Exam 9 chp 23 & 24

Which symptoms would validate the diagnosis of a cluster headache? (Select all that apply) a. a runny nose b. photophobia c. phonophobia d. burning sensation in the eye e. tearing of the affected eye

a, d, e

A patient presenting with numbness and tingling of the hands and feet, muscle pain, and weakness in the legs would be evaluated for: a. multiple sclerosis b. Guillain barre syndrome c. Parkinson disease d. myasthenia gravis

b. Guillain barre syndrome

A 21-year-old man complains of a sudden onset of fever, severe headache, and stiffness of the neck. You note a petechial rash over the chest and extremities. Which nursing action(s) would be appropriate? (select all that apply) a. institute standard precautions and droplet precautions b. administer antibiotics as prescribed c. maintain a quiet and dimly lit patient room d. encourage active range-of-motion exercises e. administer narcotic analgesic for headache and neck pain

.a

Which are true regarding a stroke? (select all that apply) a. timing of treatment is important b. a fibrinolytic drug will be given c. clinical signs and symptoms determine if the stroke ischemic or hemorrhagic d. a CT scan should be done within 20 minutes of arrival at the hospital e. it may occur as a complication of atrial fibrillation

a, b, e?

A nurse is collecting data from a client who has Bell's palsy. Which of the following findings should the nurse ecpect? (select all that apply) a. miuscle distortion b. dropping eyelid to the affected side c. hearing loss d. facial twitching e. impaired mentation

a, b

The nurse has given medication instructions to the client receiving phenytoin. The nurse determines that the client understands the instructions if the client makes which comments? (select all that apply) a. I should not suddenly stop taking this medication b. Alcohol is not contraindicated while taking this medication c. Good oral hygiene is needed, including brushing and flossing d. The medication dose may be self-adjusted, depending on side effects e. The morning dose of the medication should be taken before a sample for a serum drug level is drawn

a, b

A client with new onset migraine headaches is being seen in the clinic. The client has a history of hypotension and diabetes mellitus. The nurse understands the client is at risk for cardiac side effects if the primary health care provider prescribes which medications? (Select all that apply) a. verapamil b. propranolol c. sumatriptan d. topiramate e. divalproex

a, b, c

Treatment for Bell's palsy include which of the following? (select all that apply) a. artifical tear eye drops b. patching the affected eye c. acyclovir d. NSAIDs

a, b, c

The nurse has given suggestions to the client with trigeminal neuralgia about strategies to minimize episodes of pain. The nurse determines that the client needs further teaching if the client made which statement? a. I will wash my face with cotton pads b. I'll have to start chewing on the unaffected side c. I should rinse my mouth if tooth brushing is painful d. I will try to eat my food either very warm or very cold

d. I will try to eat my food either very warm or very cold

The nurse is caring for a patient with Huntington Disease. The nurse knows that this disease may affect future children of the patient because: a. this disease does not have a genetic component b. male children will have huntington disease and female children will not c. huntington disease is cause by an autoimmune response d. approximately 50% of future children will inherit this disease

d. approximately 50% of future children will inherit this disease

Injury is a possible problem statement for patients with RLS. Which nursing interventions would help prevent injury? (select all that apply) a. educate the patient about daytime drowsiness, possibly severe, that may occur with the treatment for RLS. the patient should not drive or operate machinery until reaction to treatment is determined b. apply leg braces for the patient at night c. advise the patient to rise slowly to a standing position from a sitting or lying position d. use a two-wheeled walker for balance e. remove throw rugs from the environment

a, c

The nurse reinforces the information given by the physician that endarterectomy as an intervention for stroke prevention is reserved for people who have carotid obstruction of greater than what percentage? a. 30 b. 40 c. 50 d. 60

d. 60

A nursing student is collecting data on a client recently diagnosed with meningitis. The student expects to note which signs and symptoms? (select all that apply) a. diarrhea b. tinnitus c. tachycardia d. photophobia e. red, macular rash f. positive kernig's sign

c, d, e, f

A nurse is caring for a client who is unconscious following a stroke. Which of the following interventions is of highest priority? a. perform passive range of motion on each extremity b. monitor the client's electrolyte levels c. suction saliva from the client's mouth d. record the client's intake and output

