Meds neuro

A college student goes to the infirmary with a fever, headache, and a stiff neck. The nurse suspects the student may have meningitis and has the student transferred to the hospital. If the diagnosis is confirmed, what should the nurse institute for those who have been in contact with this student? Select all that apply. 1 Administration of rifampin (Rifadin) 2 A dministration of ciprofloxacin hydrochloride (Cipro) 3 Administration of ceftriaxone sodium (Rocephin) 4 Amoxicillin (Amoxil) 5 Rofecoxib (Vioxx)

1 2 3

Which assessment finding is most important in determining nursing care for a client with bacterial meningitis? Select all that apply. 1Cloudy cerebral spinal fluid 2Pain and stiffness of the extremities 3Purpura of hands and feet 4 white blood cell (WBC) count 5Low red blood cell (RBC) count 6Low antidiuretic hormone (ADH) levels

1 3

A client with herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What medication would the nurse expect the health care provider to order for the treatment of this disease process? Cyclosporine Acyclovir Cyclobenzaprine Ampicillin

Acyclovir

Which of the following is the medication of choice in the treatment of herpes simplex virus (HSV)? Acyclovir (Zovirax) Dexamethasone (Decadron) Vancomycin Phenytoin (Dilantin)

Acyclovir (Zovirax)

The nurse is administering the IV antiviral medication ganciclovir (Cytovene) to the patient with HSV-1 encephalitis. What is the best way for the nurse to administer the medication to avoid crystallization of the medication in the urine? Administer the medication rapidly over 15 minutes with 100 mL of normal saline. Dilute the medicine in 500 mL of lactated Ringer's solution. Administer via slow IV over 1 hour. Administer in a drip over 4 hours. TAKE A PRACTICE QUIZ

Administer via slow IV over 1 hour.

The nurse is reviewing the medication administration record of a female client who possesses numerous risk factors for stroke. Which of the woman's medications carries the greatest potential for reducing her risk of stroke? Naproxen 250 PO b.i.d. Calcium carbonate 1,000 mg PO b.i.d. Aspirin 81 mg PO o.d. Lorazepam 1 mg SL b.i.d. PRN

Aspirin 81 mg PO o.d.

During assessment of a patient who has been taking dilantin for seizure management for 3 years, the nurse notices one of the side effects that should be reported. What is that side effect?

GINGIVAL HYPERPLASIA

The nurse is caring for a client who is in status epilepticus. What medication should the nurse anticipated administering to halt the seizure immediately?

IV DIAZAPAM/LORAZAPAM/fosphenytoin

A nurse is preparing to administer an antiseizure medication to a client. Which of the following is an appropriate antiseizure medication?

LAMICTAL

Which of the following antiseizure medication has been found to be effective for post-stroke pain? Lamotrigine (Lamictal) Phenytoin (Dilantin) Carbamazepine (Tegretol) Topiramate (Topamax)

Lamotrigine (Lamictal)

As a member of the stroke team, the nurse knows that thrombolytic therapy carries the potential for benefit and for harm. The nurse should be cognizant of what contraindications for thrombolytic therapy? Select all that apply. INR above 1.0 Recent intracranial pathology Sudden symptom onset Current anticoagulation therapy Symptom onset greater than 3 hours prior to admission

Recent intracranial pathology Symptom onset greater than 3 hours prior to admission Current anticoagulation therapy

A client with herpes simplex virus (HSV) encephalitis is receiving acyclovir. To ensure early intervention, the nurse monitors laboratory values and urine output for which type of adverse reactions? Musculoskeletal Integumentary Hepatic Renal

Renal

A college student goes to the infirmary with a fever, headache, and a stiff neck. The nurse suspects the student may have meningitis and has the student transferred to the hospital. If the diagnosis is confirmed, what should the nurse institute for those who have been in contact with this student? Select all that apply.

Rifampin/hydrochloride/ceftriaxone sodium

Cryptococcus meningitis is suspected in a client with HIV. Which manifestations would be consistent with cryptococcus meningitis? Select all that apply. Psychomotor slowing Stiff neck Seizures Vacant stare Hyperreflexia

STIFF NECK SEIZURES

The nurse plays a critical role in the initial work-up of a patient with acute stroke symptoms. An immediate decision is to determine if the stroke is ischemic or hemorrhagic. Although there is overlap in some motor, sensory, and cognitive changes, hemorrhagic strokes can be identified by some specific signs. Which of the following signs are consistent with a hemorrhagic stroke? Select all that apply. Vomiting Numbness or weakness of an extremity Sudden, severe headache Altered level of consciousness Seizures Loss of balance

VOMITING SUDDEN SEVER HEADACHE ALOC

The student nurse is completing a simulation where a client is the victim of nerve gas. The instructions are for the student to set up the room and have all needed supplies available. Which medication does the student nurse ensure is in the medication administration system to control seizures? Phenobarbital intramuscular Neurontin tablets Valium intravenous injection Dilantin tablets

Valium intravenous injection

Medical management of arthropod-borne virus (arboviral) encephalitis is aimed at preventing renal insufficiency. controlling seizures and increased intracranial pressure. maintaining hemodynamic stability and adequate cardiac output. preventing muscular atrop

controlling seizures and increased intracranial pressure.

A nurse knows that, for a patient with an ischemic stroke, tPA is contraindicated if the blood pressure reading is: 170 mm Hg/105 mm Hg 175 mm Hg/100 mm Hg 185 mm Hg/110 mm Hg 190 mm Hg/120 mm Hg

190 mm Hg/120 mm Hg Elevated blood pressure (systolic >185; diastolic >110 mm Hg) is a contraindication to tPA.

Which of the following drugs may be used after a seizure to maintain a seizure-free state? A-ATIVAN B-LORAZAPAM C-PHENOBARBITAL D-CEREBYX

PHENOBARBITAL

The nurse is caring for a client who has undergone supratentorial removal of a pituitary mass. What medication would the nurse expect to administer prophylactically to prevent seizures in this client?

PHENYTOIN

The nurse caring for a patient with bacterial meningitis is administering dexamethasone (Decadron) that has been ordered as an adjunct to antibiotic therapy. When does the nurse know is the appropriate time to administer this medication? 1 hour after the antibiotic has infused and daily for 7 days 15 to 20 minutes before the first dose of antibiotic and every 6 hours for the next 4 days 2 hours prior to the administration of antibiotics for 7 days It can be administered every 6 hours for 10 days. TAKE A PRACTICE QUIZ

15 to 20 minutes before the first dose of antibiotic and every 6 hours for the next 4 days

Nursing assessment of hearing loss in an older adult client includes evaluation of age-related changes, as well as a history of current illnesses and medications. Which of the following factors are associated with ototoxic effects? Select all that apply. 1Coronary artery disease 2Diabetes mellitus 3Loop diuretics (e.g., Lasix) 4Asthma 5Bacterial meningitis 6Gentamicin

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A nurse is teaching about ischemic stroke prevention to a community group and emphasizes that control of hypertension, which is the major risk factor for stroke, is key to prevention. Ways to control hypertension include the Dietary Approaches to Stop Hypertension (DASH) diet. This diet includes which of the following? Moderate amounts of low-fat dairy products Moderate amounts of animal protein High amounts of low-fat dairy products Moderate amounts of fruits and vegetables

Moderate amounts of low-fat dairy products