A client diagnosed with multiple sclerosis has an acute onset of ...

[a0266361136]

A client diagnosed with multiple sclerosis has an acute onset of visual changes, fatigue, and leg weakness. The client states that the last time this happened, recovery occurred in a few weeks.
 
  Which classification of multiple sclerosis is the client experiencing?
  A) Progressive-relapsing
  B) Secondary-progressive
  C) Relapsing-remitting
  D) Primary-progressive

Question 2

A client is undergoing surgery for a fractured hip. The surgeon has expressed that careful attention will be paid to preserving the epiphyseal plate. Which client will require this precaution during surgery?
 
  A) A post-menopausal paraplegic
  B) A 32-year-old competitive body builder
  C) A prepubescent girl who is a vegetarian
  D) An 85-year-old woman with osteoporosis

[janeli1]

Answer to Question 1

Answer: C

There are four classifications of multiple sclerosis. The client has an exacerbation of symptoms and has a history of full recovery. This is classified as relapsing-remitting and is the most common type. Primary-progressive is a steady worsening of the disease with occasional minor recovery. Secondary-progressive begins as relapsing-remitting but the disease becomes worse between exacerbations. Progressive-relapsing is rare, with the disease progressing from the onset with periods of exacerbation.

Answer to Question 2

Answer: C

Epiphyseal plates are unique joints that produce growth of bone length in children. There is an epiphyseal plate which lies between the head and neck of the femur that must be preserved during surgery to obstruct bone growth. All the other clients were older than 18-25 years, when the epiphyseal plate closes.