Week 9

Which disease is a chronic, progressive, hereditary disease of the nervous system that results in progressive, involuntary dancelike movements and dementia? A. Parkinson's disease B. Multiple sclerosis C. Hunting's disease D. Amyotrophic lateral sclerosis

C. Hunting's disease

A client diagnosed with Parkinson disease will be starting ropinirole for symptom control. Which statement by the client indicates a need for furthering teaching? A. "I know the drug will probably help me prevent constipation" B. "this drug should help decrease my tremors and help me move better" C. "I should take the drug at the same time each day for the best effect" D. "I need to change positions slowly to prevent dizziness or falls"

A. "I know the drug will probably help me prevent constipation"

Which statements would the nurse include when promoting the prevention of lower back pain? (select all that apply) A. "wear flat instead of high heeled shoes to work each day" B. "avoid prolonged standing or sitting, including driving" C. "participate in an exercise program to strengthen back muscles" D. "its best if you sleep on your stomach" E."wear the neck collar as much as tolerated each day"

A. "wear flat instead of high heeled shoes to work each day" B. "avoid prolonged standing or sitting, including driving" C. "participate in an exercise program to strengthen back muscles"

The client with a brain tumor may be at increased risk for aspiration. What does the nurse determine is the most important nursing intervention? A. Evaluation of gag reflex and ability to swallow B. Assistance with self care C. Frequent reorientation D. Monitoring vital signs

A. Evaluation of gag reflex and ability to swallow

Which assessment findings would alert the nurse to a complication specific to an open traditional anterior cervical fusion? (select all that apply) A. Hoarse voice B. Hypertension C. Bradycardia D. Constipation E. Difficulty swallowing

A. Hoarse voice E. Difficulty swallowing

A nurse assesses a client who is recovering from an open traditional lumbar laminectomy with fusion. Which complications would the nurse report to the primary health care provider? (select all that apply) A. Incisional bulging B. surgical discomfort C. Sudden and severe headache D. Clear drainage on the dressing E. Redness and itching at the incision site

A. Incisional bulging C. Sudden and severe headache D. Clear drainage on the dressing

A nurse is completeing an assessment of a client who has increased intracranial pressure (ICP). Which of the following are expected findings? (select all that apply) A. Increasing disorientation to time and place B. Restlessness and irritability C. Equal pupils D. Headache

A. Increasing disorientation to time and place B. Restlessness and irritability D. Headache

What actions would the nurse take after discovering cerebrospinal fluid leaking onto a client's surgical dressing? (select all that apply) A. Report the leak to the surgeon immediately B. Place the client in a flat position C. Monitor vital signs for hypotension D. Assess for abdominal distension E. Monitor client for chest pain

A. Report the leak to the surgeon immediately B. Place the client in a flat position

The nurse assesses a client who has Parkinson's disease. Which signs and symptoms would the nurse recognize as a key feature of this disease? A. Stooped posture B. Uncontrolled drooling C. Tachycardia D. Slow movements E. long, extended streps

A. Stooped posture B. Uncontrolled drooling D. Slow movements

A nurse teaches assistive personnel (AP) about how to care for a client with Parkinson's disease. Which statement would the nurse include as part of this teaching? A. "assist the client with frequent and meticulous oral care" B. "allow the client to be as independent as possible with activities" C. "assess the client's ability to eat and swallow before each meal" D. "schedule appointments early in the morning to ensure rest in the afternoon"

B. "allow the client to be as independent as possible with activities"

A nurse is caring for a client who has just undergone a craniotomy for a brain tumor and has a respiratory rate of 12 breaths per minute. Which of the following postoperative prescriptions should the nurse clarify with the provider? A. Dexamethason 30 mg IV push B. Morphine 2 mg IV push q2 hours PRN pain C. Ondanestron 4 mg IV push q4 hours PRN nausea D. Phenytoin 100 mg IV push TID

B. Morphine 2 mg IV push q2 hours PRN pain

The nurse cares for a client with Huntington's disease. What intervention is a priority for safe care? A. Administering anticonvulsants B. Protecting the client from falls C. Administering chemotherapy D. Ensuring the client always uses their wheelchair

B. Protecting the client from falls

A client diagnosed with a brain tumor is receiving phenytoin. The client's partner questions the use of the drug, since there is no history of a seizure disorder. What response will the nurse provide to best address the partners concern? A. Preventing febrile seizures with a tumor is important B. This drug is used to sedate with a brain tumor C. Increased pressure from the tumor can cause seizures D. Seizures always occur in clients with brain tumors

C. Increased pressure from the tumor can cause seizures

Which medication is the most effective agent in the treatment of Parkinson's disease? A. Amantadine B. Benzotropine C. Levodopa D. Bromocriptine mesylate

C. Levodopa

A rapid, jerky, involuntary, and purposeless movement of the extremities or facial muscles is: A. paresthesia B. Dyskinesia C. Akathisia D. Chorea

D. Chorea

The nurse teaches the client that corticosteroids will be used to treat his brain tumor to: A. Prevent extension of the tumor B. Identify the precise location of the tumor C. Facilitate regeneration of neurons D. Reduce cerebral edema

D. Reduce cerebral edema