You have been asked to see D.V. in the neurology clinic. D.V. has been referred by his internist, wh. Question
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You have been asked to see D.V. in the neurology clinic. D.V. has been referred by his internist, who thinks his patient is having symptoms of multiple sclerosis (MS). D.V. is a 25-year-old man who has experienced increasing urinary frequency and urgency over the past 2 months. Because his female partner was treated for a sexually transmitted disease (STD), D.V. also underwent treatment, but the symptoms did not resolve. D.V. has also recently had 2 brief episodes of eye “fuzziness” associated with diplopia and brightness. He has noticed ascending numbness and weakness of the right arm with inability to hold objects over the past few days. Now he reports rapid progression of weakness in his legs.
1. Differentiate between the remission and exacerbation phases of MS.
2. Describe the etiology of MS.
3. Which assessment findings are support the diagnosis of MS?
4. List four common diagnostic tests used for diagnosis of MS. What teaching will be provided for each of these?
5. Describe the medical management for MS. What patient teaching should be provided?
6. What key management concepts should be included in discharge teaching to prevent exacerbations?
Reference:
Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2021). Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care (10th ed., Vol. 1). Elsevier.
SCIENCE
HEALTH SCIENCE
NURSING
MEDSURG 242
You have been asked to see D.V. in the neurology clinic. D.V. has been referred by his internist, wh
