Question 1

A patient with multiple sclerosis has been prescribed baclofen (Lioresal)to relax muscles.What should be included in the nurse's teaching about this drug? (Select all that apply.)

Accepted Answer

Patients taking antispasmodics such as baclofen should avoid operating machinery and driving until effects are known.Measures should be provided to prevent constipation (except dantrolene).The patient should be monitored for respiratory depression.A.B.Calcium supplements are helpful with steroids,as is avoiding crowds due to infection risk.E.There is no restriction to grapefruit with this medication.

Question 2

The nurse is caring for a patient with post-polio syndrome.What should the nurse explain to the patient in preparation for discharge? (Select all that apply.)

Accepted Answer

There is no specific therapeutic regimen for this disorder.Symptoms seem to be best controlled by rest and moderate exercise without pushing the limits of tolerance.C.Intense physical activity could exacerbate symptoms of the disorder.D.Sunlight is not an identified treatment for post-polio syndrome.E.High protein and high fat foods are not implicated in the development or treatment of this disorder.

Question 3

The nursing diagnosis Ineffective Airway Clearance has been identified for a patient with multiple sclerosis.Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)

Accepted Answer

Nursing interventions appropriate for the patient with Ineffective Airway Clearance include elevating the head of the bed,evaluating gag reflex every shift,monitoring oxygen saturation twice a shift,and encouraging deep breathing and coughing every 2 hours.A.Intake and output measurement would be more appropriate for the patient with a fluid volume imbalance.

Question 4

The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS).Which assessment findings should the nurse anticipate? (Select all that apply.)

Accepted Answer

Primary symptoms of ALS include progressive muscle weakness and decreased coordination of arms,legs,and trunk.Atrophy of muscles and twitching (fasciculations)also occur.B.C.Pill-rolling tremor and bradykinesia are symptoms of Parkinson's disease.D.Ascending symptoms occur in Guillain-Barré syndrome.A.Paralysis on one side of the body occurs in strokes.

Question 5

The nurse is explaining the difference between Bell's palsy and trigeminal neuralgia to a nursing assistant.What should the nurse include as characteristics of Bell's palsy? (Select all that apply.)

Accepted Answer

Patients with Bell's palsy have a facial droop,variable symptom onset,changes in taste,and drooling.C.D.E.Patients with trigeminal neuralgia (TN)experience sudden onset and temperature and airflow sensitivity.

Question 6

The nurse is teaching a patient with myasthenia gravis how to recognize a cholinergic crisis.What manifestations should the nurse include in this teaching? (Select all that apply.)

Accepted Answer

Symptoms of cholinergic crisis can be remembered with the acronym SLUDGE: salivation,lacrimation,urination,diarrhea,gastrointestinal cramping,and emesis.A severe crisis has been described as "liquid pouring out of every body orifice." D.Difficulty speaking is not a manifestation of a cholinergic crisis.

Question 7

The nurse is caring for a patient who is being tested for possible myasthenia gravis (MG).Which early symptoms of myasthenia gravis should the nurse document in the medical record? (Select all that apply.)

Accepted Answer

The hallmark of MG is increased muscle weakness during activity and improvement in muscle strength after rest.Patients often present with drooping of the eyelids (ptosis).F.Numbness and tingling of the extremities is characteristic of multiple sclerosis (MS),not MG.B.C.D.Nausea,tremor and confusion are not characteristics of MG.

Question 8

After frequent examinations a patient is diagnosed with amyotrophic lateral sclerosis (ALS).Which test results should the nurse review as confirmation of this diagnosis? (Select all that apply.)

Accepted Answer

Diagnosis of ALS is made based on clinical symptoms.Additional tests such as nerve biopsy,electroencephalogram,nerve conduction velocity and CSF analysis may be done to rule out other conditions.E.CT scan of the brain and spinal cord are not used to diagnose ALS.

Quiz 50: Nursing Care of Patients With Peripheral Nervous System Disorders

A patient with multiple sclerosis has been prescribed baclofen (Lioresal) to relax muscles.What should be included in the nurse's teaching about this drug? (Select all that apply.)

The nurse is caring for a patient with post-polio syndrome.What should the nurse explain to the patient in preparation for discharge? (Select all that apply.)

The nursing diagnosis Ineffective Airway Clearance has been identified for a patient with multiple sclerosis.Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)

The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS) .Which assessment findings should the nurse anticipate? (Select all that apply.)

The nurse is explaining the difference between Bell's palsy and trigeminal neuralgia to a nursing assistant.What should the nurse include as characteristics of Bell's palsy? (Select all that apply.)

The nurse is teaching a patient with myasthenia gravis how to recognize a cholinergic crisis.What manifestations should the nurse include in this teaching? (Select all that apply.)

The nurse is caring for a patient who is being tested for possible myasthenia gravis (MG) .Which early symptoms of myasthenia gravis should the nurse document in the medical record? (Select all that apply.)

After frequent examinations a patient is diagnosed with amyotrophic lateral sclerosis (ALS) .Which test results should the nurse review as confirmation of this diagnosis? (Select all that apply.)