MS-ni-joy PDF Past Paper

Summary

This document contains questions and information about neurological nursing topics, including nursing diagnoses, treatments, and priorities for patients with conditions like Guillain-Barré syndrome, multiple sclerosis, and trigeminal neuralgia.

Full Transcript

Which therapeutic technique is most aligned with which nursing diagnosis takes precedence for a addressing altered perception in a client? patient with guillan barre syndrome experiencing experiencing difficulty breathing a) reflective...

Which therapeutic technique is most aligned with which nursing diagnosis takes precedence for a addressing altered perception in a client? patient with guillan barre syndrome experiencing experiencing difficulty breathing a) reflective listening a. impaired gas exchange b) offering reassurance b. ineffective airway clearance c) providing advice which is the top priority for guillan barre syndrome d) minimizing patient concern a. reduce inflammation When communicating with a client experiencing altered perception what is the primary goal of a b. treat underlying viral infection nurse? c. block nerve impulses to alleviate symptoms a) to convince patient that their perceptions are incorrect d. stimulate the production of myelin sheaths in the nerve b) distract patient from altered perception What is the primary goal of pharmacological c) explore patient experiences and emotions treatment with intravenous immunoglobulin in patients with guillan barre syndrome diagnosis? d) to provide reassurance that perception will disappear a. to eradicate underlying viral infection b. stimulate production of myelin sheath DEREALIZATION: c. to reduce inflammation -ssri d. to block nerve impulses to alleviate symptoms GUILLAIN MULTIPLE SCLEROSIS What is the priority nursing intervention for Which of the following nursing diagnosis is a top patients newly diagnosed with guillan barre priority in patients with multiple sclerosis for syndrome patients experiencing impaired mobility and inability to perform activities of daily living? a. administers immunosuppressive medication a. risk for impaired skin integrity b. providing emotional support and reassurance What is the primary pharmacological treatment c. initiating mechanical ventilation for patients with multiple sclerosis? d. administering antiviral medication a. reduces inflammation which nursing diagnosis takes precedence for a b. treat viral infection patient with guillan barre syndrome experiencing impaired mobility c. block nerve impulses a. impaired gas exchange d. stimulate myeline sheath b. ineffective airway clearance Which is the primary goal of pharmalogical treatment of disease modifying therapies in c. risk for injury patients with multiple sclerosis d. impaired physical mobility a. eradicate the viral infection b. stimulate remyelination of the myelin sheath c. block nerve impulses d. reduce inflammation What is the primary goal of pharmacological treatment with anti convulsant medication in Which nursing intervention is crucial to prevent patient diagnosed with trigeminal neuralgia? immobility cause by multiple sclerosis a. eradicate viral infection a. provide range of motion exercise b. stimulate myelin production b. provide ambulation independently c. reduce inflammation c. restrict fluid intake d. block nerve impulses to alleviate pain. — d. administer hypertensive agents Which nursing intervention is crucial to prevent the patient is diagnosed with multiple sclerosis complications related to impaired nutrition experiencing fatigue what would be the possible related to impaired nutrition to patient with nursing diagnosis? trigeminal neuralgia a. impaired gas exchange a. perform ROM exercises b. ineffective coping b. encourage pt to ambulate c. ineffective skin integrity c. restrict fluid intake d. activity intolerance — d. monitor for signs of dehydration or malnutrition Baclofen to address -muscle spasms Pt is experiencing pain and diagnosed with trigeminal neuralgia. what would be the primary nursing intervention TRIGEMINAL NEURALGIA a. apply heat packs to the area What nursing diagnosis is best with patient experiencing acute pain related to trigeminal b. administer intravenous corticosteroids neuralgia c. provide emotional support a. risk for aspiration d. administer prescribed analgesics b. impaired physical mobility Which medication is commonly used to manage c. acute pain neuropathic pain in pt with trigeminal neuralgia d. risk for ineffective airway clearance a. gabapentin What is the primary pharmacological treatment b. acetaminophen in patients with trigeminal neuralgia c. ibuprofen -block nerve impulses to alleviate the pain d. morphine What is the common nursing priority diagnosed BELLS PALSY with a trigeminal neuralgia experiencing difficulty eating? What is the primary nursing intervention for pt with newly diagnosed with bels palsy? a. monitor for signs for dysreflexia more on antiviral ang bels palsy b. administer antic spasmodic medication a. administer intravenous antibiotics c. provide dietary modifications b. provide emotional d. encourage patient to limit fluid intake c. initiate pharmacological therapy with corticosteroids d. assist client with ADL PARKINSONS DISEASE Which nursing diagnosis is the priority for pt with -Priority nursing intervention for patients bells palsy experiencing facial paralysis parkinsons disease experiencing difficulty with mobility a. risk for impaired skin integrity a. administer antipsychotic medication b. impaired physical mobility b. provide emotional support c. impaired verbal communication c. assist with ADL d. impaired facial mobility d. initiate physical therapy What is the pharmacological treatment given to pt with bells palsy? Hallmark sign of parkinsons disease -treat viral infection a. fluctuating blood pressure What is the most common nursing diagnosis for b. resting tremors — patient with bels palsy experiencing difficulty in eating c. hyperactivity and impulsivity a. provide oral suctioning to clear secretions d. intermittent confusion and disorientation b. administer anti spasmodic medication what is the primary pathophysiologal feature of parkinsons disease c. provide education on dietary modification a. excessive dopamine d. encourage the client to chew on the affected side b. degeneration of neurons What is the goal of corticosteroids in patients c. dysfunction of peripheral nervous system diagnosed with bells palsy d. abnormal accumulation of tao proteins a. eradicate underlying viral infection Which diagnostic test is usually used to confirm b. stimulate muscle contraction the diagnosis of parkinsons disease? c. to reduce inflammation — a. blood test for dopamine d. to block nerve impulses b. MRI of brain Which nursing intervention is crucial to prevent c. clinical examination and history taking complications with clients experiencing impaired d. lumbar puncture for CSF nutrition in a bels palsy diagnosis Primary pharmacological treatment a. perform ROM exercises →increase dopamine b. check for malnutrition— Signs and symptoms that distinguishes What is the nursing intervention with patient facial parkinson’s disease with other diseases weakness and drooling due to bels palsy a. rapid jerky movements a. administer monoto toxin injection b. fluctuating movement b. provide emotional support c. bradykinesia — c. assist with oral suctioning— d. absence of tremors ALZHEIMER Which diagnostic test is commonly used to support the diagnosis of alzheimers disease a. blood test for beta aminoid levels b. Mri c. clinical examination and cognitive testing d. lumbar puncture and CSF fluid analysis What is the primary goal of pharmacological treatment with memantine in alzheimers disease a. increase acetylcholine level b. inhibit breakdown of dopamine c. block glutamate receptors d. reduce production of beta amyloid hallmark sign of lateral sclerosis muscle weakness, atrophy, paralysis diagnostic to support lateral sclerosis: Electromyography/genetic testing primary pharmacological treatment: Riluzole – reduce glutaamate riluzole – slows disease progression by reducing glutamate excitotoxicity etaradone- antioxidant medication approved for treatment of ALS to reduce oxidative stress and slowficntional decline.

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