NUR 254 Neuro 4
- The preceptor and the student nurse are discussing the diagnosis of multiple sclerosis.
- There are a few different types of MS
- The cause is unknown but could be the result of a childhood infection
- The patient's condition will eventually improve
- The S/S are caused by the demyelination of nerves
Which statement by the student nurse would require correction?
Answer 3
- The nurse is caring for a patient who is suspected of having MS. Which diagnostics would
help determine the diagnosis? SATA
1. LP
2. MRI
3. CT
4. EEG
5. EMG
Answer
1, 2, 3, 5
- MS patients are often taking several medications. What are the two most common side
- nausea, diarrhea
- constipation, depression
- blurred vision, anorexia
- UTI, kidney damage
effects of MS medication regimens?
Answer 2
- A newly diagnosed adult MS patient has decided that they need to move. Which types of
- ranch style with ground floor laundry
- split level with grab bars in the shower and near the toilet
- colonial with a high stair rail 1 / 2
home should the patient avoid? SATA
- one story with wide hallways
- ground floor apartment with no elevator
Answer 2, 3
- A client with MS is hospitalized for an exacerbation. What should the priorities be for this
- neuro checks
- IV steroids
- IV antibiotics
- encourage rest
- low protein diet
patient? SATA
Answer 2, 4
- A 40 year old male has been diagnosed with ALS. He asks what his treatment plan will be. The
nurse's best response is
Answer
- We will need to start you on baclofen for the best chance of recovery
- We can treat some of the symptoms but this is a terminal condition
- The only treatment is intubation
- A medication called riluzole will resolve your symptoms within 6 months
Answer 2
- When caring for a patient with ALS, what is one of the long term priorities for the nurse?
- prepare for intubation
- ask the patient if they have an advance directive or end of life plan
- ensure the patient is taking in enough fluids
- / 2