You patient is newly diagnosed with multiple sclerosis (MS). What basic information should you provide to the patient?
A) It is a progressive demylinating disease of the nervous system.
B) It usually occurs more frequently in men.
C) It has an acute onset.
D) It is caused by a bacterial infection.
Ans: A
Feedback: Multiple sclerosis is a chronic, degenerative progressive disease of the central nervous system, characterized by the occurrence of small patches of demyelination in the brain and spinal cord. The cause of MS is not known, and the disease affects twice as many women as men.
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A mother asks why her 6-year-old requires a daily dose of digoxin that is twice that of an adult. The nurse explains that the larger dose is necessary because of which characteristics of children?
a. Greater resistance to medications b. Variations in development of drug receptors c. A slower metabolic rate than adults d. More total body water, which dilutes the drug
A nurse is caring for a client who has been diagnosed with a multifactorial disease. Which of the following best describes the client's diagnosis?
a. Measles b. Hepatitis B c. Eczema d. Type I diabetes
An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to the emergency department, the client was given sedation for pain before a surgical permit was signed. What should be done to obtain consent?
1. The physician should have the client's wife sign the consent form. 2. The physician should wait until the effects of the medication wear off and have the client sign the form. 3. Because the client has been medicated, the nurse should thoroughly explain the consent form to the client. 4. This would be considered an emergency situation and consent would be implied.
The client complains to the nurse about the noise at the nurse's station at night. The nurse's best response is:
a. "I appreciate your reporting this to me." b. "Thank you for contributing this information." c. "What do you want me to do about this?" d. "Are you saying that you are unable to rest at night because of the noise?"