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Multiple Sclerosis – Final Questions With Complete Solutions
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Multiple Sclerosis – Final Questions WithComplete Solutions
1) A client diagnosed with multiple sclerosis has an acute onset
of visual changes, fatigue, and leg weakness. The client says that
the last time this happened, recovery occurred in a few weeks.
Which classification of multiple sclerosis is the client
experiencing?
A) Progressive-relapsing
B) Secondary-progressive
C) Relapsing-remitting
D) Primary-progressive correct answer: C) Relapsing-remitting
There are four classifications of multiple sclerosis. The client
has an exacerbation of symptoms and has a history of full
recovery. This is classified as relapsing-remitting and is the most
common type. Primary-progressive is a steady worsening of the
disease with occasional minor recovery. Secondary-progressive
begins as relapsing-remitting but the disease becomes worse
between exacerbation. Progressive-relapsing is rare, with the
disease progressing from the onset with periods of exacerbation.
3) A client with a history of relapsing-remitting multiple
sclerosis is expecting her first child. What would be indicated
for this client?
A) Suggest reproductive counseling, as multiple sclerosis can be
genetic.
B) Instruct to expect a period of remission after delivery of the
baby.
C) Instruct to expect an exacerbation of symptoms while
pregnant.
, D) Discuss pain control during labor, as contractions will be
severe. correct answer: A) Suggest reproductive counseling, as
multiple sclerosis can be genetic.
A definite genetic factor has not been established; however,
studies suggest that genetic factors make some individuals more
susceptible to the disorder than others. Reproductive counseling
would be recommended for this client. Pregnancy often brings
about remission of multiple sclerosis, but with a slightly
increased relapse rate postpartum. The strength of uterine
contractions in a client with multiple sclerosis is not severe, and
because clients often have lessened sensation, labor may be
almost painless.
What is relapsing-remitting MS? correct answer: -The most
common for of MS (85% of cases).
-Onset is usually around 20-40 years.
-More common in women
2) A young adult client complains of blurred vision and muscle
spasms that come and go over the past several months. On what
information from the client's history should the nurse focus to
help identify this help problem?
A) Family history of Parkinson disease
B) Family history of epilepsy
C) Is an immigrant from Germany
D) Has been depressed correct answer: C) Is an immigrant from
Germany
Multiple sclerosis is primarily a disease of people of northern
European ancestry. The onset of multiple sclerosis is usually
between the ages of 20 and 50, with the peak at age 30. Family
history of epilepsy, Parkinson disease, and depression are
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