnosed with Guillain-Barré syndrome (GBS). They ask what could cause something like this. How should the nurse reply?

<p>It may be an autoimmune reaction to a virus. (B)</p> Signup and view all the answers

The nurse reviews information with a patient and family members about the patient’s recent diagnosis of amyotrophic lateral sclerosis (ALS). What recommendations should the nurse make?

<p>Exploration of support groups (A)</p> Signup and view all the answers

A patient with trigeminal neuralgia is admitted to the hospital for diagnostic testing and possible surgery. What should the nurse plan with care?

<p>Provide liquid foods at body temperature at mealtimes. (C)</p> Signup and view all the answers

The nurse is assisting with the care of a patient diagnosed with post-polio syndrome. Which symptom(s) support(s) this diagnosis?

<p>Muscle weakness and atrophy (C)</p> Signup and view all the answers

A patient reports to the nurse an inability to rest or sleep due to a constant urge to move the legs. What should the nurse recommend for relief?

<p>Eliminate caffeine. (A)</p> Signup and view all the answers

The nurse is providing care for a patient after surgery for treatment of trigeminal neuralgia. Which action should the nurse take when providing care?

<p>Check the eye on the surgery side for corneal sensation. (C)</p> Signup and view all the answers

The nurse is preparing a patient with MG to undergo plasmapheresis. Which laboratory tests should the nurse verify and place on the medical record before the procedure?

<p>Complete blood count (CBC), platelets, and clotting studies (B)</p> Signup and view all the answers

The nurse is collection admission information for a patient who has a history of having a thymectomy. Which condition should the nurse inquire about?

<p>MG (B)</p> Signup and view all the answers

The nurse is collecting information from a patient in the HCP’s office who is exhibiting symptoms associated with Bell palsy. Which supporting data increases the risk for this condition?

<p>The patient is in the third trimester of pregnancy. (A)</p> Signup and view all the answers

A patient with GBS has stopped having a progression of the symptoms. The family asks the nurse how much longer it will be before the patient begins to improve. How should the nurse reply?

<p>It will take a week or two before there is improvement (A)</p> Signup and view all the answers

The nurse is visiting the home of a patient who is being treated for Bell palsy. Which statement by the patient indicates that care instructions require clarification?

<p>Alternating heat and cold therapy is helping the swelling (D)</p> Signup and view all the answers

The nurse is providing care for a patient being treated for trigeminal neuropathy. The nurse is concerned about the patient’s nutritional status because of an inability to eat without experiencing severe pain. Which patient behavior indicates the nurse’s interventions are successful?

<p>The patient can eat multiple small, soft, lukewarm meals daily. (B)</p> Signup and view all the answers

The nurse is collecting up-to-date data from a patient who was diagnosed with MS 15 years ago. The patient has a good understanding of the disease and manages to maintain a relatively high level of functioning. Which statement by the patient is most concerning?

<p>I love to work in my flower beds during the summer months (C)</p> Signup and view all the answers

A patient with MS has been prescribed baclofen to relax muscles. Which information is included in the nurse’s teaching about this drug? (Select all that apply.)

<p>Report any shortness of breath or other respiratory problems. (C), Avoid driving or operating machinery until the effects of the drug are known. (D), Prevent constipation by increasing fluids and fiber-rich foods; use suppositories when necessary. (@)</p> Signup and view all the answers

The nurse is teaching a patient with MG how to recognize a cholinergic crisis. Which manifestations does the nurse include in this teaching? (Select all that apply.)

<p>Diarrhea (A), Salivation (B), Vomiting (C), Increased bronchial secretions (@)</p> Signup and view all the answers

Flashcards

法国的首都(示例闪卡)

巴黎

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