Exam 3 Test Bank: Mgmt. of pts. w/ oncologic or degenerative neuro disorders

The nurse teaches the pt. diagnosed w/ Huntington disease that is transmitted as which type of genetic disorder? A) autosomal dominant B) X-linked C) autosomal recessive D) none of the above

A

WOTF diseases is associated w/ decreased levels of dopamine due to destruction of pigmented neuronal cells in the substantia nigra in the basal ganglia of the brain? A) Parkinson's disease B) CJD C) Huntington disease D) MS

A

WOTF is the most common type of brain neoplasm? A) glioma B) neuroma C) angioma D) meningioma

A

WOTF statements describes the patho of post-polio syndrome? A) the exact cause is unknown, but aging or muscle overuse is suspected B) the exact cause is unknown, but latent poliovirus is expected C) post-polio syndrome is caused by an autoimmune response D) post-polio syndrome is caused by a long-term intake of a low protein, high fat diet in polio survivors

A

A pt. with a cervical disc herniation in the acute phase is complaining of numbness and tingling of his arms. What are the priority interventions for the nurse to perform? SATA A) provide NSAID therapy B) have the pt. wear a cervical collar daily C) encourage exercise to strengthen the legs D) assist the pt. in isometric exercises of the arms E) encourage weight lifting to strengthen them

A, B

A pt. has undergone a cervical discectomy. What interventions are essential to teach the pt.? SATA A) call the HCP if the area is red or irritated B) cover the incision w/ dry dressing C) don't remove dressing until your next visit D) avoid twisting or flexing your neck E) sit as much as possible, standing can cause pain F) keep staples or sutures clean and dry

A, B, C, D, F

A pt. w/ a herniated lumbar disc has asked about nonsurgical strategies to help w/ mobility. What strategies will the nurse teach the pt.? SATA A) muscle relaxants B) NSAIDs C) hydrotherapy D) weight reduction E) positive feedback and attitude F) physical therapy

A, B, D, F

Which nursing interventions will best help the pt. with Huntington disease to increase nutrition? SATA A) relaxation techniques B) increasing high carb foods C) Phenothiazine (Chlorpromazine) prior to meals D) eliminating foods high in fat E) a pureed diet

A, C

Bone density testing in pts. with post-polio syndrome has demonstrated? A) calcification of long bones B) low bone mass and osteoporosis C) osteoarthritis D) no significant findings

B

The nurse is caring for a client with Huntington disease. What intervention is a priority for safe care? A) ROM exercises B) protecting the pt. from falls C) assessing serum cholesterol D) measuring electrolytes

B

The nurse teaches the pt. w/ post-polio syndrome that bone density will be completed to assist w/ identifying what potential complication? A) calcification of long bones B) low bone mass and osteoporosis C) osteoarthritis D) pathologic fractures

B

The pts. w/ a brain tumor may be at increased risk for aspiration. The most important intervention includes WOTF? A) frequent reorientation B) evaluation of gag reflex and ability to swallow C) assistance w/ self-care D) monitoring vital signs

B

WOTF is a disease in which there is a loss of motor neurons in the anterior horns of the spinal cord and motor nuclei of the lower brain stem? A) Parkinson's disease B) Amyotrophic lateral sclerosis (ALS) C) Alzheimer's disease D) Huntington disease

B

What interventions will best help the pt. with Huntington disease relieve anxiety and increase communication? SATA A) employ an interpreter B) use biofeedback C) always have family present D) talk as little as possible E) consult w/ a speech therapist

B, E

A pt. is admitted complaining of lower back pain. What will best assist the nurse is determining if the pain is related to a herniated lumbar disc? A) ask the pt. if he can walk B) ask the pt. if he has had a bowel movement C) have the pt. lie on his back and lift his leg, keeping it straight D) ask the pt. if he had any pain on ambulation

C

A pt. with post-polio syndrome displays fatigue and decreased muscle strength. What is the best statement for the nurse to make to the pt.? A) these symptoms are not related to your past diagnosis B) this will pass, you need to relax C) IVIG infusion may help you D) once you sleep, you should be fine

C

Corticosteroids are used in the mgmt. of brain tumors to? A) identify precise location of the tumor B) facilitate regeneration of neurons C) reduce cerebral edema D) prevent extension of the tumor

C

The nurse teaches the pt. with which disorder his or her disease is due to increased levels of dopamine in the basal ganglia of the brain? A) MS B) Huntington disease C) Parkinson's disease D) CJD

C

WOTF anticholinergic agents are used to control tremor and rigidity in Parkinson's disease? A) Bromocriptine mesylate (Parlodel) B) Amantadine (Symmetrel) C) Benztropine (Cogentin) D) Levodopa (Larodopa)

C

WOTF diseases is a chronic, progressive, hereditary disease of the nervous system that results in progressive involuntary dancelike movements and dementia? A) Parkinson's disease B) CJD C) Huntington disease D) MS

C

WOTF is a degenerative neurologic disorder? A) osteomyelitis B) Paget's disease C) Huntington disease D) glioma

C

WOTF medication classifications should be avoided in the treatment of brain tumors? A) osmotic diuretics B) anticonvulsants C) anticoagulants D) corticosteroids

C

WOTF statements reflect nursing interventions of a pt. w/ post polio syndrome? A) planning activities for evening hours rather than morning hours B) administering retroviral agents C) providing care aimed at slowing the loss of strength and maintaining the physical, psychological, and social well-being of the pt. D) avoiding the use of heat applications in the treatment of muscle and joint pain

C

WOTF terms is used to describe edema of the optic nerve? A) lymphedema B) scotoma C) papilledema D) angioneurotic edema

C

What nursing intervention will best assist the pt. with chorea? A) assist the pt. w/ walking hourly B) administer pain medications q4h C) monitor the pt. on bedrest D) pathologic fractures

C

WOTF is a known risk factor for brain tumors? A) cellular telephones B) use of hair dyes C) head trauma D) ionizing radiation

D

WOTF is a rapid, jerky, involuntary and purposeless movement of the extremities or facial muscles? A) akathisia B) paresthesia C) dyskinesia D) chorea

D

WOTF meds is the most effective agent in the treatment of Parkinson's disease? A) Bromocriptine mesylate (Parlodel) B) Amantadine (Symmetrel) C) Benztropine (Cogentin) D) Levodopa (Larodopa)

D