A patient has been diagnosed with multiple sclerosis (MS) for 10 years and has a history of 3 periods of neurologic dysfunction lasting several weeks separated by long periods of full recov-ery
In the past 6 months, the patient has had a prolonged period of neurologic dysfunction without remission. The nurse understands that the patient may have which MS subtype? a. Primary progressive MS
b. Progressive-relapsing MS
c. Relapsing-remitting MS
d. Secondary progressive MS
D
Secondary progressive MS occurs when a patient with relapsing-remitting MS develops steadily worsening dysfunction with or without plateaus or acute exacerbations, or minor remissions. Within 10 to 20 years of onset, about 50% of patients with MS will develop this type. Primary progressive MS occurs when symptoms grow progressively more intense from the onset. Pro-gressive-relapsing MS is similar to primary progressive MS, but with acute exacerbations imposed on the steadily worsening symptoms. Relapsing-remitting MS is the most common initial presentation, which is characterized by recurrent, clearly defined episodes of symptoms with pe-riods of remission with relapse occurring approximately twice every 3 years.
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When researching different healing traditions, the nurse learns that many of these traditions are based on which premise?
A. The person recovers from what is afflicting them. B. The person becomes more ill and then recovers. C. An outside person must help the person recover. D. Other interventions aid the healing tradition.
A patient with trigeminal neuralgia is prescribed a mechanical soft diet. This diet places the patient at risk for which complication?
1) Dehydration 2) Constipation 3) Hyperglycemia 4) Diarrhea
During the acute CVA phase, there is a risk for falls related to paralysis. The intervention that best protects the patient from injury is:
1. keep the bed in a high position for ease of nursing care. 2. keep the side rails up, according to agency policy. 3. assess vision deficit related to ptosis. 4. monitor the condition every 2 hours.
The nurse is preparing a class for mothers and their partners who have just recently delivered. One topic of the class is infant attachment. Which statement indicates that the class participants understand this concept? (Select all that apply.)
A. "We should avoid holding the baby too much." B. "Looking directly into the baby's eyes might frighten him." C. "Talking to the baby is good because he'll recognize our voices." D. "Holding the baby so we have direct face to face contact is good." E. "We should expect the baby to smile when we talk to him."