A home health nurse visits a stage 4 Alzheimer disease patient who lives at home with a spouse. In order to meet the needs of the spouse, what should the nurse suggest?
1. finding respite care to come into the home several days a week
2. making arrangements for the patient to visit the local senior citizens' center in the afternoon
3. providing the patient a list of daily activities to complete
4. finding placement in a long-term care facility
Question 2A 30-year-old nurse who works on a busy medicalsurgical unit has been diagnosed with multiple sclerosis (MS). What should the nurse identify as a priority for self-care?
1. Apply for nursing positions that are less stressful and demanding.
2. Work as hard as possible now because it may not be possible later.
3. Continue to work as scheduled without making changes.
4. Leave employment as a nurse due to the need for complete bed rest.
Question 3The nurse is assessing a patient with myasthenia gravis. Which are characteristics of this disease?
Select all that apply.
1. Routine exercise provides an improvement in muscle strength.
2. Visual problems may be an early symptom.
3. There may be difficulty swallowing.
4. Great improvement occurs in muscle strength with physical therapy.
5. There may be poor articulation in speaking.
Question 4The nurse is reviewing medication orders for a patient with multiple sclerosis (MS). What medication should the nurse expect to be prescribed for this patient?
1. adrenocorticotropic hormone (ACTH)
2. meperidine (Demerol)
3. monoamine oxidase (MAO) inhibitors
4. rivastigmine tartrate (Exelon)
Question 5A test that is used to diagnose myasthenia gravis (MG) is ordered by the physician. Because the test involves an injection of a drug that makes muscle strength improve for about five minutes, the nurse realizes that this test most likely is:
1. the Tensilon test.
2. a computed tomography (CT) scan of the legs.
3. a nerve stimulation study.
4. analysis of antiacetylcholine receptor antibodies.
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