c. suction saliva from the client's mouth

You determine that the appropriate problem statement for a patient with status epilepticus is potential for injury due to seizure activity. An appropriate expected outcome would be: a. everyone will stay calm during the episodes b. the caregiver will stay with the patient during the episodes c. the patient will be free from any injuries associated with the seizures d. standing orders will be obtained to medicate acute seizure episodes

c. the patient will be free from any injuries associated with the seizures

A patient is admitted for progressive muscle weakness in the lower extremities. The patient complains of tingling and numbness in the hands. The patient recovered from the flu a week ago. Which interventions should be anticipated in the care of this patient? (select all that apply) a. medication for pain and discomfort b. immediate need for physical therapy exercise c. possible need for ventilatory assistance d. need for airway suctioning e. administration of muscle relaxants f. seizure precautions

a, c, d

The nurse understands that which of the following are possible complications of brain tumors? (select all that apply) a. diabetes mellitus b. intracerebral hemorrhage c. seizures d. hydrocephalus

b, c, d

The triad of parkinson disease is? a. tremor, bradycardia, rigidity b. tremor, bradykinesia, paresthesia c. tremor, bradycardia, rigidity d. tremor, bradykinesia, rigidity

d. tremor, bradykinesia, rigidity

The nurse is educating the family of a patient in the late stages of ALS. Which information is most important for the nurse to include? a. ability to move the upper limbs may be effected b. cognitive and mental capacities will most likely remain intact throughout the diasease pregression c. breathing should not be affected by the disease d. ability to swallow will remain intact

b. cognitive and mental capacities will most likely remain intact throughout the diasease pregression

A patient with PD has been taking carbidopa-levodopa for 3 months and is being seen for follow-up. You would expect to observe which of the following? (select all that apply) a. dark urine b. bradykinesia c. weight maintained d. rigidity e. walking without assistance

a, c, e

Nursing care of a patient who just had a seizure includes which nursing intervention(s)? (select all that apply) a. assess for injuries b. check the glucose level c. reassure and reorient the patient d. provide uninterrupted periods of sleep and rest e. provide a 24-hour sitter

a, b, c, d,

The nurse is preparing for the admission of a client with a prescription for seizure precautions. Which supplies will the nurse make available to this client? (select all that apply) a. oxygen b. suction machine c. prescribed diazepam d. prescribed divalproex e. arm and leg restraints f. padding for the side rails

a, b, c, f

A client arrives at the clinic complaining of a severe headache. The client states "It's a 10/10 headache. I took 600 mg of ibuprofen over the past few hours, and it has not decreased the pain." The nurse suspects that the client is experiencing a migraine but wants to validate the suspicion by asking which questions associated with a migraine? (select all that apply) a. can you describe the pain b. what other symptoms are you experiencing c. have you have any recent injuries to your head d. what did you experience right before the headache began e. do you or a family member have a history of severe headaches

a, b, d, e

Intracranial tumors may be treated by several modes of therapy. What types of therapy are you likely to see? (select all that apply) a. insertion of tiny radioactive particles into the tumor b. high oral doses of iron for 5 days, followed by a selenium infusion c. brain surgery where most or all of the tumor is removed d. chemotherapy through a reservoir that is placed between the scalp and the skull to get past the blood-brain barrier

a, c, d

The nurse is caring for a client recently diagnosed with Parkinson disease (PD). The nurse is assessing the client and knows that PD is characterized by what cardinal signs/symptoms? (Select all that apply) a. tremor b. dry skin c. muscle rigidity d. postural instability e. orthostatic hypertension f. bradykinesia or akinesia

a, c, d, f

A college student is asking the nurse about his grandfather, who just received a diagnosis of Huntington's disease. The student wants to know if he will have the disease too. What should the nurse tell the student? (select all that apply) a. huntingon's disease does not skip a generation b. huntington's disease affects men more than women c. huntington's disease is a treatable disease d. huntingon's disease ia an autosomal dominant disease

a, d

The nurse is reviewing the record of a client with a suspected diagnosis of Huntington's disease. Which documented symptoms support this diagnosis? (select all that apply) a. vertigo b. confusion c. flat affect d. balance and coordination problems e. difficulty remembering new information

a, d

WHich assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke? a. a blood pressure of 220/120 b. a blood glucose level of 480 c. the presence of bronchogenic carcinoma d. a right-sided carotid bruit

