EXAM 2 WKS 3/4

The nurse caring for a client dx'd w/ Parkinson disease has prepared a plan of care that would include what goal?

promoting effective communication

A mother brings her 6 y/o to the emergency department after the child fell off the bike. The physician diagnoses a concussion. The mother asks the nurse what a concussion is. What should the nurse's response be?

"A concussion is a blow to the head that has the brain, resulting in diffuse and microscopic injury to the brain"

a physician orders oral levodopa 0.75 g to be given, the only dosage available n hand is 100 mg, 250 mg, and 500 mg tablets. what would the nurse administer to this pt?

(1) 250 mg tablet and (1) 500 mg tablet. calulations is 7.5 mg

A client w/ a hx of tremors and gait changes has been dx'd w/ Parkinson's disease and the client's provider has prescribed carbidopa-levodopa 25/100 mg PO TID. What should the nurse teach the client abut the safe and effective use of the medication? select all

1-It's best to avoid taking any over-the-counter vitamin supplements during tx. 2-You can take this medication w/ food or on an empty stomach, whichever you prefer.

The nurse is caring for a client dx'd w/ generalized seizures. What classifications of medications will the nurse administer to this client? select all

1-Succinimides 2-Hydantions 3-Benzodiazepines

A client w/ Parkinson's disease is prescribed carbidopa/levodopa. The nurse will exercise caution when administering this drug if which disorder is noted in the client's medical hx?

1-renal disease 2-asthma 3-peptic ulcer disease

Which of the following are the immediate complications of spinal cord injury? select all that apply

1-respiratory arrest 2-spinal shock

The nurse is caring for a client postoperatively from a spinal tumor resection. The nurse assesses that the client hs partial paralysis. What anticipated problems should the nurse include in the client's care plan? select all

1-risk for impaired physical mobility 2-risk for injury 3-risk for powerlessness 4-risk for knowledge deficit

A nurse is conducting an assessment on a client who is admitted w/ Parkinson disease. Which potential findings will the nurse anticipate noting on the physical assessment? select all

1-slurred speech 2-tremors

A patient has been diagnosed with a concussion and is preparing for discharge for the ED. The nurse teaches the family members who will be caring for the patient to contact the physician or return to the ED if the patient demonstrates which complications? select all

1-slurred speech 2-vomiting 3-weakness on one side of the body

focal seizures make up what percentage of total seizures

60%

In which of the following disease processes is the nurse likely to car for a client in the chronic phase of neurologic disease?

Alzheimers disease

A pt with a spinal cord injury has a full head and neck control when the injury is at which level?

C5

______ movements refer to the involuntary muscular twitching of the limbs or facial muscles

Choreiform

_______ and _______ are terms often used interchangeably to describe a convulsion

Convulsion, seizure

__________ _________ is the compromised ability to put words together meaningfully when trying to communicate

Expressive Dysphagia

_________ should be avoided in head injuries unless prescribed by a physician.

Ibuprofen

A pt has sustained a TBI. Which of the following is the priority noosing diagnosis for this pt?

Ineffective airway clearance related to brain injury

The nurse pracitioner prescribes the medication f=of choice for an MS pt who is experiencing disabling episodes of muscles spasms, especially at night. Which of the following is the drug most likely prescribed in this scenario?

Lioresal

Which is the. MOST common cause of spinal cord injury?

MVA

A pt how has been severely beaten is admitted to the ED. The nurse suspects a basilar skull fx after assessing.

Raccoon's eyes and Battle sign

Serious skin reactions, such as ________ ________ _______, has been associated w/ the use of Lamictal.

Stevens Johnson Syndrome

___________ depresses the motor cortex, creating a higher threshold before nerves react to the convulsive stimuli

Succinimides

The _______ phase follows a sudden neurologic event, such as a cerebrovascular accident (CVA) or a head or spinal cord injury

acute

neurologic deficits are divided into three phases

acute, recovery, chronic

Drugs that work to stimulate the dopamine receptors are called ________?

agonists

A patient with T4 level spinal cord injury is complaining of sever headache. The nurse notes profuse diaphoresis of the patient's forehead and scalp. Which of the following does the nurse suspect?

autonomic dyreflexia

A nurse is caring for a client dx'd w/ Guiillan-Barre' syndrome. The client states, "it's getting harder to take a deep breath." Which action by the nurse is most appropriate?

call the physician and prepare for intubation

A client has seen prescribed benztropine as drug therapy for Parkinson's disease. What assessment finding would suggest a therapeutic effect to the nurse?

