A patient with multiple sclerosis develops increased leg weakness during a febrile urinary infection, but the weakness improves after the fever is treated. How should the nurse interpret this change?
Correct answer: A. A temporary worsening related to infection
- A. A temporary worsening related to infection
- B. A definite permanent spinal cord lesion
- C. A new bacterial infection of the meninges
- D. A typical adverse effect of levodopa therapy
Explanation
Infection and fever can temporarily worsen existing multiple sclerosis symptoms without representing a new demyelinating relapse. Permanent spinal cord injury, meningitis and levodopa adverse effects do not explain this pattern.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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