a. a blood pressure of 220/120

The nurse is ambulating a client with a known seizure disorder. The clients says, "I'm seeing those flashing light again" then loses consciousness and develops a clonic-tonic seizure. Which would be the nurse's initial action? a. assist the client to the floor b. administer a dose of phenytoin c. stat page the primary health care provider d. insert an oral airway into the client's mouth

a. assist the client to the floor

The nurse is caring for a male client diagnosed with a hemorrhagic CVA who reports a sudden severe headache. Which action should the nurse perform? a. call the physician immediately b. sit with the client for a few minutes c. inform the nurse manager d. administer an analgesic

a. call the physician immediately

The nurse reviews the primary health care provider's treatment plan for a client with Guillain-Barre syndrome. Which prescription noted in the client's record would the nurse question? a. clear liquid diet b. vital signs every 2 to 4 hours c. bilateral calf measurements three times daily d. passive range of motion exercises three times daily

a. clear liquid diet

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following should the nurse include? a. diazepam can cause drowsiness b. a single dose of diazepam is unlikely to cause side effects c. avoid foods that contain tyramine d. grapefruit juice intactivates this medication

a. diazepam can cause drowsiness

The nurse is caring for a client who was diagnosed with Bell's palsy 1 week ago. Which data would indicate a potential complication associated with Bell's palsy? a. excessive tearing b. partial facial paralysis c. the ability to taste food d. negative outcomes on the electromyography

a. excessive tearing

The nurse notices that a client with trigeminal neuralgia has been withdrawn, is having frequent episodes of crying, and is sleeping excessively. Which method is the best way for the nurse to explore issues with the client regarding these behaviors? a. have the client express the feelings in writing b. have the primary health care provider speak to the client c. conduct a group discussion with the client's family d. ignore the behavior because it is expected in clients with trigeminal neuralgia

a. have the client express the feelings in writing

A nurse is caring for a patient who is 2 days posteroperative following the insertion of a ventroperitoneal shunt. Which of the following findings should the nurse identify as the priority? a. lethargy b. lying flat on the unaffected side c. respiratory rate of 20 d. urine output of 50 mL/hr

a. lethargy

The nurse observes that a client with Parkinson's disease has very little facial expression. The nurse attributes this piece of data to which information? a. masklike facies is a component of parkinson's disease b. the client does not want her emotional reaction to the disease to show c. clients with parkinson's disease have diminished emotional involvement d. clients with parkinson's disease act very much like schizophrenics in that they have very little affect

a. masklike facies is a component of parkinson's disease

The nursing instructor is reviewing the characteristics of migraine headaches with a nursing student. Which statement by the nursing student would indicate a need for further teaching? a. migraines more commonly affect men than women b. the exact cause of migraine headache is unknown c. foods that may trigger migraines include coffee, alcohol, and chocolate d. migraines are usually described as a throbbing headache that is synchronous with the pulse

a. migraines more commonly affect men than women

A nurse is collecting data from an adult client who has bacterial meningitis. Which of the following findings should the nurse expect? a. petechial rash on the chest and extremities b. tachycardia c. negative kernig's sign d. mild headache

a. petechial rash on the chest and extremities

A patient has had a cerebrovascular accident. You assess the patient's readiness for transfer to another level of care. The patient continues to have agnosia and apraxia. These clinical findings indicate that the patient would: a. require assistance with undertaking activities of daily living b. demonstrate independence in performing ordinary tasks c. prompt self to complete sequential tasks d. not understand verbal communication

a. require assistance with undertaking activities of daily living

A nurse is caring for a cleint who has myasthenia gravis. Which of the following is a complication of MG for which the nurse should monitor? a. respiratory difficulty b. confusion c. increased intracranial pressure d. joint pain

a. respiratory difficulty

The client is having a lumbar puncture performed. The nurse would plan to place the client is which position for the procedure? a. side-lying, with legs pulled up and head bent down onto the chest b. side-lying, with a pillow under the hip c. prone, in a slight Trendelenburg's position d. prone, with a pillow under the abdomen

a. side-lying, with legs pulled up and head bent down onto the chest

A nurse si reinforcing teaching with a client who is newly diagnosed with MG and is to start taking neostigmine. Which of the following instructions should the nurse include in the teaching? a. take the medication 45 minutes before eating b. expect diaphoresis as a side effect of the neostigmine c. if a medication dose is missed, wait until the next scheduled dose to take the medication d. treat nasal rhinitis with an over the counter antihistamine

