4.Dysphagia is a common problem of clients diagnosed with multiple sclerosis,and this
places the client at risk for aspiration pneumonia. Some clients diagnosed with multiple
sclerosis eventually become immobile and are at risk for pneumonia.
1. These are clinical manifestations of multiple sclerosis and are expected.
2. These are expected clinical manifestations of multiple sclerosis.
3. These are expected clinical manifestations of multiple sclerosis. - ✔✔The nurse is
assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical
manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia.
1.The exact cause of MS is not known,but there is a theory stating a slow virus is
partially responsible. A failure of apart of the immune system may also beat fault. A
genetic predisposition involving chromosomes 2, 3, 7, 11, 17, 19, and X may be
involved.
2. There is some evidence supporting a genetic component involved in developing MS.
3. A specific gene has not been identified to know if the gene is recessive or dominant.
4. The X chromosome, not the Y chromosome,may be involved. - ✔✔The client newly
diagnosed with multiple sclerosis (MS) states, "I don't understand how I got multiple
sclerosis. Is it genetic?" On which statement should the nurse base the response?
1. Genetics may play a role in susceptibility to MS, but the disease may be caused by a
virus.
, 2. There is no evidence suggesting there is any chromosomal involvement in
developing MS.
3. Multiple sclerosis is caused by a recessive gene, so both parents had to have the
gene for the client to get MS.
4. Multiple sclerosis is caused by an autosomal dominant gene on the Y
chromosome,so only fathers can pass it on.
3.These are clinical manifestation of MS and can go un diagnosed for years be-cause
of the remitting-relapsing nature of the disease. Fatigue and difficulty swallowing are
other symptoms of MS.
1. MS does not affect the menstrual cycle.
2. A rash across the bridge of the nose suggests systemic lupus erythematosus
4. Taking birth control medications should not produce these symptoms or the pattern
of occurrence. - ✔✔The 30-year-old female client is admitted with complaints of
numbness, tingling, a crawling sensation affecting the extremities, and double vision
which has occurred two(2) times in the month. Which question is most important for the
nurse to ask the client?
1. "Have you experienced any difficulty with your menstrual cycle?"
2. "Have you noticed a rash across the bridge of your nose?"
3. "Do you get tired easily and sometimes have problems swallowing?"
4. "Are you taking birth control pills to prevent conception?"
2.This is stating a fact and offering self. Both are therapeutic techniques for
conversations.
1. "Why" is requesting an explanation, and the client does not owe the nurse an
explanation.
3. The client did not ask about the nature of MS. The client needs to be able to
verbalize feelings.
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