MSN 377: Ch 70 Workbook Questions

D

An older adult patient exhibiting clinical manifestations of a brain tumor is admitted to the hospital for testing. What tumor types does the nurse know are commonly seen in the older adult? A. anaplastic astrocytoma B. cerebral metastasis from other sites C. glioblastoma multiforme D. medulloblastoma

A

The nurse is caring for a patient with Huntington's disease in the long-term care facility. What does the nurse recognize as the most prominent symptom of the disease that the patient exhibits? A. rapid, jerky, involuntary movements B. slow, shuffling gait C. dysphagia and dysphonia D. dementia

B

The nurse is caring for a patient with Parkinson's disease and is preparing to administer medication. What does the nurse administer to the patient that is considered most effective drug currently given for the tremor of Parkinson's? A. Requip B. Levodopa C. Symmetrel D. Permax

A

A patient with Huntington's disease is prescribed medication to reduce the chorea. What medication will the nurse administer that is the only drug approve for the treatment of this symptom? A. tetrabenazine (xenazine) B. carbamazepine (Tegretol) C. phenobarbital D. diazepam (valium)

B

The nurse is performing an assessment for a patient in the clinic with Parkinson's disease. The nurse determines that the patient's voice has changed since the last visit and is now more difficult to understand. How should the nurse document this finding? A. dysphagia B. dysphonia C. hypokinedia D. micrographia

C

A nurse knows that a patient exhibiting seizure like movements localized to one side of the body most likely has what type of tumor? A. a cerebellar tumor B. a frontal lober tumor C. a motor cortex tumor D. an occipital lobe tumor

D

A patient is diagnosed with a spinal cord tumor and has had a course of radiation and chemotherapy. Two months after the completion of the radiation, the patient complains of severe pain in the back. What is pain an indicator of in a patient with a spinal cord tumor? A. lumbar sacral pain B. the development of a skin ulcer from the radiation C. hematoma formation D. spinal metastasis

C

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

A, B, C

A patient is diagnosed with an intracerebral tumor. The nurse knows that the diagnosis may include which of the following? (Select all that apply.) A. astrocytoma B. ependymoma C. medulloblastoma D. meningioma E. acoustic neuroma

C

A patient with Parkinson's disease asks the nurse what can be done to prevent problems with bowel elimination. What would be an intervention that would assist this patient with a regular stool pattern? A. take psyllium (Metamucil) daily B. take a laxative whenever bloating is experienced C. adopt a diet with moderate fiber intake D. adopt a high-fiber diet

D

A patient with Parkinson's disease is experiencing an on-off syndrome. What does the nurse recognize that the patient's clinical symptoms will be? A. the patient will have unilateral testing tremors and then will have a period of no tremors present B. the patient will have a slow, shuffling gait and then will be able to move at a faster pace C. the patient will have a period when medication with levodopa will be unnecessary D. the patient will have periods of near immobility, followed by a sudden return of effectiveness of the medication

A

A patient with a brain tumor is complaining of headaches that are worse in the morning. What does the nurse know could be the reason for the morning headaches? A. increased intracranial pressure B. dehydration C. migraines D. the tumor is shrinking

B

A patient is exhibiting bradykinesia, rigidity, and tremors related to Parkinson's disease. The nurse understands that these symptoms are directly related to what decreased neurotransmitter level? A. acetylcholine B. dopamine C. serotonin D. phenylalaline

B

A patient with amyotrophic lateral sclerosis asks if the nurse has heard of a drug that will prolong the patient's life. The nurse knows that there is a medication that may prolong the life by 3 to 6 months. What medication is the patient referring to? A. Baclofen (Lioresal) B. Riluzole (Rilutek) C. dantrolene sodium (Dantrium) D. diazepam (Valium)

C

The daughter of a patient with Huntington's disease asks the nurse what the risk is of her inheriting the disease. What is the best response by the nurse? A. "The disease is not hereditary and therefore there is no risk to you" B. "If one parent has the disorder, there is a 75% chance that you will inherit the disease" C. "If one parent has the disorder, there is a 50% chance that you will inherit the disease." D. "The disease is inherited and all offspring of a parent will develop the disease."