Welcome to your MSII Muscular Disorders
A 48-year-old female with amyotrophic lateral sclerosis (ALS) is experiencing progressive weakness and respiratory compromise. The healthcare provider discusses the option of non-invasive positive pressure ventilation (NIPPV). What is the primary goal of NIPPV in the management of ALS?
A 55-year-old male is diagnosed with amyotrophic lateral sclerosis (ALS) and is experiencing difficulty swallowing. The nurse is planning care to address this symptom. Which intervention should be prioritized in the plan of care for this patient?
A 30-year-old female with multiple sclerosis is scheduled for physical therapy to address mobility issues. The patient experiences heat sensitivity. What precautions should the nurse recommend to enhance the effectiveness of physical therapy for this patient?
A 60-year-old male with amyotrophic lateral sclerosis (ALS) expresses concerns about losing independence with advancing weakness. What nursing intervention is most appropriate to address the patient's emotional needs?
A 50-year-old male with amyotrophic lateral sclerosis (ALS) is prescribed riluzole. The patient asks the nurse about the purpose of this medication. What information should the nurse provide regarding the use of riluzole in ALS?
A 50-year-old male with myasthenia gravis is prescribed neostigmine (Prostigmin). The nurse educates the patient about the importance of taking the medication as prescribed. What information should be included in the teaching?
A 45-year-old male patient with a diagnosis of multiple sclerosis (MS) is scheduled for a lumbar puncture. The patient expresses anxiety about the procedure. Which nursing action is most appropriate to alleviate the patient's anxiety?
A 40-year-old female with secondary progressive multiple sclerosis (SPMS) is admitted to the hospital with severe fatigue and muscle weakness. The healthcare provider prescribes modafinil (Provigil). What is the expected therapeutic effect of modafinil in this patient?
A 40-year-old female with myasthenia gravis is admitted to the medical-surgical unit with exacerbation of symptoms, including difficulty swallowing and weakness. The healthcare provider prescribes pyridostigmine (Mestinon). What nursing intervention should the nurse prioritize when administering this medication?
A 30-year-old female with myasthenia gravis is receiving intravenous immunoglobulin (IVIG) therapy. The nurse monitors the patient for adverse effects. Which finding requires immediate intervention during IVIG administration?
A 55-year-old male with myasthenia gravis is scheduled for a thymectomy. What preoperative teaching should the nurse provide to this patient?
A 68-year-old female with Parkinson's disease is prescribed selegiline (Eldepryl). The nurse provides education about dietary restrictions while taking this medication. Which food should the patient avoid due to potential interactions with selegiline?
A 45-year-old male with myasthenia gravis is prescribed prednisone as part of the treatment plan. The nurse provides education about potential side effects. Which instruction is essential for the patient to minimize the risk of complications?
A 72-year-old male with Parkinson's disease is prescribed pramipexole (Mirapex) to manage motor symptoms. The nurse assesses the patient for potential adverse effects. Which manifestation should be reported to the healthcare provider immediately?
A 28-year-old female patient with multiple sclerosis (MS) is prescribed interferon beta-1a (Avonex). What information should the nurse include in the patient education regarding this medication?
A 60-year-old male with Parkinson's disease is admitted to the hospital for elective surgery. The nurse is aware that an abrupt withdrawal of anti-Parkinsonian medications can lead to a life-threatening condition. Which condition is associated with the sudden discontinuation of levodopa?
A 32-year-old female patient with a history of multiple sclerosis (MS) is admitted to the medical-surgical unit with exacerbation of symptoms. The nurse notes the presence of dysphagia. Which intervention should the nurse prioritize in the plan of care?
A 65-year-old male with Parkinson's disease is prescribed levodopa-carbidopa (Sinemet). The nurse instructs the patient to take the medication on an empty stomach. What is the rationale for this instruction?
A 70-year-old female with Parkinson's disease is experiencing "wearing-off" phenomenon despite optimal levodopa-carbidopa dosing. What nursing intervention should be implemented to address this issue?
A 38-year-old female with myasthenia gravis is experiencing a myasthenic crisis and is admitted to the intensive care unit. What nursing interventions should be prioritized during the management of a myasthenic crisis?
A 75-year-old male with Parkinson's disease is experiencing significant tremors that interfere with daily activities. The healthcare provider prescribes botulinum toxin injections. What is the primary goal of administering botulinum toxin in this patient?
