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Quiz

Module 13.4: Multiple Sclerosis

Olivia McRitchie 19 perguntas

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Perguntas do quiz (19)

  1. 1You have a patient newly diagnosed with multiple sclerosis. Select the statements made by the patient that shows that she understands teaching about this disorder.
    1. A"This disease is considered 'immune-mediated' because there is an immune response against the myelin sheath on my axons."
    2. B"My exposure to malaria as a child triggered this immune response."
    3. C"Even though the disease has a genetic component, the risk of my kids developing it is only 3-5%."
    4. D"Part of the reason I developed this disease was because I lived in Africa until I was 16."
    5. E"MS is a disease of exacerbation and remission. I will know if I am having an exacerbation because it will last 24 hours and be 30 or more days away from the last exacerbation."
    6. F"I should go to a therapist to get my anxiety under control, because stress and fatigue can cause an exacerbation."
  2. 2Which of the following should you teach an MS patient to avoid due to the risk of disease exacerbation?
    1. AExercising in the heat.
    2. BAlcohol consumption.
    3. CPotential allergy triggers (i.e.: pollen, rag weed).
    4. DCNS depressing medications, such as morphine.
  3. 3Select the 3 criteria patients need to be diagnosed with MS.
    1. ALesions in at least 2 separate areas of the CNS.
    2. BEvidence that the 2 areas of damage occurred at least 1 month apart.
    3. CNo other diagnoses fit.
    4. DA lumbar puncture positive for IgG
    5. ESlowed nerve conduction on an evoked potential test.
    6. FBlood test positive for C-reactive proteins.
  4. 4What would an MRI detect in a patient with MS?
    1. ALesions in the central nervous system.
    2. BPresence of immunoglobulins, oligoclonal bands, and myelin breakdown.
    3. CSlowing of electrical conduction.
    4. DDemyelination of the nerves.
  5. 5Which of the following would you NOT find in the cerebrospinal fluid of a patient with MS?
    1. AElevated immunoglobulins.
    2. BOligoclonal bands.
    3. CMyelin breakdown products.
    4. DPus.
  6. 6Which test measures the electrical activity of the brain in response to stimulation of sensory nerve pathways?
    1. AEvoked potential tests.
    2. BElectroencephalogram.
    3. CMRI.
    4. DCT.
  7. 7Drag and drop the correct drug to the descriptions given.

    -[blank_start]Baclofen (Lioresal)[blank_end]: Given to reduce spasticity.

    -[blank_start]Glatiramer acetate (Copaxone)[blank_end]: Blocks immune system's attack on myelin.

    -[blank_start]Dimethyl fumarate (Tecfidera)[blank_end]: Inhibits immune cells and has antioxidant properties that protect nerves from damage.

    -[blank_start]Beta interferons[blank_end]: Reduce the number of inflammatory cells that cross the blood-brain barrier, which leads to a reduction of neuronal inflammation. These drugs may slow the progression of disease and decrease severity of attacks.

    -[blank_start]Teriflunomide (Aubagio)[blank_end]: A pyrimidine synthesis inhibitor that inhibits function of lymphocytes.

    -[blank_start]Natalizumab (Tysabri)[blank_end]: Interferes with movement of immune cells across the blood-brain barrier. Used only when patients cannot tolerate any other treatments.

    -[blank_start]Mitoxantrone (Novantrone)[blank_end]: An immunosuppressor that is only used to treat advanced MS.

    -[blank_start]Fingolimod (Gilenya)[blank_end]: Traps immune cells in the lymph nodes, which makes them unable to access the CNS.
    1. ABaclofen (Lioresal)
    2. BGlatiramer acetate (Copaxone)
    3. CDimethyl fumarate (Tecfidera)
    4. DBeta interferons
    5. ETeriflunomide (Aubagio)
    6. FNatalizumab (Tysabri)
    7. GMitoxantrone (Novantrone)
    8. HFingolimod (Gilenya)
  8. 8What are the nursing responsibilities for a patient taking a beta interferon drug (Avonex, Betaseron, Extavia, Rebif)?
    1. AAssessing liver function and CBC for baseline parameters.
    2. BAssessing liver function and CBC every 3 months.
    3. CAssessing the injection site.
    4. DMonitoring for changes in patient's condition and function.
    5. EAssessing for flushing, chest pain, or heart palpitations.
    6. FAssessing for bradycardia, diarrhea, cough, and headache.
    7. GAssess cognitive status.
  9. 9Which of the following drugs can cause flushing, chest pain, and heart palpitations?
    1. ABeta interferons
    2. BGlatiramer acetate (Copaxone)
    3. CFingolimod (Gilenya)
    4. DMitoxantrone (Novantrone)
  10. 10Which of the following drugs can cause bradycardia, diarrhea, cough, and headache?
    1. ADimethyl fumarate (Tecfidera)
    2. BBaclofen (Lioresal)
    3. CNatalizumab (Tysabri)
    4. DFingolimod (Gilenya)

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NCLEX Nursing (Medical-Surgical) Quiz sobre Module 13.4: Multiple Sclerosis, criado por Olivia McRitchie em 19-11-2018.
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