The book questions Flashcards
what is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of demyelination in the brain and spinal cord?
Multiple sclerosis (MS)
a well-recognized sign of meningitis is exhibited when the patients neck is flexed and flexion of the knees and his is produced?
Positive brudzinski sign
The follow are the most commonly reported clinical manifestations of multiple sclerosis?
Pain, fatigue, spasticity, depression, numbness.
a DX of MS is based on which of the following test?
MRI
Myasthenia gravis occurs when antibodies attack which receptor sites?
Acetylcholine
The nurse is preparing the pt for an acetylcholinesterase inhibitor test to rule out myasthenia gravis. Which of the following is the priorty nursing action?
Ensure atropine is readily available.
a pt is newly DX w/ relapsing-remitting MS. which instruction should the nurse provide?
You must avoid stress and extreme fatigue bc these can trigger a relapse.
which of the following nursing interventions is appropriate for a pt w/ double vision in the R eye due to MS?
apply an eye patch to the R eye.
The nurse has been educating a patient newly DX with MS. Which of the following statements by the patient indicated an understanding of the education?
I will stretch daily as directed by the PT.
A pt has been brought to the ED w/ altered LPC high fever and a purpura rash on the lower EXT. The family states the pt was complaining of neck stiffness earlier in the day. What action should the nurse do first?
Initiate isolation precautions.
A pt is suspected to have bacterial meningitis. What is the priority nursing intervention?
admin antibiotics.
A nurse is caring for a patient diagnosed w/ Guillain-Barre syndrome. The patient states” it’s getting harder to take a deep breath. which of the following actions by the nurse is most appropriate?
Call the MD and prepare for intubation.
The parents of a patient intubation due to the progression of guillain- barre syndrome asks if their child will die. what is the best response by the nurse?
There are no guarantees, but a large portion of people with Guillain-Barre syndrome survive.
which of the following is the priority nursing intervention for a pt in myasthenia crisis?
Assessing respiratory effort.
