A client diagnosed with multiple sclerosis is admitted with an acute onset of visual changes, fatigue, and leg weakness
The client tells the nurse that the last time this happened, recovery occurred in a few weeks and the client was able to return to work. The nurse realizes the client is experiencing which classification of multiple sclerosis? 1. Primary progressive
2. Relapsing-remitting
3. Secondary progressive
4. Progressive-relapsing
2. Relapsing-remitting
Rationale:
There are four classifications of multiple sclerosis. The client is admitted with an exacerbation of symptoms and has a history of full recovery. This is classified as relapsing-remitting and is the most common type. Primary progressive is a steady worsening of the disease with occasional minor recovery. Secondary progressive begins as relapsing-remitting but the disease becomes worse between exacerbations. Progressive-relapsing is rare, with the disease progressing from the onset with periods of exacerbation.
You might also like to view...
The parents of a 4-year-old express concern that the child is wearing the same size clothing as she did last year. What action by the nurse is most appropriate?
a. Weigh and measure the child and compare with last visit. b. Reassure parents that their child is growing normally. c. Assess the child's eating and activity patterns. d. Encourage the parents to provide the child a multivitamin.
Which health care situations reflect the philosophy of quality management as designed by Deming? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A nurse asks visitors to leave because it is after visiting hours. 2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from NPO status. 3. A nurse tells the manager that a housekeeper's work is not up to standards. 4. A nurse volunteers to take a Spanish language class to be able to communicate with clients. 5. A nurse who has not made a medication error in two years asks for a salary increase.
The hospital chief operating officer holds monthly focus groups with the purpose of gaining ideas and insights from nursing administration and staff nurses. Which type of communication does this indicate?
1. Lateral communication 2. Downward communication 3. Diagonal communication 4. Grapevine communication
A 32-year-old woman comes to the emergency department after being raped. Her language and behavior are disorganized, and it is difficult to understand her. Her pulse is 120 beats per minute, and her respiratory rate is 20 breaths per minute
She keeps saying, "He wore a ski mask," over and over in a loud voice. Which of the following is the best stress-related nursing diagnosis for the client at this time? 1. Defensive coping 2. Ineffective coping 3. Ineffective denial 4. Situational low self-esteem