Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders

"It is caused by low levels of dopamine that are not available to counteract the effects of acetylcholine."

A client asks the nurse to explain the development of Parkinson disease (PD). Which response will the nurse provide the client? - "It is a genetic disorder that has a strong corralation to women who began menopause earlier than age 45." - "While there is no average age of onset, studies suggest neurologic aging deficits put clients at risk after age 70." - "It has been linked by untreated or poorly managed bacterial or viral infections in early adolescence." - "It is caused by low levels of dopamine that are not available to counteract the effects of acetylcholine."

Magnetic resonance imaging scan

A client is suspected of having a spinal cord tumor. What diagnostic study would the nurse include in the client teaching? - Positron emission tomography scan - Chest radiology - Magnetic resonance imaging scan - Complete blood count

Increased intracranial pressure

A patient with a brain tumor is complaining of headaches that are worse in the morning. What does the nurse know could be the reason for the morning headaches? - Increased intracranial pressure - Dehydration - Migraines - The tumor is shrinking.

Low bone mass and osteoporosis

Bone density testing will be completed for the client with post-polio syndrome. The nurse teaches the client bone density testing is used to identify what potential complication? - Osteoarthritis - Calcification of long bones - Pathologic fractures - Low bone mass and osteoporosis

Protecting the client from falls

The nurse cares for a client with Huntington disease. What intervention is a priority for safe care? - Protecting the client from falls - Measuring electrolytes - Assessing serum cholesterol - Range-of-motion exercises

Mannitol

The nurse explains to the client with projectile vomiting and severe headache that a medication is being prescribed to reduced edema surrounding the brain and lessen these symptoms. What medication is the nurse preparing to administer? - Mannitol - Temozolomide - Bevacizumab - Everolimus

Client participates in daily hygiene activities with assistive devices.

The nurse identifies a nursing diagnosis of self-care deficit, bathing related to motor impairment and decreased cognitive function for a client with cerebral metastasis. Which outcome would the nurse most likely identify on this client's plan of care? - Client demonstrates positive coping strategies. - Client participates in daily hygiene activities with assistive devices. - Client expresses feelings related to self-care ability. - Client consumes adequate calories to meet energy needs.

Paralysis

Which of the following is a late symptom of spinal cord compression? - Paralysis - Urinary incontinence - Fecal incontinence - Urinary retention

The nurse provides care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the client

Which statement(s) reflect nursing interventions for a client with post-polio syndrome? - The nurse administers antiretroviral agents per order. - The nurse plans patient activities for evening hours rather then morning hours - The nurse must avoid the use of heat applications in the treatment of muscle and joint pain - The nurse provides care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the client