Author Question: A client is admitted with the following symptoms: visual changes, muscular weakness, and numbness ... (Read 49 times)

crazycityslicker · **on:** Jun 25, 2018

A client is admitted with the following symptoms: visual changes, muscular weakness, and numbness and tingling in the extremities. Based on these findings, the nurse should suspect the client of having which disease?

1. Amyotrophic lateral sclerosis (AMLS)
2. Multiple sclerosis
3. Guillain-Barr syndrome
4. Myasthenia gravis

Question 2

When planning to discharge a client with MS, the nurse should teach the client to:

1. increase exercises in the afternoon.
2. perform tasks in the morning.
3. take showers or tub baths in hot water.
4. decrease medication as symptoms improve.

TheNamesImani · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. AMLS involves muscle fasciculations and muscle wasting.
2. All of these symptoms are seen with multiple sclerosis.
3. Guillain-Barr symptoms begin in the lower extremities and move upward.
4. Signs of myasthenia gravis include speech, chewing, and motor impairments.

Answer to Question 2

Answer: 2

1. Fatigue is usually worse in the afternoon.
2. Fatigue is usually worse in the afternoon.
3. Hot water can produce vasodilatation, contributing to postural hypotension and increased risk of falls.
4. Medication should be taken on a maintenance basis to decrease incidence of exacerbations.