Neuro_LG_Answers - Learning Guide for Chronic Neurologic...

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Learning Guide for Chronic Neurologic Disorders Match the chronic neurologic disorders with their pathophysiology descriptions. __3__ a. Multiple Sclerosis (MS) 1. Degeneration of motor neurons in brainstem and spinal cord __5__ b. Parkinson’s Disease 2. Deficiency of acetylcholine and GABA in basal ganglia and extrapyramidal system __4__ c. Myasthenia Gravis 3. Immune-mediated inflammatory destruction of myelin and replacement with glial scar tissue __2__ d. Huntington’s Disease 4. Autoimmune antibody destruction of cholinergic receptors at the neuromuscular junction __1__ e. Amyotrophic Lateral Sclerosis (AMS) 5. Degeneration of dopamine-producing neurons in substantia nigra of midbrain and basal ganglia A 38-year-old woman has newly diagnosed MS and asks the nurse what is going to happen to her. The best response by the nurse is, You need to plan for a continuous loss of movement, sensory functions, and mental capabilities.” Most people with MS have periods of attacks and remissions, with progressively more nerve damage over time.” You will most likely have a steady course of chronic progressive nerve damage that will change your personality.” It is common for people with MS to have an acute attack of weakness and then not have any other symptoms for years.” During assessment of a patient admitted to the hospital with an acute exacerbation of MS, the nurse would expect to find Tremors, dysphasia, ptosis
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Bowel and bladder incontinence and loss of memory Motor impairment, visual disturbances, and paresthesias Excessive involuntary movements, hearing loss, and ataxia The nurse explains to a patient newly diagnosed with MS that the diagnosis is made primarily by MRI findings T-cell analysis of the blood Analysis of CSF History and clinical manifestations (only these finding estabilish a dx of MS) A patient with MS has a nursing diagnosis of self-care deficit related to muscle spasticity and neuromuscular deficits. In proving care for the patient, it is most important for the nurse to
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Neuro_LG_Answers - Learning Guide for Chronic Neurologic...

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