decreased rigidity and tremors

Parkinson disease is a ________ disorder of the central nervous sytem

degenerative

A nurse is caring for a pt who has been prescribed miscellaneous anticonvulsants containing valproic acid. What method of drug administration should the nurse inform the pt about?

do not chew but swallow the whole tablet to avoid irritation

Parkinson disease occur because of the lack of which neurotransmitter?

dopamine

when taking a cholinergic blood king drug for Parkinson like ax's, the client most likely would experience which of the following adverse reactions?

dy mouth, dizziness

The nurse working on the neurological unit is caring for a pt with a basilar skull fx. Which of the following correctly describes Battle's sign?

ecchymosis over the mastoid

when planning strategies for managing blowel elimination for the client w/ a neurologic deficit, what nursing intervention is most appropriate to include?

encourage a high fiber diet to increase stool bulk

Which nursing intervention is most helpful when addressing the priority nursing dx of Impaired Physical Mobility related to damage of brain tissue as evidenced by visual deficits and absence of portions of the visual field?

ensure a clutter-free walkway

Which type of hematoma results from a skull fx that causes a rupture or laceration of the middle meningeal after?

epidural

The nurse is caring for a client with a head injury after a fall from the hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid?

halo sign

cervial traction is done with either a ______ ________ device of ________ _________.

halo vest, cervical tongs

when administering diazepam. too an older client, the nurse should monitor the client for unusual effects of the drug such as?

heart arrhythmias

Ethotoin is contraindicated in pt's w/ ______ abnormalities

hepatic

The nurse is caring for a client who continues to have increasingly high ICP. Which complication is expected unless intracranial pressure is resolved?

herniation occurs through the foramen magnum

The three categories of seizure disorders are ______, _______ and ______

idiopathic, hereditary, acquired

A nurse is reviewing a CT scan the brain, which states that the patient has arterial bleeding with blood accumulation above the dura. Which of the following facts of the disease progression is essential to guide the nursing management of client care?

monitoring is needed as rapid neurologic deterioration may occur

___________ is used cautiously in pt's w/ cardiovascular or pulmonary disease, peptic ulcer disease, renal or hepatic disease and psychosis

myoclonic

A condition in which one or more functions of the central and peripheral nervous systems are decreased, impaired, or absent is known as a _______ _______.

neurologic deficit

a _____ ______ is a condition in which one or more functions of the central and peripheral nervous systems are dec rebased, impaired, or absent.

neurologic deficit

A middle-aged patient has scheduled a sick visit to the physician's office, stating symptoms of lower back pain with exacerbation upon movement. The nurse draws a picture of the components of the spinal cord and surrounding structures and identified potential causes of the pain. Which are of the drawing would the nurse emphasize?

nucleus pulposus

the nurse tests the patient's motor response by assessing a reaction to a ____________stimulus

painful

A pt with T4level spinal cord injury reports severe headache. The nurse notes profuse diaphoresis of the pt's forehead and scalp and suspects autonomic dysreflexia. What is the first thing the nurse will do?

place the pt in a sitting position

Which stimulus is known to trigger an episode of autonomic dysreflexia in the pt who has suffered a spinal cord injury?

placing a blanket over the client

patients with spinal cord injuries are at increased risk for developing pressure ulcers

true

status epileptics is an emergency

true

the nurse caring far a client w/ a neurologic deficit must begin client and family teaching long before discharge?

true

to decrease the risk of developing a pressure under, the patient should be placed on a turning mattress

true

a concussion is more serious than a contusion and leads to gross structural injury to the brain

false

contractors can occur when a joint is exercised regularly

false

the lever of carbamazepine is increased when an anticonvulsant is administered w/ theophylline?

false

valproic acid is used with caution in pt's w/ pulmonary disease and in hyperactive children?

false

The nurse if orienting a new nurse to the neurologic unit. When instructing on the typical care provided to a pt with head injuries, which type of medications are frequently administered? select all

1-anticonvulsants 2-analgesics 3-antibiotics

While administering phenytoin, the nurse should observe the client for what adverse reactions? select all

1-ataxia 2-nausea 3-lethargy 4-gingival hyperplasia

The nurse is teaching a pt and caregivers about the prescribed phenytoin. The nurse determines that session is successful when they correctly choose which adverse reaction to report to the health care provider immediately? select all

