Pharmacology for Nursing Care, 7th Edition by Richard A. Lehne
Pharmacology for Nursing Care, 7th Edition by Richard A. Lehne
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Chapter 23: Drugs for Multiple Sclerosis
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| a. | Myelin sheath |
| b. | Dendrite |
| c. | Cell body |
| d. | Nucleus |
ANS: A
Multiple sclerosis is a chronic, inflammatory, autoimmune disorder that damages the myelin sheath of neurons in the central nervous system.
Multiple sclerosis does not damage the dendrite, cell body, or nucleus.
DIF: Cognitive Level: Comprehension REF: p. 206
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
| a. | “Are you experiencing any gastrointestinal upset or diarrhea?” |
| b. | “Do you have a headache, chills, or muscle aches?” |
| c. | “Are you having any swelling in your legs or shortness of breath?” |
| d. | “Do you have or have you experienced any ringing in your ears?” |
ANS: B
Assessment of the patient should include assessing for flulike symptoms, which often are adverse effects associated with interferon beta-1a.
Interferon beta-1a does not have the adverse effect of gastrointestinal symptoms.
Swelling in the legs and shortness of breath may indicate cardiotoxicity, which is seen most often with mitoxantrone, not interferon beta-1a.
Tinnitus is not an adverse effect of interferon beta-1a.
DIF: Cognitive Level: Analysis REF: p. 210
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | Explain to the patient that the symptoms occur with some patients and will pass within 15 to 20 minutes. |
| b. | Prepare to administer epinephrine, because the patient is experiencing the onset of anaphylaxis. |
| c. | Prepare the crash cart. |
| d. | Elevate the head of the bed, apply oxygen, and maintain the airway. |
ANS: A
About 10% of patients who receive glatiramer experience self-limited, postinjection reactions, characterized by flushing, palpitations, severe chest pain, anxiety, laryngeal constriction, and urticaria. The reaction typically does not last longer than 15 to 20 minutes, but the patient should be monitored.
The symptoms described are expected and do not indicate anaphylaxis, therefore epinephrine should not be administered.
The symptoms do not indicate an emergency situation, therefore the crash cart is not needed.
The symptoms do not indicate anaphylaxis, therefore no treatment is required at this time.
NCLEX Client Needs Category:
DIF: Cognitive Level: Application REF: p. 211
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential
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