The nurse is providing education to a young female recently diagnosed with multiple sclerosis. Select the common symptoms the nurse should include in the education plan that the patient should report to their health care provider. (Select all that apply)

Diplopia

Fatigue that worsens with heat

Muscle weakness, spasticity, tremors

Orthostatic hypotension

Numbness and tingling

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: Diplopia, or double vision, is a symptom of multiple sclerosis that results from damage to the optic nerve or the brainstem. It can affect one or both eyes, and it can cause difficulty with reading, driving, and other activities that require visual coordination.

Choice B reason: Fatigue that worsens with heat is a symptom of multiple sclerosis that occurs due to the impaired transmission of nerve impulses in the central nervous system. Heat can exacerbate this impairment and make the patient feel more tired, weak, and sluggish.

Choice C reason: Muscle weakness, spasticity, tremors are symptoms of multiple sclerosis that result from damage to the motor pathways in the brain and spinal cord. They can affect the patient's mobility, balance, coordination, and speech.

Choice D reason: Orthostatic hypotension, or a sudden drop in blood pressure when standing up, is not a common symptom of multiple sclerosis. It can be caused by other conditions, such as dehydration, anemia, or heart problems.

Choice E reason: Numbness and tingling are symptoms of multiple sclerosis that result from damage to the sensory pathways in the brain and spinal cord. They can affect any part of the body, but they are more common in the limbs, face, and trunk.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Maintaining pressure to the puncture site and observing for drainage is the priority nursing intervention for a patient who had a lumbar puncture. It helps to prevent bleeding, hematoma, and cerebrospinal fluid leakage, which can cause complications such as infection, headache, or nerve damage.

Choice B reason: Completing a pain assessment and administering an ordered analgesic, as needed, is an important nursing intervention for a patient who had a lumbar puncture, but it is not the priority. Lumbar puncture can cause mild to moderate pain and discomfort at the puncture site, which can be relieved by analgesics, ice packs, or massage.

Choice C reason: Informing the patient they may feel pressure and sharp pain in their lower back for several hours is an important nursing intervention for a patient who had a lumbar puncture, but it is not the priority. Lumbar puncture can cause transient sensations of pressure and pain in the lower back, which can be reduced by lying flat, avoiding sudden movements, and drinking fluids.

Choice D reason: Assessing pulses distal to the lumbar puncture site every two hours is not an appropriate nursing intervention for a patient who had a lumbar puncture. Lumbar puncture does not affect the blood circulation to the lower extremities, unless there is a complication such as hematoma or nerve compression. Therefore, the nurse should monitor the neurological status, vital signs, and signs of infection or bleeding.

A. Patient sways from side-to-side when standing with feet close together. B. Patient's pupils do not respond equally to direct light from a flashlight. C. Patient takes two attempts to touch their nose while their eyes are closed. D. Patient complains of mild dizziness.

Correct Answer is A

Explanation

Choice A reason:Swaying during a Romberg test indicates a positive result, suggesting proprioceptive deficits or sensory ataxia.

Choice B reason:Unequal pupil response to light relates to cranial nerve function, not balance assessed by the Romberg test.

Choice C reason: This is incorrect. Patient taking two attempts to touch their nose while their eyes are closed is a mild impairment of coordination, which may be due to neurologic changes or other factors such as fatigue or medication. This is not a significant finding that requires immediate attention.

Choice D reason: This is incorrect. Patient complaining of mild dizziness is a common symptom of neurologic changes or vestibular dysfunction. It is not a serious finding that requires immediate attention. The nurse should monitor the patient and provide comfort measures.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is providing education to a young female recently diagnosed with multiple sclerosis. Select the common symptoms the nurse should include in the education plan that the patient should report to their health care provider. (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient undergoing a lumbar puncture by the provider. Select the priority nursing intervention the nurse would complete after the procedure.

Correct Answer is A

Explanation

The nurse completes a Romberg's test on a patient with neurologic changes. The nurse will notify the provider if they observe which response?

Correct Answer is A

Explanation

A family member of a patient diagnosed with a hemorrhagic stroke asks if the patient can receive anticoagulant therapy to improve their outcome. The nurse explains that anticoagulant therapy for the patient

The nurse is caring for a 9-year-old undergoing chemotherapy to treat leukemia. Select the priority nursing goal for the child's plan of care.

The nurse assesses a patient who potentially may have meningitis. The patient demonstrates a positive Brudzinski's sign with which changes in position.

The nurse is explaining early changes with Parkinson disease to the student nurse. Which statement by the nurse is correct regarding the pathophysiology of the disease?

The nurse completes a focused assessment and history of a patient who is scheduled for magnetic resonance imaging (MRI). Which data shared by the patient would the nurse need to contact the provider?

The nurse is assisting the neurologist with a lumbar puncture on a patient with possible meningitis. Which post-procedure teaching point is the highest priority for the patient?

A patient had a craniotomy one hour after a motor vehicle accident. The nurse evaluates pupillary response to:

The nurse is caring for a patient with a head injury after a fall from a ladder. The nurse must evaluate the patient for which signs and symptoms of increased intracranial pressure?