1-ataxia 2-sluured speech 3-lethargy

_________ _________ _________ facilitates the movement of paralyzed muscles to pedal a modified bicycle.

functional electrical stimulation

______________ _________________ allow cerebrospinal fluid to leak from the nose and ears

basilar fractures

The drug _________ is used for "on-off" hypo mobility episodes

apomorphine

The nurse is conducting a preadministration assessment of a client prescribed entacopone. The nurse determines caution is warranted after discovering which disorders listed in the client's past hx? select all

1-hypotension 2-renal dysfunction 3-hypatic dysfuntion 4-hypertension

An 68 y/o client was dx'd w/ Parkinson's disease 2 years ago and ax's have gradually worsened. What nursing dx are likely to be applicable to this client? select all

1-impaired physical mobility relate to extrapyramidal sx's 2-self-care deficit: dressing/grooming related to ataxia

a ______ may be defined as periodic disturbances of the brain's electrical activity

seizure

The nurse is caring for a client w/ a brain tumor who is experiencing sx's due to compression and infiltration of normal tissue. The pathophysiologic changes that result can cause what manifestations? select all

1-incresed ICP 2-forcal neurologic signs 3-altered pituitary function

The statements presented here here match nursing interventions with nursing diagnoses. Which statements are appropriate for a patient who suffered a head injury? select all that apply

1-ineffective airway clearance: apply suction as indicate. 2-desturbed sleep pattern: provide back rubs to the client 3-interrupted family process: encourage the family to join a support group

A nurse is reading journal article about spinal cord tumors and metastasis form other primary sites. The nurse demonstrates understanding of the article when identifying which primary sites as commonly metastasizing to the spinal cord? select all

1-lung 2-breast 3-gastrointestinal tract

The nurse is educating the client who has been started on Dilantin and its side effects. Which sx would indicate a life-threatening condition and should be reported to the healthcare provider immediately?

shortness of breath/SOB

A college student goes to the infirmary w/ 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 dx is confirmed, what should the nurse institute for those who have been in contact w/ they student? select all

1-administration of rifampin (Rifadin) 2-administration of ciprofloxacin hydrochloride (Cipro) 3-administration of ceftriaxone sodium (Rocephin)

The client is newly dx'd w/ epilepsy. What factors should the healthcare team consider when determining the drub choice for the client? select all

1-age 2-type of epilepsy 3-culture and ethnicity

An older adult patient exhibiting clinical manifestations of a Brian tumor is admitted to the hospital for testing. What tumor types does the nurse know are commonly seen in the older adult? select all

1-anaplastic astrocytoma 2-cerebral metastasis from other sites 3-glioblastoma

The nurse is caring for a patient with a spinal cord injury leaving paralysis. When planning care related to the musculoskeletal system, which considerations are important? select all

1-bone demineralization 2-contractures 3-spasticity 4-limited range of motion

The nurse has administered carbidopa/levodopa to a client. Which findings should the nurse prioritize on the ongoing assessment? select all

1-choreiform movements 2-dry mouth 3-anorexia

A client w/ a brain tumor is experiencing changes in cognition that requires the nurse to reorient the client frequently. When performing this task, which devices would be appropriate for the nurse to use? select all

1-client's clothing 2-picture of the client's family 3-clock 4-calendar

A client w/ a brain tumor is exhibiting papilledema. When reviewing the client's hx, which information would the nurse correlate w/ this finding? select all

1-double vision 2-visual field deficit

Which activities would the patient with a T4 spinal cord injury be able to perform independently? select all

1-eating 2-breathing 3-tranferring to a wheelchair 4-writing

The nurse is explaining the the therapeutic effects of medication to a client w/ Parkinson's disease. What characteristics of levodopa and dopamine should the nurse describe: select all

1-Levodopa is a precursor of dopamine 2-Levodopa crosses the blood-brain barrier 3-Levodopa is converted to dopamine

A 69 y/o client is brought to the ED by ambulance because a family member found him lying on the floor disoriented and lethargic. The health care provider suspects bacterial meningitis and admits the client to the ICU. What interventions should the nurse perform? select all

1-administer antipyretics as prescribed 2-monitor pain levels and administer analgesics 3-place the client in positive pressure isolation

The client hs been dxd w/ Parkinson's disease and has been prescribed levodopa. What should the nurse include in the care plan? select all

1-monitor the client's vital signs each shift 2-monitor the client's urine output each shift 3-auscultate the client's bowel sounds once per shift 4-monitor the client's creatinine clearance whenever available

A patient which a herniated lumber disc has asked about nonsurgical strategies to help with mobility. What strategies will the nurse teach the patient? select all that apply

