Interventions 1
hot baths would be contraindicated to prevent the patient with MS from experiencing what?
what is uhtoffs sign
a patient presents to the ER with an exacerbation of MS. The pt is experiencing: fatigue for 2 days, diplopia, hypertension, ataxia, dyesthesias. Which of the following symptoms would the nurse know are relative to MS.
the nurse is preparing to administer dimethyl fumarate to a patient diagnosed with MS, the nurse understands what expected outcome with this medication?
what is reduce the frequency and duration of relapses and the number/size of plaques
the nurse understands that doing a lumbar puncture in the patient with suspected MS is testing for what?
what is oligoclonal bands in the CSF (present in an abnormal immune response)
when preparing to initiate self catheter education, the nurse knows to educate the patient that this procedure is done in which way?
what is clean technique
what are some things that the nurse might expect to educate the patient with MS on to prevent Uhtoff's Sign?
what is
- stay inside on hot days
- avoid hot baths
- wear ice packs or evaporative clothing
- use battery powered fans outside
- avoid hot spicy foods
- hydrotherapy exercise in cool water
which of the following signs and symptoms does the nurse know is indicative of Lhermitte's Sign?
A. sudden shock sensation from the back of the neck in to the spine
B. patient closes their eyes and they begin to sway
C. worsening of neuro symptoms following being outside on a hot summer day
D. patient holds arms out and fingers and hands move involuntarily
which class of medication is used to treat spasticity and ataxia in patients with MS
the name of the skeletal muscle relaxant used to treat muscle stiffness and spasticity?
what is Baclofen
even though hot baths are contraindicated, the nurse knows it is still appropriate to use warm packs on the patient. T/F
what is Fall Precautions
Relapses of MS are associated with which 2 events?
what is emotional and physical stress
Tizanidine, Dantrolene, Oxybutynin, and Bethanechol belong to which group of medication and what does it do in patients with MS?
what is antispasmodics and they treat spasticity and bowel/bladder dysfunction
during the education of self catheterization, the nurse knows to instruct the patient to perform this procedure how often while they are awake?
what is q3-4 hours
the patient hospitalized with an exacerbation of MS expresses to the nurse that their family member is on their way with lunch. once the family member arrives, the nurse observes the following food in the room: celery and ranch, chocolate chip cookie, french fries, and buffalo wings from wing stop. what is the priority action by the nurse?
what is explain to the patient the impact spicy foods can have on people diagnosed with MS
what would the nurses priority intervention be prior to feeding a patient with MS?
the nurse would expect a patient experiencing a relapse of MS to present with a set of new symptoms than they did with their prior relapse? T/F
what is T
immunosuppressive drug to treat relapses of MS and shorten the duration time?
what is IV Methylprednisolone
which of the following signs and symptoms does the nurse know is indicative of Uhtoff's Sign?
A. sudden shock sensation from the back of the neck in to the spine
B. patient closes their eyes and they begin to sway
C. worsening of neuro symptoms following being outside on a hot summer day
D. patient holds arms out and fingers and hands move involuntarily
what is C
what is aspiration
label the following interventions as indicated, contraindicated, or nonessential
- assist the patient with progressive weight baring exercises
- assist the patient to a hot bath to relax muscles
- wash the patients catheter with warm water every other day
- place a heavy bracelet on the patient
- check the patients CBC labs once a shift
what is
- indicated
- contraindicated
- contraindicated
- indicated
- nonessential
what is self catheterization
which class of medication does Mitoxantrone belong to?
what is Disease Modifying Agents
which medications would the nurse expect the patient being discharged from a relapse of MS to be prescribed to take even after the exacerbation subsides? SATA
A. Fingolimod
B. Methylprednisolone
C. Baclofen
D. Glarimaer Acetate
E. Teriflunomide
what is A, D, E