GNRS 556 med surg exam with Questions and
100% Correct Answers
nursing interventions for impaired cognition - Answer -mental status assessment
-avoid risk factors
-stimulating intellectual part of brain
-promote safety to prevent injury
-promote mobility
-provide orientation & foster communication
-promote comfort
goals of rehabilitation therapy - Answer -caring for those with chronic & disabling health
problems
-promoting comfort
-increasing patient independence
-prevent further disability
-maintain function
-restore optimal function
role of home health nurse - Answer -provide one-on-one care for patient in their home
-helps patients avoid going to the hospital
-good for prevention
MS etiology - Answer -chronic, progressive autoimmune degenerative disorder of the
CNS
-characterized by segmental demyelination of nerve fibers of the brain and spinal cord
-characterized by periods of remission and exacerbation
, -characterized by chronic inflammation, demyelination, gliosis of the CNA (fibrous
proliferation of glial cells in injured areas of CNS)
-caused by multiple immune, genetic, infectious factors although changes in immunity
are most likely the etiology
-gradual, insidious onset
MS signs and symptoms - Answer -cognitive, sensory, motor, musculoskeletal,
elimination, nutrition problems
-short term memory, inattention, difficulty with information processing, planning and
word finding and judgement
-anger, depression, euphoria
-numbness, tingling, burning crawling sensation
-weakness or paralysis of limbs, trunk and head
-blurred vision, diplopia, nystagmus, decrease hearing, neuropathic pain, Lhermitte's
sign
-dysphagia
-ataxia
-dysarthria
Dx test for MS - Answer -based on history, clinical manifestations, MRI, CSF analysis
(presence of immunoglobulins and elevated WBC), neurological evaluations
-for a Dx there needs to be two inflammatory demyelinating lesions in at least 2
different locations within the CNS, new and old lesions seen on MRI, and all other Dx
need to be ruled out
-may not be diagnosed until long after onset of symptoms
role of drug therapy for MS - Answer -no cure for MS
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