1-muscle relaxants 2-weight reduction 3-physical therapy 4-nonsteroidal anti-inflammatory medication

The nurse is preparing to administer carbidopa/levodopa to a client recently dx'd w/ Parkinson disease. The nurse should question this order if which disorder is noted in the client's record? select all

1-narrow-angle glaucoma 2-use of MAOI antidrepressants

Which of the following occupations are anticipated to improve the functioning of a client w/ a neurologic deficit? select all

1-occupational therapist 2- speech therapist 3-neurologist 4-physical therapist

A patient with a spinal cord injury is ready to be discharged home. A family member asks the nurse to review potential complications one more time. What are the potential complications that should be monitored for the patient: select all

1-orthostatic hypotension 2-automonic dysreflexia 3-DVT

A patient reports beginning to experience ce lower back pain after lifting a heavy box. Which symptoms would lead the provider to suspect lumbar nerve compression? select all

1-pain in the buttocks that extends down the leg 2-weakness in the muscles of the left leg

The nurse is preparing to administer a new drug to a client currently prescribed carbidopa/levodopa which can decrease its effects. Which medication will require the nurse to monitor for decreased carbidopa/levodopa effectiveness? select all

1-phenytoin 2-zonisamide

a patient involved in a MVA is brought to the ED. After examination and diagnostics, the neurosurgeon diagnoses an epidural hematoma and orders the client prepared for surgery. Postoperatively, the patient arrives in ICU with report of an excellent surgical outcome. What interventions would be performed as part of nursing management? select all

1-place the patient lying on the unaffected side 2-remove and reapply anti-embolism stockings every 8 hours

The nurse is preparing to administer phenytoin to a client. The nurse should question this order if which disorder is noted in the client's past hx? select all

1-pregnancy 2-sinus bradycardia

identify the interventions to use to help promote sleep for the client w/ RLS. select all

1-take a hot bath 2-do a crossword puzzle

A client w/ a malignant brain tumor comes to the clinic for a follow up. During the visit, the client asks the nurse, "why am I so tires all the time?" When responding to the client, which information would the nurse include as possible causes? select all

1-tumor 2-treatment being used 3-stress

A client is diagnosed w/ a tumor of the temporal lobe. When developing the client's plan of care the nurse would plan interventions to address problems w/ which areas of functioning? select all

1-understanding language 2-emotions 3-memory

Which nursing technique best allows the client w/ slight expressive aphasia to communicate his feelings about using adaptive equipment in public?

sit beside client and patiently assist in interpreting communication

The nurse is caring for a patient with a herniation of C4. What item does the nurse anticipate to use if conservative therapy is used?

a cervial collar

The nurse is volunteering for the Red Cross blood drive and is taking the hx of potential donors. Which volunteer would the nurse know will not be allowed to donate blood?

a donor who was in college in England for 1 yr

Trimethadione is easily absorbed in the GI tract and is effective in controlling partial seizures

false

A pt w/ Parkinson's disease asks the nurse what can be done to prevent problems w/ bowel elimination. What would be an intervention that would assist this pt w/ a regular stool pattern?

adopt a diet w/ moderate fiber intake

clients should be monitored closely for EPS when taking antiparkinson drugs w/ which class of drugs?

antidepressants

The client who has Parkinson's disease is experiencing dysphasia. Which drug should the nurse have available for parenteral administration?

apomorphine

a home care nurse is helping a client and family cope w/ a recent neurologic deficit. what intervention is most important for the nurse to perform first?

assist the client and family to identify possible needs and solutions

which of the following adverse reactions, if observed in a client prescribed phenytoin, would indicate that the pt may be developing phenytoin toxicity?

ataxia

____________ ___________ is a condition in which your involuntary nervous system overreacts to external or bodily stimuli

autonomic dysreflexia

The ICU has four clients from a violent MVA. When assessing the pt's, which pt would the nurse assess first?

basilar fracture

some anti epileptic medication cation may cause birth defects. the nurse should instruct the female client regarding?

birth control methods

A patient who has sustained a basal skull fracture is admitted to the neurological unit. The nurse should know that the patient should be observed for:

bleeding from the ears

A 25 y/o client takes ethosuximide for the tx of absence seizures calls the clinic to report that she has developed a sore throat and a slight fever. The nurse will explain that she should come to the clinic to have what checked?

blood cell count

When caring for a patient who is post-intracranial surgery what is the most important parameter to monitor?