a. take the medication 45 minutes before eating

A client arrives in the emergency department with an ischemic stroke and is ordered tissue plasminogen activator. Which is the priority nursing assessment? a. time of onset of current stroke b. current medications c. complete physical and history d. upcoming surgical procedures

a. time of onset of current stroke

The health care provider discusses the treatment options with a patient newly diagnosed with PD. The patient asks you, "What will happen to me?" An appropriate response would be: a. you seem worried, let's talk about your concerns b. your provider can fully explain your condition c. you will be alright d. your disease can be controlled

a. you seem worried, let's talk about your concerns

The nurse is caring for a patient who suffered a right hemispheric stroke. The nurse knows that which of the following symptoms could be attributed to this event? (select all that apply) a. difficulty following directions b. impulsive behavior c. short attention span d. easily distracted e. difficulty performing simple tasks

b, c, d

The nurse notes the physical assessment findings for a client with a diagnosis of possible meningitis. Which findings would the nurse expect to observe because of meningeal irritation? (select all that apply) a. pupils are unequal and react slowly to light b. the client reports stiffness and soreness in the neck area c. the client reports pain in the vertebral column and passively flexes the hip and knee in response to neck flexion d. the client flexes a leg at the hip and knee and reports pain in the vertebral column when the leg is extended e. the client's upper arms are flexed and held tightly to the sides of the body, and the legs are extended and internally rotated.

b, c, d

The nurse is caring for a comatose client with encephalitis is creating a care plan. Which interventions would be appropriate to include in the care of this client? (select all that apply) a. maintain a well-lit room b. turn the client every 2 hrs c. maintain the bed in the lowest position d. maintain the head of the bed in a high-fowler's position e. conduct a neurological assessment at least every 2 hours

b, c, e

A client in the emergency department is diagnosed with Bell's Palsy. The nurse collecting data on this client expects to note which observations? (select all that apply) a. double vision b. excessive tearing c. inability to furrow brow d. pain in cheek, jaw, and teeth e. altered level of consciousness f. a lag in closing the bottom eyelid

b, c, f

A client is suspected of having a diagnosis of Guillain-Barre syndrome. Which findings would support a diagnosis of Guillain-Barre syndrome? (select all that apply) a. permanent paralysis of the legs b. visual and hearing disturbances c. decreased level of consciousness d. decreased intellectual functioning e. ascending symmetrical muscle weakness

b, e

Which signs/symptoms are observed in the clonic phase of a seizure? (select all that apply) a. body stiffening b. muscular relaxation c. sudden loss of consciousness d. brief flexion of the extremities e. extension spasms of the body f. contortion of the face with eye rolling

b, e, f

You reinforce pharmacy instructions regarding safe use of pyridostigmine, an anticholinesterase, by a patient newly diagnosed with MG. Which patient statement indicates a need for further teaching? a. I need to take the medication after meals on a full stomach b. I can adjust the drug dosage and times depending on daily activities c. I shouldn't take over the counter medications without health care provider approval d. I should balance rest and activity throughout the day

b. I can adjust the drug dosage and times depending on daily activities

A nurse is planning care for several clients and is considering the client's' risk for stroke. Which of the following conditions places the client at risk for an ischemic embolic stroke? a. a client who has uncontrolled hypertension b. a client who has chronic atrial fibrillation c. a client who has thrombocytopenia d. a client who has an arteriovenous malformation

b. a client who has chronic atrial fibrillation

A nurse is caring for a client who has seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the following conditions? a. a continuous seizure state in which seizures occur in rapid succession b. a sensory warning that a seizure is imminent c. a period of sleepiness following the seizure during which arousal is difficulty d. a brief loss of consciousness accompanied by staring

b. a sensory warning that a seizure is imminent

You are providing care to a 60-year-old patient with trigeminal neuralgia, and you identify that pain is the priority problem. You anticipate: a. assessing the level of pain based on facial expressions b. administering an anticonvulsant class of medication c. placing warm cloths on the face d. preparing the patient for surgery

b. administering an anticonvulsant class of medication

The nurse is providing care to a 60-year-old patient with trigeminal neuralgia identifies that pain is the priority problem. The nurse anticipates: a. accessing the level of pain based on facial expressions b. administering an anticonvulsant class of medications c. placing warm cloths on the face d. preparing the patient for surgery

