The nurse anticipates that drug therapy for an acute severe attack of multiple sclerosis (MS) will be:
a. intravenous methylprednisolone.
b. intramuscular injections of interferon be-ta-1b.
c. massive doses of antibiotics.
d. muscle relaxants and opioids.
A
IV methylprednisolone is the standard treatment for the severe acute attack of MS. Interferon is used to prevent attacks.
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A young woman attends a "Botox Party" and is injected with botulinum toxin type A to decrease "frown lines" between her eyebrows
Later that evening the patient is admitted to the emergency department and is hysterical, because she cannot move her eyebrows. The nurse explains that that toxin causes what? A) "The toxin causes muscle death, which smoothes wrinkles in the area." B) "The toxin causes muscle paralysis, preventing movement and relieving wrinkles." C) "The drug is a toxin to nerves in the area." D) "The drug is a permanent muscle relaxant and the muscles will never move again."
The nurse is caring for an unconscious client. For which reason should the nurse prevent the aspiration of fluid into the client's lungs?
1. The laryngeal and cough reflexes do not function if the client is unconscious. 2. The client who is unconscious does not breathe. 3. The cough reflex is diminished when the client is unconscious. 4. The sinuses drain when the client is unconscious.
The nurse should observe for which potential side effect of IV gamma globulin?
A) Anaphylactic reaction B) Hypertension C) Hypothermia D) Joint pain
A 23-year-old female presents with episodic bilateral breast tenderness. Upon palpation, there are multiple areas of nodularity with no dominant breast mass and no tenderness, nipple, or skin changes. It is best to recommend:
A. Ultrasound of the breasts B. Mammogram of the breasts C. Fine needle aspiration of one nodule within a breast D. Diary of menstrual cycle and breast symptoms