A patient comes to the clinic with complaints of blurred vision ...

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A patient comes to the clinic with complaints of blurred vision and muscle spasms that come and go, which have been occurring over the past several months.
 
  The patient is scheduled for an MRI and lumbar puncture with examination of the CSF. Which important patient history information is important for the nurse to note?
 
  Select all that apply.
  1. The patient is a 22-year-old woman from Canada.
  2. The patient is Caucasian and lives in the United States.
  3. The patient has a family history of epilepsy.
  4. The patient has been depressed.
  5. The patient's father had Parkinson disease.

Question 2

A patient's spouse states, I've noticed that my spouse doesn't sleep well anymore and sometimes can't find the right words. What is the most appropriate response by the nurse?
 
  1. How long have you noticed these changes?
  2. Does anyone in your family have Alzheimer disease?
  3. These are common changes associated with age.
  4. Do you think your spouse is depressed?

[Qarqy]

Answer to Question 1

Correct Answer: 1, 2
Women are affected by MS two times more often than men. Onset is typically between the ages of 20 and 40. High rates of multiple sclerosis occur in regions of northern Europe, the United States, and Canada. Family history of epilepsy, Parkinson disease, and depression are important items of the patient's history but do not support a diagnosis of MS.

Answer to Question 2

Correct Answer: 1
Many older adults experience mild problems with memory, but do not have AD. Careful evaluation of the older adult is done in order to avoid misdiagnosing dementia in these cases. Family history is important to note, but a diagnosis of Alzheimer disease is made by eliminating all physiological factors first. Assuming these are age-related changes is inappropriate. Although depression is underdiagnosed in the elderly patient and is sometimes mistaken for Alzheimer disease, a thorough evaluation must be made before making a diagnosis.

[a0266361136]

Correct answers!

[Qarqy]

Great! Please up vote