MedSurg Ch. 56,57,58,59,60

When visiting a patient prescribed phenytoin (Dilantin) for seizures, which instruction would the nurse provide the patient to prevent precipitation of seizures?

Do not stop the drug abruptly without consulting the health care provider.

Which assessment findings support the diagnosis of frontotemporal lobar degeneration (FTLD)? Select all that apply.

Erratic behavior Altered memory Sleep disturbances Difficulty with speech

Which intervention would be included in the plan of care for a patient who has experienced a right-brain stroke?

Evaluate body positioning during all transfers.

Which intervention would the nurse implement when a patient, admitted with head trauma, has 300 mL/hr of urine output for the each of the last four hours, dry skin, and dry mucous membranes?

Evaluate the urine's specific gravity.

When establishing a diagnosis of multiple sclerosis (MS), which prescribed diagnostic studies would the nurse explain to the patient? Select all that apply.

Evoked response testing Cerebrospinal fluid analysis CT scan

hen establishing a diagnosis of multiple sclerosis (MS), which prescribed diagnostic studies would the nurse explain to the patient? Select all that apply.

Evoked response testing, Cerebrospinal fluid analysis, CT scan

Which seizure disorder would the patient have when medication therapy failed, and the patient had a resection of epileptogenic tissue?

Focal seizures

Which information would the nurse elicit during a patient's health history to aid in preparing a plan of care for a patient with trigeminal neuralgia? Select all that apply.

Food habits Self-medication to decrease pain Frequency of attacks and triggers

Which professionals have a high risk of developing Alzheimer's disease or another type of dementia? Select all that apply.

Football players Military members

Which prescribed medication would the nurse administer to minimize safety risks to a patient in the intensive care unit (ICU) who is experiencing delirium?

Haloperidol

A patient in the intensive care unit begins to exhibit signs of delirium. The nurse identifies that which factors may have contributed to the acute onset of symptoms? Select all that apply.

Hard of hearing Sleep deprivation Anesthesia for surgery

When teaching the pathophysiology of a cluster headache, the nurse would teach that cluster headaches activate which part of the brain?

Hypothalamus

When assessing a patient's level of consciousness, which potential Glasgow Coma Scale (GCS) scores indicate the patient is in a comatose state? Select all that apply.

4,5,6

If blood flow to the brain is interrupted, how quickly does cellular death occur?

5 minutes

When assessing a patient's intracranial pressure (ICP) after they sustained a head trauma, which normative value would the nurse utilize to compare the assessment data?

5 to 15 mm Hg

At which rate must blood flow in the brain be maintained for normal functioning?

750 to 1000 mL/min

To preserve cerebral perfusion of a patient with an elevated intracranial pressure (ICP), which cerebral perfusion pressure (CPP) would the nurse maintain when suctioning the patient?

80 mm Hg

Which patients may be administered tissue plasminogen activator (tPA) safely? Select all that apply.

A 70-year-old with blood sugar levels of 110 mg/dL A 40-year-old with history of head injury six months ago A 25-year-old with history of cholecystectomy two years previously 5

Which characteristics are different in familial Alzheimer's disease when compared with those of sporadic disease? Select all that apply.

A clear pattern of inheritance within the family An early onset of the disease (before 60 years of age) A rapid disease course

Which dietary recommendations would the nurse share as a means of controlling seizures in some patients?

A diet with high fats and low carbohydrates

Which observation would the nurse associate with a cerebrospinal fluid (CSF) leak when a patient with a suspected traumatic brain injury (TBI) develops a bloody nasal drainage?

A halo sign on the nasal-drip pad

Which disorder would the nurse associate with a patient's clinical manifestations of a throbbing headache and photophobia occurring prior to the headache's onset, as well as a history of this type of headache?

A migraine headache

For which patient would the nurse prioritize an assessment for depression?

A patient in the early stages of Alzheimer's disease

A patient develops Bell's palsy weeks after being diagnosed with a middle ear infection. Which explanation would the nurse give when asked about the cause of the condition?