b. administering an anticonvulsant class of medications

A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkison's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? a. excessive salivation b. difficulty voiding c. diarrhea d. slow pulse

b. difficulty voiding

The nurse is performing an assessment on a patient who presented to the clinic for complaints of numbness and tingling in their feet, aching and tenderness in their shoulders and thighs, and general malaise. Which of the following questions is most appropriate for the nurse to ask the patient at this time? a. is your pain worse in the morning or evening b. have you recently had a cold or sinus infection c. are you able to tuck your chin to your chest d. have you recently experiences any visual disturbances

b. have you recently had a cold or sinus infection

The instructs a person taking phenytoid that periodic blood tests will be necessary. The nurse explains that the laboratory checks will monitor for which of the potential medication-induced change? a. potassium depletion b. liver damage c. increasing creatinine d. increased sedimentation rate

b. liver damage

The nurse is assisting in caring for a client with a suspected diagnosis of meningitis. The nurse reinforces to the client information regarding which diagnostic test that is commonly used to confirm this diagnosis? a. urine culture b. lumbar puncture c. serum electrolytes d. white blood cell count

b. lumbar puncture

The nurse is reviewing the medical record of a client diagnosed with amyotrophic lateral sclerosis. Which initial sign/symptoms of this disorder supports this diagnosis? a. muscle wasting b. mild clumsiness c. altered mentation d. diminished gag reflex

b. mild clumsiness

A client has experienced an episode of myasthenic crisis. The nurse collects data to determine whether the client has experienced which precipitating factor? a. too little excerise b. omitted doses of medication c. increased doses of medication d. decreased intake of fatty foods

b. omitted doses of medication

A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which of the following interventions should the nurse take? a. insert a padded tongue blade into the client's mouth b. place a pillow under the client's head c. gently restrain the client's extremities d. keep the client in a supine position

b. place a pillow under the client's head

A 78-year-old client is admitted to the emergency department with numbness and weakness on the left arm and slurred speech. Which nursing intervention is a priority? a. prepare to administer recombinant tissue plasminogen activator b. schedule for a STAT CT scan of the head c. notify the speech pathologist for an emergency consultation d. discuss the precipitating factors that caused the symptoms

b. schedule for a STAT CT scan of the head

Which data collection finding supports the possible diagnosis of Bell's palsy? a. burning pain in the nose with intermittent facial paralysis b. speech or chewing difficulties accompanied by facial droop c. stabbing facial pain with intermittent tingling sensations in the eyes d. tingling sensations of the eyelid, in addition to decreased lacrimation

b. speech or chewing difficulties accompanied by facial droop

You observe a nursing assistant feeding a dysphagic patient. Which action by the nursing assistant indicates a need for further instruction and guidance? a. the wall suction is turned on and ready and readily available b. the patient is propped up with one pillow c. the food is cut into small, bite-size pieces d. the nursing assistant coaches the patient to drop the chin

b. the patient is propped up with one pillow

The nurse is caring for a patient with Parkinson's disease. Which statement likely characterizes this patient's tremors? a. tremors occur constantly b. tremors decrease with voluntary movement c. tremors are exaggerated when the patient is sleeping d. tremors are characterized by tonic/clonic muscle activity

b. tremors decrease with voluntary movement

A man and his wife are sitting in their pajamas in the living room when the man cried out. He attempts to rise from his chair, but he falls when he discovers that the left side of his body has become paralyzed. The left side of his mouth and his left eye are drooping. What should his wife do? a. help him stand and walk to the car. she can drive him to the hospital because it is only 3 miles away. he will receive care more immediately that is the wife calls an ambulance b. sit with him for an hour to see if his condition resolved. if it worsens, she should transport him to the hospital c. call 911 immediately. the emergency team will be able to assess him, give supportive care, and transport him d. assess his pulse and breathing. if he is in no immediate cardiac distress, she can help him change into street clothes before driving him to the hospital

c. call 911 immediately. the emergency team will be able to assess him, give supportive care, and transport him