body temperature

neurosurgical procedures may require the use of _______ _________ to make a bone flap in the skull, aspirate a brain abscess, or evacuate a hematoma

burr holes

The nurse understands that a client receiving which anticonvulsant will need close observation for possible toxicity after the initiation of a protease inhibitor such as lopinavir/ritonavir (Kaletra) for the tx of HIV?

carbamazepine

the most serious adverse reactions seen w/ :levodopa includes which of the following?

choreiform and dystonic movements

Lou Gehrig's disease is an example of _______ _______ of a neurologic deficit.

chronic phase

injuries that occur when the brain rebounds and hit the opposite side of the skull is called

contrecoup

Which type of brain injury is characterized by a loss of consciousness associated with stupor and confusion?

contusion

Which types of brain injury has occurred in the pt that can be aroused with effort by soon slips back into unconsciousness:

contusion

a __________________ isa surgical opening of the skull to gain access to structures beneath the cranial bones

craniotomy

Paralyzed clients w/ reflex incontinence can lightly massage or tap the skin above the pubic area, a method known as ______ ______ that stimulates relaxation of the urinary sphincter

cutaneous triggering

A patient brought io the hospital after a skiing accident was unconscious for a brief period of time at the scene, then woke up disoriented and refused to go to the hospital for treatment. The became very agitated and restless, then quickly lost consciousness again. What type of traumatic brain injury (TBI) is suspected in this situation:

epidural hematoma

A nurse is caring for a pt with L1-L2 paraplegia who is undergoing rehabilitation. Which goal is appropriate?

establishing an intermittent catheterization routine every 4 hours

Dopaminergics are drugs that do not affect the dopamine content of the brain

false

Drugs w/ cholinergic blocking activity are used as atiemetic therapy in all forms of parkinsonism

false

Foods high in pyridoxine (vitamin B6) reduce the effect of carbidopa

false

Neurologic deficits usually affect only one body system?

false

The focus of client management during the recovery phase is to stabilize the client and prevent further neurologic damage

false

An ED nurse is admitting a client brought in by the paramedics after falling from a tree stand. The client has fx'd vertebrae at T3 and T4. The nurse knows the client is in the acute phase of neurologic deficit. What should the nurse know about the medical management of this client?

goal is to stabilize the client and prevent further neurologic damage

Older clients prescribed one of the dopamine receptor agonists are monitored closely for which of the following adverse reactions?

hallucinations

Rehabilitation is designed to meet the client's _________ and long-term needs

immediate

The nurse is planning care of a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of highest priority?

include client in planning of care and setting of goals

A gymnast sustained a blow to the head after falling off the balance beam. The patient has had surgery to repair an epidural hematoma. Once regaining consciousness, the patient asks for something to drink. The nurse advises that the patient is under fluid restriction to:

increase cerebral perfusion

the nurse reports which of the following as a diminished response to antiparkinson drug treatment rather than an adverse reaction

increased hand tremor

____________ is the removal of the posterior arch of a vertebra to expose the spinal cord.

laminectomy

the client taking Tolcapone for Parkinson's disease is monitored closely for which of the following?

liver dysfunction

A pt with concussion is discharged after the assessment. Which instruction should the nurse give the pt's family?

look for signs of increased intracranial pressure

_________________ is weakness or paralysis and compromised sensory functions of both legs and lower pelvis, which occurs with spinal injuries below the T1 level.

paraplegia

Simple seizures, motor seizures, and somatosensory seizures are classified as what type of seizure?

partial seizures

The barbiturate ______ is commonly used to treat convulsive disorders

phenobarbital

A client w/ a hx of a brain tumor is undergoing diagnostic testing to evaluate whether current ax's are the result of the tumor or scar tissue. The nurse would prepare the client for which test?

positron emission tomography (PET)

The nurse caring for a client in the chronic phase of a neurologic deficit knows that nursing management focuses on what?

preventing physical and psychological complications

Which basic of client care, occurring during the acute phase, is most helpful in promoting the rehabilitation of a client following a debilitating cerebrovascular accident?

prevention of joint contractures

The nurse is caring for a client immediately after a spinal cord injury. Which assessment finding is essential when caring for a client in spinal shock with injury is the lower thoracic region?

pulse and blood pressure

the nurse initiates a teaching plan for the family and client w/ neurologic deficits because Parkinson's disease. what nursing intruction is the highest priority?

reduce home safety hazards

a client is prescribed phenytoin for a recurrent convulsive disorder. the nurse teaches the client that the most common adverse reactions are?

