Practice Question
The nurse is assessing a patient with Multiple Sclerosis and notes the lower extremities of a patient have increased tone and resistance. How would the nurse document the finding?
Answer Choices:
Correct Answer:
Spasticity
Rationale:
🦵In Multiple Sclerosis, demyelination of central motor pathways (corticospinal tracts) causes upper motor neuron (UMN) signs, notably spasticity—increased tone and velocity-dependent resistance.
🦵Spasticity reflects loss of descending inhibitory control, leading to hyperexcitable stretch reflexes, clonus, and hyperreflexia in affected limbs.
🦵Clinically it manifests as stiffness, scissoring gait, and difficulty with rapid alternating movements, impacting mobility and safety.
🦵Management may include physical therapy, stretching, baclofen/tizanidine, and in refractory cases intrathecal baclofen or botulinum toxin.
🦵Accurate documentation of tone grade and functional impact informs rehabilitation goals and treatment response over time.
Want to practice more questions like this?
This question is from ☑️ NR412-EXAM4 which contains 50 questions.
More Questions from This Exam
What process helps cancer cells invade and spread to other parts of the body?
Answer Choices:
What initiates the process of angiogenesis (development of new blood vessels)?
Answer Choices:
A patient presents to the emergency room after being found on the ground at home. The nurse assesses the patient's pupil response and finds them to be fixed and dilated. The nurse knows this is caused by what mechanism?
Answer Choices:
A nurse is assessing a client with Parkinson's disease. Which of the following findings are characteristic extrapyramidal symptoms associated with this condition?
Answer Choices:
A nurse caring for a patient with progressive cancer notes that the patient has experienced significant loss of skeletal muscle and fat. Which of the following does the nurse document?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pathophysiology
- Answer Choices: 4