A patient reports to the ambulatory care clinic complaining of a headache, severe sensitivity to light and stiffness in their neck. The patient's vital signs are 100.3, 88, 18, 154/85, and 98% on room air. THe nurse will anticipate which of the following diagnostic tests to be performed for diagnosis of which disease? a. cerebrospinal fluid culture and sensitivity, multiple sclerosis b. CT; bacterial meningitis c. cerebrospinal fluid culture and sensitivity; viral meningitis d. MRI; encephalopathy

c. cerebrospinal fluid culture and sensitivity; viral meningitis

A patient is admitted to the urgent care center for complaints of an abrupt onset of severe headache. Clinical history indicates that symptoms started during sleep and recurred several times during the day. These symptoms suggest: a. brain tumor b. migraine c. cluster headaches d. tension headache

c. cluster headaches

A nurse is caring for a client who has Parkinson's disease and is taking selegiline 5 mg by mouth twice daily. Which of the following therapeutic outcomes should the nurse monitor for with a client who is taking this medication a. improved speech patterns b. increased bladder function c. decreased tremors d. diminished drooling

c. decreased tremors

A client with Parkinson's disease is embarrassed about the symptoms of the disorder and is bored and lonely. The nurse would plan which approach as therapeutic in assisting the client to cope with the disease? a. plan only a few activities for the client during the day b. cluster activities at the end of the day when the client is most bored c. encourage and praise perseverance in exercising and performing activities of daily living d. assist the client with activities of daily living as much as possible

c. encourage and praise perseverance in exercising and performing activities of daily living

A client with Guillain-Barre syndrome has been asking many questions about the condition, and the nursing staff feels that the client is very discouraged about her condition. It is important for the nurse to include which information in discussions with the client? a. paralysis occurs proximally to distally b. maximum paralysis occurs within 48 hours following diagnosis c. generally, a vast number of people recover from this condition d. with maximum rehabilitation, function is regained within 3 months

c. generally, a vast number of people recover from this condition

A nurse on a medical unit is caring for a client who requires seizure precautions. Which of the following interventions should the nurse contribute to the client's plan of care? a. restrain the client as soon as seizure activity begins b. keep the lights on when the client is sleeping c. keep the client's bed in the lowest position d. have a padded tongue depression available at the bedside

c. keep the client's bed in the lowest position

A client is receiving radiation therapy because of a diagnosis of a brain tumor. Which sign/symptom of the client is noted to be a positive outcome of radiation therapy? a. fatigue b. nausea and vomiting c. less severe headache d. altered taste sensation

c. less severe headache

The priority nursing assessment of a patient with MG would be: a. determine the degree of fatigue b. assess the level of knowledge about the disease c. monitor the adequacy of respiratory function d. check the patient's swallowing, speech, and protective reflexes

c. monitor the adequacy of respiratory function

A female patient with MG may need additional teaching when she makes the following statement: a. I should pace my activities to allow for rest periods b. I need to be careful when drinking liquids c. pregnancy hormones will control my symptoms d. I must take my medications on a strict schedule

c. pregnancy hormones will control my symptoms

A nurse is reinforcing teaching for a client who has dysphagia related to a stroke. Which of the following instructions should the nurse provide? a. place a maximum of 1 tbsp of food in the mouth at a time b. make sure the level of fluid within the containter is only 1/4 full c. remain upright for 45 min following a meal d. serve foods at a lukewarm temperature

c. remain upright for 45 min following a meal

The nurse has given instructions to the client with Parkinson's disease about maintaining mobility. The nurse determines that the client understands the directions if the client states that he or she will perform which activity? a. sit on soft, deep chairs b. exercise in the evening to combat fatigue c. rock back and forth to start movement slowly d. buy clothes with many buttons to maintain finger dexterity

c. rock back and forth to start movement slowly

A nurse is collecting data from a client who has Parkinson's disease and is experiencing bradykinesia. Which of the following findings should the nurse expect? a. increased blinking b. states of euphoria c. slurred speech d. decreased respiratory rate

c. slurred speech

A patient who is receiving plasmapheresis for treatment of MG asks the nurse how long it will help relieve their symptoms. The nurse will correctly respond with which fo the following statements? a. this procedure should help relieve your muscle weakness for approximately 2 weeks b. this procedure will help to relieve your double vision for about a month c. this procedure should help to relieve your muscle weakness for 1-2 months d. this procedure will help improve your muscle weakness for 3-6 months