A virus causes inflammation, which leads to paralysis of the facial nerve.

The nurse finds that the patient is unable to recognize familiar objects after a stroke. Which term would the nurse chart in the patient's medical record?

Agnosia

About which food item would the nurse teach a patient as being a potential trigger for cluster headaches?

Alcohol

Benzodiazepines are indicated in the treatment of cases of delirium that have which cause?

Alcohol withdrawal

Which information is most important for the nurse to include when teaching a patient and the family about the administration of warfarin?

Alert the health care provider if a fall or head injury is sustained, even if there are no symptoms.

The patient with Parkinson's disease lost 35 pounds (15.9 kg) over the last two months, and a swallow study indicates ability to swallow without aspiration. Which intervention would the nurse discuss with the patient and spouse to improve nutritional intake?

Allow adequate time for the patient to eat each of six small meals.

A patient who is hospitalized with a spinal cord injury experiences poor dietary intake. Which measures does the nurse take to improve the patient's nutritional status? Select all that apply.

Allow adequate time to eat. Encourage intake of dietary fiber. Keep a calorie count of the food taken. Provide a pleasant eating environment. Encourage the family to bring in special foods.

Which nursing interventions would assist a patient who had a stroke and is frustrated by mobility problems? Select all that apply.

Allow family and friends to visit the patient more often. Speak to the patient in a calm, caring manner to reduce frustration. Help the family understand that frustration is common in the first year after a stroke.

A patient has left-sided hemiplegia following an ischemic stroke that was experienced four days earlier. How would the nurse best promote the health of the patient's integumentary system?

Alternate the patient's positioning between supine and side-lying.

Which is the most common cause of dementia?

Alzheimer's disease

Which medication would the nurse associate with the treatment of rebound headaches?

Amitriptyline (Elavil)

Which patient would the charge nurse assign to the nurse floating from the acute care medical-surgical unit to the neurologic intermediate care unit?

An alert patient with viral encephalitis who needs an IV access for a scheduled acyclovir

For the patient with a closed head injury from a blunt object, which assessment would the nurse perform as the most reliable clinical indication of a patient's development of an increased intracranial pressure (ICP)?

An altered level of consciousness (LOC)

Which factor improves cerebral blood flow?

An increase in hydrogen ion concentration

For the patient with a brain tumor, for which diagnostic test would the nurse prepare the patient when needing to localize and detect tumor blood flow?

Angiography

Which medication would the nurse anticipate administering to a patient with parkinsonism as treatment for their hypomobility?

Apomorphine (Apokyn)

Which prescribed first-line drug would the nurse prepare to administer to a patient with trigeminal neuralgia?

Carbamazepine

Which medication helps to increase the bioavailability of levodopa in the brain by inhibiting the enzyme dopa-decarboxylase?

Carbidopa (Lodosyn)

Which diagnostic study is the most reliable to identify the source of a subarachnoid hemorrhage?

Cerebral angiography

Which diagnostic test determines cerebral blood flow?

Cerebral angiography

When teaching a community group about headaches, which part of the central nervous system would the nurse include as involved with the development of migraine headaches?

Cerebral cortex

Immediately following a stroke, the patient's BP is 80/60 mm Hg. Which actions would the nurse take based on this finding? Select all that apply.

Correct hypotension. Correct hypovolemia. continue treatment for stroke

For which procedure would the nurse prepare the patient who has loose bone fragments from a skull fracture?

Craniotomy

Which interventions would the nurse implement to comfort the patient with a brain tumor who is experiencing disorientation and confusion due to perceptual problems? Select all that apply.

Create a routine, Use reality orientation, Minimize environmental stimuli.

Which type of food would the nurse feed the patient by mouth for the first time after a stroke?

Crushed ice

Which aspects of the medical history of a female patient are risk factors for stroke? Select all that apply.

Current use of high-dose oral contraceptives History of migraine headaches with aura

Which patient statements regarding Huntington's disease and related genetic testing indicate understanding of the disease? Select all that apply.

