Test 4 - questions*

A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication should the nurse prepare to administer? A. Atenolol (Tenormin) B. Lorazepam (Ativan) C. Phentoin (Dilantin) D. Lisinopril (Primivil)

B. Lorazepam (Ativan)

The nurse is liasing with the physical and occupational therapist to create an activity management plan for a patient who has multiple sclerosis. What principle should be integrated into guidelines for exercise and activity that the team will provide to this patient in anticipation of discharge? A. The patient should perform frequent physical activity but avoid being fatigued B. The patient should perform exercises that are brief but high-intensity C. The patient should prioritize energy conservation and remain on bed rest if possible D. The patient should attempt to maintain prediagnosis levels of activity and mobility

A. The patient should perform frequent physical activity but avoid being fatigued

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? A. Alopecia B. Gingival Hyperplasia C. Diplopia D. Ataxia

B. Gingival hyperplasia

A nurse cares for a client who presents with an acute exacerbation of multiple sclerosis (MS). Which prescribed medication should the nurse prepare to administer? A. Interferon beta-1B (Betaseron) B. Methylprednisone (Medrol) C. Dantrolene sodium (Dantrium) D. Baclofen (Lioresal)

B. Methylprednisone (Medrol)

A patient is diagnosed with amyotrophic lateral sclerosis, also known as ALS or Lou Gehrig's disease. The nurse understands that the symptoms of the disease will begin in what way? A. ascending paralysis B. numbness and tingling in the lower extremities C. weakness starting in the muscles supplied by the cranial nerves D. jerky, uncontrolled movements in the extremities

B. numbness and tingling in the lower extrmeties

A client is receiving medical management for a history of transient ischemic attacks (TIAs). The client's health care provider has prescribed an oral anticoagulant to prevent a more serious cerebrovascular accident. The nurse is to monitor the client's: A. hemoglobin B. prothrombin level C. erythrocyte sedimentation rate (ESR) D. platelet level

B. prothrombin level

The nurse know that symptoms associated with a transient ischemic attack (TIA), usually a precursor of a future stroke, usually subsides in: A. 3 to 6 hours B. 24 to 36 hours C. 1 Hour D. 12 hours

C. 1 hour

A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, which factor is most beneficial in determining the potential cause of the episode? a) The type of anticonvulsant prescribed to manage the epileptic condition b) Recent stress level c) Compliance with the prescribed medication regimen d) Recent weight gain and loss

Compliance with the prescribed medication regimen The most common cause of status epilepticus is sudden withdraw of anticonvulsant therapy.

A clinic nurse is caring for a client diagnosed with migraine headaches. During the client teaching session, the client questions the nurse regarding alcohol consumption. What would the nurse be correct in telling the client about the effects of alcohol? A. alcohol causes hormone fluctuations B. alcohol diminishes endorphins in the brain C. alcohol has an excitatory effect on the CNS D. alcohol causes vasodilation of the blood vessels

D. alcohol causes vasodilation of the blood vessels

A client has been hospitalized for diagnostic testing. The client has just been diagnosed with multiple sclerosis, which the physician explains is an autoimmune disorder. How would the nurse explain an autoimmune disease to the client? A. A disorder when the body does not have enough immunoglobulin B. A disorder where the body has too many immunoglobulins C. A disorder where histocompatible cells attack the immunoglobulins D. a disorder where the killer T-cells and autoantibodies attacks or destroys natural cella - those cells that are "self"

D. a disorder where the killer T-cells and autoantibodies attacks or destroys natural cella - those cells that are "self"

A client reports light-headedness, speech disturbances, and left-sided weakness lasting for several hours. The neurologist diagnosed a transient ischemic attack, which caused the client great concern. What would the nurse include during client education? A. when symptoms cease, the client will return to presymptomatic state B. A TIA is an insidious, often chronic episode of neurologic impairment C. symptoms of a TIA may linger for up to a week D. 2/3 of people that experience a TIA will go on to develop a stroke

A. when symptoms cease, the client will return to presymptomatic state

A client with amyotrophic lateral sclerosis (ALS) is being visited by the home health nurse who is creating a care plan. Which of the following nursing diagnoses is most likely for a client with this condition? A. Chronic confusion B. impaired urinary elimination C. Impaired verbal communication D. Bowel incontinence

C. Impaired verbal communication

A nurse is teaching a client who has migraine headaches. Which statements about migraine headache triggers should the nurse include in this client's plan of care? (select all that apply) Increase your intake of caffeinated beverages Incorporate doctor approval physical exercise into your daily routine Avoid alcoholic beverages Participate in a smoking cessation program Increase your intake of fruits and vegetables

Incorporate doctor approval physical exercise into your daily routine Avoid alcoholic beverages Participate in a smoking cessation program

The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session? Select all that apply. Maintain a headache diary Keep a food diary Sleep no more than 5 hours at a time Use St. john's Wort Exercise in a dark room

Maintain a headache diary Keep a food diary

The nurse is completing an assessment on a client with a history of migraines. The nurse would identify which of the following factors as a possible trigger for a migraine headache? Select all that apply. Change in environmental temperature Prolonged positioning Red wine Nausea Exposure to flashing light Mensturation

Red wine Exposure to flashing light Mensturation

A nurse assess a client who has multiple areas of ecchymosis on both arms. Which question should the nurse ask first? A. What medications are you taking? B. Do you have a family history of this? C. Are you using lotion on your skin? D. Do your arms itch?

A. What medications are you taking?

In planning care for a patient with an extrapyramidal disorder, the nurse recognizes that a major difference between Parkinson's disease and Huntington's disease is the development of ________ in clients with advanced Huntington's disease. A. hallucinations and delusions B. depression C. bradykinesia D. muscle fasciculations

A. hallucinations and delusions

A nurse prepares to discharge a client who has a wound and is prescribed home health care. What information should the nurse include in the hand-off report to the home health nurse? A. recent wound assessment, including size and appearance B. resources available to the client for wound care supplies C. complete heath history and assessment findings D. insurance information for billing and coding purposes

A. recent wound assessment, including size and appearance

A 64-year-old client reports symptoms consistent with a TIA to the physician in the emergency department. What is the origin of the client's symptoms? A. impaired cerebral circulation B. cardiac disease C. hypertension D. diabetes insipidus

A. impaired cerebral circulation