Case Study: Multiple Sclerosis

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Case Study: Multiple Sclerosis

Case Study: Multiple Sclerosis

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Question 1 A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in

A) chest pain

B) fatigue

C) breathing difficulties

D) heart palpitations

Question 2 A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?

A) Green beans

B) Shrimp

C) Eggs

D) Milk

Question 3 A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient’s blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?

A) Small doses of long-acting insulin administered four to five times daily

B) Doses of basal insulin twice daily with regular insulin before each meal

C) Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening

D) Divided doses of intermediate-acting insulin every 2 hours, around the clock

Question 4 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?

A) Vitamin A

B) Vitamin B

C) Vitamin C

D) Vitamin D

Question 5 A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to

A) crush the tablet before swallowing

B) swallow the tablet whole

C) swallow the tablet with milk or food

D) avoid drinking milk for 3 hours after swallowing the tablet

Question 6 A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?

A) Avoid high-fat foods

B) Drink plenty of water every day

C) Take the tablets before bedtime

D) Avoid red meat

Question 7 A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize

A) the need to rotate the injection site of the drug

B) the need to avoid crushing the tablet

C) the need to place the tablet under the tongue

D) the need to use only the thigh muscle for the drug injection site

Question 8 A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for?

A) Hypothermia

B) Hypotension

C) Renal dysfunction

D) Bleeding

Question 9 A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?

A) Liver function tests

B) Blood sugar levels

C) Blood pressure

D) Body temperature

Case Study: Multiple Sclerosis

Question 10 Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)?

A) Do not walk or drive after taking the drug

B) Discontinue the use of alcohol

C) Learn to self-administer the drug

D) Take a laxative when needed

Question 11 A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse’s immediate attention?

A) Decreased libido

B) Increased blood glucose

C) Dry eyes

D) Jittery feeling

Question 12 A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed.Before the drug therapy is started, the nurse will assess for which of the following?

A) History of taking anticoagulant drugs

B) Allergy to seafood

C) Hirsutism

D) The patient’s age

Question 13 A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin?

A) Rotate injection sites by using the arm one day, the stomach the next day, and the thigh the day after and then repeating the cycle

B) Select one injection site for regular insulin injections and use it exclusively

C) Administer the medication 30 to 60 minutes after a meal

D) Select one anatomic area for regular insulin injections and then use serial locations within that area.

Question 14 A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor which of the following?

A) Prothrombin time and partial thromboplastin time

B) Urine specific gravity

C) Alanine aminotransferase and total bilirubin levels

D) Follicle-stimulating hormone levels

Question 15 The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout.What is the primary purpose of this drug?

A) To balance urate concentration and prevent gout attacks

B) To promote the remodeling of damaged synovium

C) To potentiate the metabolism of dietary purines

D) To achieve pain relief in joints affected by gout

Question 16 A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?

A) Dietary habits

B) Work environment

C) Typical daily fluid intake

D) Ethnicity

Question 17 During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following?

A) The patient’s environment

B) The patient’s diet

C) The condition of the patient’s skin

D) The condition of the patient’s nasal passages

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Case Study: Multiple Sclerosis

Case Study: Multiple Sclerosis

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