Currently, there is no effective treatment or cure for Huntington's disease. Positive genetic testing indicates that the patient will eventually develop the disease. Offspring of persons with Huntington's disease have a 50% risk of disease development.

When reviewing the admission assessment data of a hospitalized pediatric patient, which findings would the nurse associate with the clinical manifestations of typical absence seizures? Select all that apply.

Daydreaming, HTN, EEG results

Which term would the nurse use to document a patient who is comatose from a head injury and displays flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

Decorticate posturing

Which laboratory result would the nurse anticipate when reviewing the cerebrospinal fluid analysis of a patient with bacterial meningitis?

Decrease in glucose level

Which outcome would concern the nurse when the patient's calculated mean arterial pressure (MAP) is below 70 mm Hg?

Decreased cerebral blood flow (CBF) 4

Which assessment would the nurse perform to determine whether the mannitol (Osmitrol) IV treatment had the desired outcome for a patient with a head injury?

Decreased intracranial pressure

A patient presents to the hospital with severe back pain that interferes with activity. A CT scan shows a metastatic tumor in the spine. IV dexamethasone is prescribed. Which is the desired effect of the medication?

Decreased tumor-related edema

Which information would the nurse include when teaching a patient with multiple sclerosis about the advantages of exercise during remission? Select all that apply.

Decreases spasticity, Increases coordination, Retrains unaffected muscles to substitute for impaired ones

A nurse is caring for a patient who was alert and showed no signs of cognitive distress then suddenly exhibits severe confusion and emotional distress. Which term describes this temporary state that could indicate a life-threatening syndrome?

Delirium

A patient with disorganized, distorted thinking and slow or accelerated incoherent speech is demonstrating which cognitive problem?

Delirium

The adult child of an older patient states, "Since the discharge from the hospital two days ago, my parent won't eat and is confused." Which issue would the nurse suspect is occurring with the patient?

Delirium

A patient with paraplegia has been hospitalized for a week and is eating a very limited amount of food. The nurse identifies which potential causes of the patient's anorexia? Select all that apply.

Depression Hurried feeding by the caregiver Boredom with agency food Exhibiting a way of asserting control

Which prescribed IV injection would the nurse administer first for the patient experiencing status epilepticus?

Diazepam (Valium) IV

Which type of waveform would the nurse document for a patient receiving intracranial pressure (ICP) monitoring and the waveform represents venous pulsations?

Dicrotic wave

After receiving scheduled doses of topiramate (Topamax), which clinical manifestation indicates medication toxicity that the nurse would report to the health care provider immediately?

Difficult to arouse

An older patient who takes haloperidol for delirium is exhibiting extrapyramidal effects. Which action would the nurse take?

Discuss the use of a benzodiazepine with the health care provider.

A patient who experienced a stroke on the left side of the brain suddenly begins to cry while playing a card game. Which action would the nurse take?

Distract the patient.

The nurse is teaching a group of caregivers about how to help patients with severe agitation in Alzheimer's disease. Which strategies would the nurse include in the plan? Select all that apply.

Distraction Redirection Reassurance

a patient suspected of having myasthenia gravis (MG) suffers injury and has related pain, infection, and inflammation. Which drugs must be used with caution? Select all that apply.

Diuretics Antibiotics Opioid analgesics

A patient suspected of having myasthenia gravis (MG) suffers injury and has related pain, infection, and inflammation. Which drugs must be used with caution? Select all that apply.

Diuretics Antibiotics Opioid analgesics

Which is an example of blunt trauma that can result in a spinal cord injury?

Diving accident

Which information would the nurse provide a patient with multiple sclerosis who begins treatment with β-interferon? Select all that apply.

Do not drink grape juice or eat grapes. Know that flulike symptoms are common. Wear sunscreen while exposed to sunlight.

Which condition would the nurse expect to find during the physical examination of a patient with cauda equina syndrome (CES)?

complete sensation loss between the legs

Which specific patient assessments would the nurse perform immediately after a status epilepticus event subsides? Select all that apply.

oxygenation, oral body temp, RR and pattern

The nurse would assess a patient with Alzheimer's disease who has increased vocalization and agitation for which issue?

pain

When reviewing the health history of a patient with dementia, which causes of the patient's dementia would the nurse identify as possibly being reversible? Select all that apply.

