Which factors predominantly determine probable diagnosis of multiple sclerosis (MS)?
a. Blood tests revealing identifiable MS markers
b. Lumbar puncture results revealing in-flammatory response
c. Muscle biopsies revealing characteristic lesions
d. Signs and symptoms assessed and re-ported by the patient
D
No laboratory test will definitively establish a diagnosis of MS, although most patients have ele-vated IgG levels in their cerebrospinal fluid (CSF), with the presence of oligoclonal bands (bands of IgG produced by electrophoresis of the CSF). An magnetic resonance imaging (MRI) study usually shows characteristic white matter lesions scattered through the spinal cord and/or brain, which confirms the diagnosis of MS. However, the clinical signs and symptoms presented by a patient usually are sufficient characteristics of the disorder to allow the neurologist to make a diagnosis that the patient possibly or probably has MS.
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Which drug therapy does the nurse anticipate administering to help resolve an exacerbation of multiple sclerosis?
a. Pyridostigmine (Mestinon) b. Adrenocorticotropic hormone (ACTH) c. Thyrotropin d. Diphenhydramine (Benadryl)
The nurse instructing a patient on breast self-examination explains to the patient that the best time of the month to perform a breast self-examination is:
1. before the menstrual period. 2. during the menstrual period. 3. after the menstrual period. 4. on the first day of the month.
A client is diagnosed with a peripheral nerve injury. Which of the following will the nurse most likely assess in this client? (Select all that apply.)
1. Paresthesias 2. Paralysis 3. Hypotension 4. Cardiac dysrhythmias 5. Paresis 6. Pain
Tetracycline po q6h for 10 days. What is missing from this order?
A. route B. frequency C. dose D. drug