Multiple Sclerosis NCLEX Review
Questions And Answers 100% Verified.
The fnurse fis fassessing fa f48-year-old fclient fdiagnosed fwith fmultiple fsclerosis. fWhich
f clinical fmanifestation fwarrants f immediate fintervention?
1. fThe fclient fhas fscanning fspeech fand fdiplopia. f
2. fThe fclient fhas fdysarthria fand fscotomas.
3. fThe fclient fhas fmuscle fweakness fand fspasticity.
4. fThe fclient fhas fa fcongested fcough fand fdysphagia. f- fcorrect fanswer. f f f f4.Dysphagia fis fa
f common fproblem fof fclients fdiagnosed f with fmultiple fsclerosis,and fthis f places fthe f client fat
f risk ffor faspiration f pneumonia. fSome f clients fdiagnosed f with fmultiple fsclerosis f eventually
fbecome f immobile fand fare fat f risk ffor fpneumonia.
1. fThese fare fclinical fmanifestations fof fmultiple fsclerosis fand fare fexpected.
2. fThese fare fexpected fclinical fmanifestations fof fmultiple fsclerosis.
3. fThese fare fexpected fclinical fmanifestations fof fmultiple fsclerosis.
The fclient fnewly fdiagnosed fwith fmultiple fsclerosis f(MS) fstates, f"I fdon't funderstand fhow fI
f got fmultiple f sclerosis. fIs f it f genetic?" fOn f which fstatement fshould fthe fnurse fbase f the
f response?
1. fGenetics fmay fplay fa frole fin fsusceptibility fto fMS, fbut fthe fdisease fmay fbe fcaused fby fa
f virus.
2. fThere fis fno fevidence fsuggesting fthere fis fany fchromosomal finvolvement fin fdeveloping
f MS.
3. fMultiple fsclerosis fis fcaused fby fa frecessive fgene, fso fboth fparents fhad fto fhave fthe fgene
ffor fthe f client fto f get f MS.
4. fMultiple fsclerosis fis fcaused fby fan fautosomal fdominant fgene fon fthe fY fchromosome,so
fonly ffathers fcan fpass f it f on. f - f correct fanswer. f f f f1.The f exact f cause fof f MS f is fnot fknown,but
fthere f is f a f theory f stating fa f slow f virus f is fpartially f responsible. fA ffailure fof fapart fof fthe
f immune fsystem fmay f also fbeat ffault. fA f genetic fpredisposition finvolving f chromosomes f 2,
f3, f7, f11, f17, f 19, fand f X fmay f be f involved.
, 2. fThere fis fsome fevidence fsupporting fa fgenetic fcomponent finvolved fin fdeveloping fMS.
3. fA fspecific fgene fhas fnot fbeen fidentified fto fknow fif fthe fgene fis frecessive for fdominant.
4. fThe fX fchromosome, fnot fthe fY fchromosome,may fbe finvolved.
The f30-year-old ffemale fclient fis fadmitted fwith fcomplaints fof fnumbness, ftingling, fa
f crawling f sensation faffecting f the fextremities, f and fdouble f vision f which fhas foccurred ftwo(2)
ftimes f in fthe fmonth. fWhich f question fis fmost f important ffor fthe fnurse f to fask f the f client?
1. f"Have fyou fexperienced fany fdifficulty fwith fyour fmenstrual fcycle?"
2. f"Have fyou fnoticed fa frash facross fthe fbridge fof fyour fnose?"
3. f"Do fyou fget ftired feasily fand fsometimes fhave fproblems fswallowing?"
4. f"Are fyou ftaking fbirth fcontrol fpills fto fprevent fconception?" f- fcorrect fanswer. f f f f3.These
fare fclinical fmanifestation fof f MS fand fcan f go f un fdiagnosed ffor f years fbe-cause fof fthe
f remitting-relapsing f nature fof fthe fdisease. fFatigue f and f difficulty f swallowing f are fother
The fnurse fenters fthe froom fof fa fclient fdiagnosed fwith facute fexacerbation fof fmultiple
f sclerosis fand ffinds fthe fclient f crying. fWhich fstatement f is fthe fmost ftherapeutic f response
ffor fthe fnurse f to fmake?
1. f"Why fare fyou fcrying?The fmedication fwill fhelp fthe fdisease."
2. f"You fseem fupset. fI fwill fsit fdown fand fwe fcan ftalk ffor fawhile."
3. f"Multiple fsclerosis fis fa fdisease fthat fhas fgood ftimes fand fbad ftimes."
4. f"I fwill fhave fthe fchaplain fcome fand fstay fwith fyou ffor fa fwhile." f- fcorrect fanswer. f f f f2.This
f is f stating fa ffact f and f offering f self. fBoth f are ftherapeutic ftechniques ffor fconversations.
1. f"Why" fis frequesting fan fexplanation, fand fthe fclient fdoes fnot fowe fthe fnurse fan
fexplanation.
The fclient fdiagnosed fwith fmultiple fsclerosis fis fscheduled ffor fa fmagnetic
f resonanceimaging f (MRI) f scan fof fthe fhead. fWhich f information f should fthe fnurse fteach f the
f client fabout fthe f test?
1. fThe fclient fwill fhave fwires fattached fto fthe fscalp fand flights fwill fflash foff fand fon.
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