A 64-year-old patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. ...

A 64-year-old patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
 
  a. Assist with active range of motion (ROM).
  b. Observe for agitation and paranoia.
  c. Give muscle relaxants as needed to reduce spasms.
  d. Use simple words and phrases to explain procedures.

Question 2

Which medication taken by a patient with restless legs syndrome should the nurse discuss with the patient?
 
  a. Multivitamin (Stresstabs)
  b. Acetaminophen (Tylenol)
  c. Ibuprofen (Motrin, Advil)
  d. Diphenhydramine (Benadryl)

Question 3

Which action will the nurse plan to take for a 40-year-old patient with multiple sclerosis (MS) who has urinary retention caused by a flaccid bladder?
 
  a. Decrease the patient's evening fluid intake.
  b. Teach the patient how to use the Cred method.
  c. Suggest the use of adult incontinence briefs for nighttime only.
  d. Assist the patient to the commode every 2 hours during the day.

Question 4

A 73-year-old patient with Parkinson's disease has a nursing diagnosis of impaired physical mobility related to bradykinesia. Which action will the nurse include in the plan of care?
 
  a. Instruct the patient in activities that can be done while lying or sitting.
  b. Suggest that the patient rock from side to side to initiate leg movement.
  c. Have the patient take small steps in a straight line directly in front of the feet.
  d. Teach the patient to keep the feet in contact with the floor and slide them forward.

Question 5

A 62-year-old patient who has Parkinson's disease is taking bromocriptine (Parlodel). Which information obtained by the nurse may indicate a need for a decrease in the dose?
 
  a. The patient has a chronic dry cough.
  b. The patient has four loose stools in a day.
  c. The patient develops a deep vein thrombosis.
  d. The patient's blood pressure is 92/52 mm Hg.

Question 6

A 49-year-old patient with multiple sclerosis (MS) is to begin treatment with glatiramer acetate (Copaxone). Which information will the nurse include in patient teaching?
 
  a. Recommendation to drink at least 4 L of fluid daily
  b. Need to avoid driving or operating heavy machinery
  c. How to draw up and administer injections of the medication
  d. Use of contraceptive methods other than oral contraceptives

Question 7

Which information about a 60-year-old patient with MS indicates that the nurse should consult with the health care provider before giving the prescribed dose of dalfampridine (Ampyra)?
 
  a. The patient has relapsing-remitting MS.
  b. The patient walks a mile a day for exercise.
  c. The patient complains of pain with neck flexion.
  d. The patient has an increased serum creatinine level.