related to GI system

The nurse is caring for an 82 y/o client who needs bladder training. The nurse knows that bladder training is difficult for older adult clients w/ neurologic deficit because of what?

relaxation of the internal bladder sphincter

when caring for a client w/ a neurologic deficit, what intervention is most important for preventing the formation of a pressure ulcer?

relieve pressure over bony prominences

A client w/ a neurologic deficit has been admitted to the nursing unit. The nurse caring for the client is assessing the client and observes significant changes in the client's status.. Which of the following action should the nurse perform immediately?

report the changes to the physician

An older adult client experiencing seizures is prescribed diazepam. Which assessment should the nurse prioritize?

respiratory rate and depth

when caring for a client taking a succinimide for seizure control, the nurse monitors the client for blood dyscrasias. which of the following symptoms would indicate that the client may be developing a blood dyscrasia?

sore throat. general malaise

_____________ ____________is a loss of sympathetic reflex activity below the level of injury 30 to 60 minutes of a spinal injury.

spinal shock

the recovery phase begins when the pt is

stable

Which of the following types of hematoma results from venous bleeding with blood gradually accumulating in the space below the dura?

subdural

a _________________________results from venous bleeding, with blood gradually accumulating in space below the dura

subdural hematoma

which of the following best describes convulsions?

sudden, involuntary contractions

a ________________ incision is made behind the hairline on the side of pathology

supratentorial

A nurse is providing care to a client recently dx'd w/ a brain tumor. When planning this client's care, the nurse anticipates which therapy as providing the best outcome for the client?

surgery

The nurse is caring for a pt experiencing autonomic dysreflexia. Which of the following does the nurse recognize as a source of symptoms?

sympathetic nervous system

a family member asks the nurse which exercise is best to help a client w/ Parkinson disease maintain balance. which is the best response?

tai chi

Which client goal established by the nurse, is most important as the nurse plans care for a seizure client in the home setting?

the client will remain free of injury if a seizure does occur

The nurse is caring for clients on a neurologic floor. Which client goal is most appropriate for the acute phase of a neurologic injury?

the client's vital signs will stabilize returning to baseline

A patient has sustained a head injury and is unconscious in the ER. A family member of the patient arrives and is providing details of the patient's medical history. Which information is of most concern to the nurse?

the patient's medications include warfarin (Coumadin)

An elderly woman found with a head injury on the floor of her home is subsequently admitted to the neurologic ICU. Wha tis the best rationale for the following health care provider prescriptions: elevate the HOB; keep the head in neutral alignment with no neck flexion or head rotation; avoid sharp hip flexion?

to avoid impeding venous outflow

Achalasia refers to the failure of the muscles of the lower esophagus to relax, causing difficulty in swallowing

true

Antiepileptics drugs are used to manage seizures disorders.

true

Benzodiazepines and barbiturates inhibit the uptake of gamma-aminobutyric acid and receptors?

true

Levodopa crosses the brain barrier

true

Levodopa is a chemical formulation found in plants and animals that is converted into dopamine by the body

true

Parkinsonism refers to a group of symptoms involving motor movement

true

Supplementing dopamine is difficult because of the blood-brain barrier.

true

basilar skull fractures are more serious than simple skull fractures

true

cerebral hematoma can lead to increased intracranial pressure

true

cervical spine injuries are managed with immediate immobilzation

true

clients are taught to use a clean technique for irrigating, changing, or inserting catheters at home.

true

coup injuries occur at the point of contact

true

cumulative and sustained concussions, such as those that are sports related, can results in long-term effects

true

generalized seizures involve a loss of consciousness

true

many clients w/ neurologic deficits have difficulty coping w/ their disability?

true

use of the joint can be permanently lost if not exercised regularly

true

a __________incision is a horseshoe-shaped incision around the occipital lobe

unfratentorial

A 70 y/o client w/ Parkinson's disease is receiving pramipexole. Which potential adverse reaction should the nurse monitor the client for?

visual hallucinations

A client has been prescribed an anticholinergic agent for tx of Parkinson-related ax's. What client education should be provided?

void before taking the medication

which statement would be included when educating the client taking trimethadione for seizures?

wear a sunscreen and protective clothing when exposed to sunlight

A client dx'd w/ Bell palsy is having decreased sensitivity to touch of the involved nerve. What should the nurse recommend to prevent atrophy of the muscles?

whistling

Which of the following is a sign of increasing ICP?

widening pulse pressure