c. this procedure should help to relieve your muscle weakness for 1-2 months

A client with Bell's palsy exhibits facial asymmetry and cannot close the eye completely on one side. The client is also drooling and has loss of tearing in one eye. The nurse documents that the client displays symptoms of involvement of which cranial nerve (CN)? a. CN I b. CN IV c. CN V d. CN VII

d. CN VII

Which patient statement indicates a need for further teaching on the prevention of seizures? a. I need to avoid situations that could potentially trigger a seizure b. Alcohol can lower the seizure threshold c. I must avoid becoming overly fatigued and should pace activities d. I am less likely to have seizures during menstruation

d. I am less likely to have seizures during menstruation

The nurse is collecting data on a client diagnosed with Parkinson's disease. Which finding indicates a serious complication of this disorder? a. shuffling and propulsive gait b. resting and pill-rolling tremors c. last bowel movement was 48 hours ago d. congested cough and coarse rhonchi heard during auscultation

d. congested cough and coarse rhonchi heard during auscultation

A client with Parkinson's disease "freezes" while ambulating, increasing the risk for falls. Which suggestion would the nurse include in the client's plan of care to alleviate this problem? a. use a wheelchair to move around b. stand erect and use a cane to ambulate c. keep the feet close together while ambulating and using a walker d. consciously think about walking over imaginary lines on the floor

d. consciously think about walking over imaginary lines on the floor

The nurse is preparing for the admission of a client with a suspected diagnosis of Guillain-Barre syndrome. Which sign/symptom is considered a primary symptom of this syndrome? a. multifocal seizures b. altered level of consciousness c. abrupt onset of fever and headache d. development of muscle weakness

d. development of muscle weakness

The nurse is admitting a client with Guillain-Barre syndrome to the nursing unit. The client has an ascending paralysis to the level of the waist. Knowing the complications of the disorder, the nurse would bring which items into the client's room? a. nebulizer and pulse oximeter b. blood pressure cuff and flashlight c. flashlight and incentive spirometer d. electrocardiographic monitoring electrodes and intubation tray

d. electrocardiographic monitoring electrodes and intubation tray

The client with myasthenia gravis is suspected of having cholinergic crisis. Which sign/symptom indicates this crisis is taking place? a. ataxia b. mouth sores c. hypothermia d. hypertension

d. hypertension

The nurse is assisting in the care of a client with Parkinson's disease who is receiving carbidopa/levodopa. The nurse plans to monitor the client for which adverse effect, which could appear with elevated serum levels of this medication? a. pruritus b. hypertension c. tachycardia d. impaired voluntary movements

d. impaired voluntary movements

A client with Parkinson's disease is experiencing a Parkinsonian crisis. The nurse would immediately place the client where? a. in a bed with padded side rails, with limbs restraints nearby b. in a room near the nurses' station that is near the code cart c. in a high-fowler's position, with a nasogastric tube at the bedside d. in a quiet, dim room with respiratory and cardiac support available

d. in a quiet, dim room with respiratory and cardiac support available

The nurse is planning care for a client with Bell's palsy. Which measure would be included in the plan? a. apply cold packs to the affected side four times a day b. ensure that the client avoids touching the affected side c. ensure that the client avoids wearing glasses with dark lenses d. instill artificial tears and wear a patch over the affected eye

d. instill artificial tears and wear a patch over the affected eye

An acute care nurse is caring for an adult client who is undergoing evaluation for possible brain tumor. While performing a neurological examination, which of the following findings is the earliest indicator of the client's cerebral status? a. pupil response b. deep tendon reflexes c. muscle strength d. level of consciousness

d. level of consciousness

A 45-year old patient newly diagnosed with MS asks about their prognosis for the future. Teaching about the future might include stating: a. the condition is a progressive neurologic disease, and you will likely end up using a wheelchair or scooter. you might start equipping your house to be wheelchair accessible b. with the new immune-modifying drug available as treatment, you will not even be able to tell you have the disease c. MS may begin with exacerbation and remissions, but it will eventually develop into a progressive disease, affecting your entire neurologic system and thus your whole body d. the condition is a periodic demyelination of the central nervous system, often with periods of remission and exacerbations. It is a manageable disease, and there are many patients who live active and rewarding live. use of the new immune-modifying agents will help reduce exacerbations

d. the condition is a periodic demyelination of the central nervous system, often with periods of remission and exacerbations. It is a manageable disease, and there are many patients who live active and rewarding live. use of the new immune-modifying agents will help reduce exacerbations