What is the drug of choice for progressive multiple sclerosis?

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ATI Community Health Nursing Ch 7 Questions

Question 1 of 5

What is the drug of choice for progressive multiple sclerosis?

Correct Answer: A

Rationale: The correct answer is A: Ocrelizumab. It is the drug of choice for progressive multiple sclerosis due to its proven efficacy in reducing disease progression and disability in clinical trials. Ocrelizumab specifically targets B cells, which play a key role in the pathogenesis of multiple sclerosis. Dimethyl fumarate (B) and Teriflunomide (C) are more commonly used for relapsing-remitting multiple sclerosis rather than progressive forms. Fluoroquinolones (D) are antibiotics and have no role in the treatment of multiple sclerosis.

Question 2 of 5

Which sign or reflex is used to diagnose meningitis?

Correct Answer: B

Rationale: The correct answer is B: Brudzinski sign. This sign is used to diagnose meningitis because it involves the involuntary flexion of the hips and knees when the neck is flexed. This reflex is indicative of meningeal irritation and is a classic sign of meningitis. A: Homan's sign is used to assess for deep vein thrombosis, not meningitis. C: Startle reflex is a normal response to a sudden unexpected stimulus, not specific to meningitis. D: Anterior drawer test is used to assess for ligamentous instability in the knee, not related to meningitis.

Question 3 of 5

State whether each of the following statement is true (T) or false (F): I. Epilepsy has a genetic predisposition and can be inherited II. Old age is a risk factor for Parkinson's disease

Correct Answer: A

Rationale: Rationale for Correct Answer (A): I. Epilepsy can have a genetic predisposition, as certain genetic factors can increase the likelihood of developing epilepsy, making statement I true (T). II. Old age is indeed a risk factor for Parkinson's disease, as the incidence of the disease increases with age, making statement II true (T). Therefore, the correct answer is A (TT). Summary of Incorrect Choices: B: FT - This choice is incorrect because both statements I and II are true. C: TF - This choice is incorrect because statement I is true (T) and statement II is also true (T). D: FF - This choice is incorrect because both statements I and II are true.

Question 4 of 5

After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

Correct Answer: A

Rationale: The correct answer is A: Apply warm blankets & continue oxygen as prescribed. Shivering after surgery indicates the patient is cold due to anesthesia effects. Applying warm blankets helps raise body temperature, reducing shivering. Oxygen is crucial post-surgery. Taking rectal temperature or adjusting room temperature is not the priority. Paging the doctor should only be done if the patient's condition worsens.

Question 5 of 5

You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

Correct Answer: B

Rationale: Step-by-step rationale: 1. Conducting the Time Out is typically part of the surgical safety checklist during the actual surgery, not the preoperative checklist. 2. Assessing for allergies is important to prevent adverse reactions during surgery. 3. Ensuring informed consent is signed is crucial for legal and ethical reasons. 4. Ensuring history and physical examination are completed helps in assessing the patient's health status before surgery. Therefore, choice B is not typically part of the preoperative checklist, making it the correct answer.

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