Hypothyroidism Anticholinergic drug use Hydrocephalus

Which medication would the nurse anticipate administering the patient with type I diabetes mellitus who experiences a hypoglycemic event and begins to seize?

IV dextrose solution

Which diagnostic study is used to assess soft tissue injury and neurologic changes?

MRI

Which diagnostic test would the nurse anticipate for a patient with progressive weakness suspected of having multiple sclerosis?

Magnetic resonance imaging (MRI)

Which neurologic disease, if detected early, is treatable by surgery?

Normal pressure hydrocephalus

A degeneration of dopamine-producing neurons and decreased levels of dopamine are characteristics of which disease?

Parkinson's disease

Which neurodegenerative disorder has the characteristics of rigidity and bradykinesia?

Parkinson's disease

Which neurologic disorder has paradoxical intoxication as a potential adverse effect of medication therapy?

Parkinson's disease

A relapsing-remitting initial course followed by the disease with or without relapses are characteristics of which type of multiple sclerosis?

Secondary-progressive

A patient who is beginning to demonstrate signs of delirium would have which blood level evaluated as a possible contributing factor?

Serum potassium

When preparing to administer a hypertonic saline infusion to a patient with an increased intracranial pressure (ICP), which parameters would the nurse monitor frequently? Select all that apply.

Serum sodium, BP

Which rationale supports the nurse contacting the prescribing health care provider regarding an order of benzodiazepine for a patient with an increased intracranial pressure (ICP)?

Side effects include a hypotensive effect.

When providing a community safety presentation, which disorder would the nurse include as a possible cause for a patient's increased intracranial pressure?

Subdural hematoma

Which medication would the nurse anticipate administering as a first-line therapy in treatment of severe migraines?

Sumatriptan (Imitrex)

For which treatment modality would the nurse prepare a patient whose MRI revealed the presence of a brain tumor?

Surgery

To achieve the best outcome when providing care for a patient with an increased intracranial pressure (ICP) secondary to a mass lesion in the brain, which treatment information would the nurse provide the patient?

Surgery

Which factors would the nurse consider when assessing the surgical outcome of a patient with a brain tumor? Select all that apply.

Surgery can reduce the tumor mass., Surgery can provide relief of symptoms., Surgery can help to extend survival time.

Which treatment would be included in the plan of care for a patient who has normal pressure hydrocephalus?

Surgery with insertion of a shunt

The nurse is caring for a patient with progressive dementia. Which finding supports frontotemporal lobar degeneration as the cause of the patient's symptoms?

Symmetric atrophy of the temporal lobes

When obtaining a patient's history with migraine headaches, which clinical manifestations would the patient report? Select all that apply.

The headache is usually on one side. An aura typically precedes the headaches. Certain foods, such as chocolate, usually trigger the migraine

For the patient presenting with watery sanguineous nasal drainage after falling from a first-floor roof, which diagnostic method validates the nurse's suspicion of rhinorrhea?

The halo test

While assessing a patient who had a stroke, the nurse notes adventitious breath sounds and the accumulation of sputum. Why would the nurse encourage the patient to take slow, deep breaths and to cough frequently?

To increase airway clearance

Which term would the nurse use to document a patient who suddenly lost consciousness, stiffened for about 15 seconds, and then developed a jerking motion of the extremities?

Tonic-clonic seizure

If taken daily, which prescribed medication prevents the development of a migraine attack?

Topiramate (Topamax)

A nurse is measuring the BP of a hypertensive obese patient who has been admitted to the hospital for increased blood glucose levels. While he or she is speaking, the nurse notes that the patient has suddenly started mumbling and is unable to articulate words. Which action would the nurse take?

Treat this as an emergency and call the health care provider.

Which nerve also has the label of cranial nerve (CN) V?

Trigeminal nerve

Which statement would the nurse include when teaching a patient about the medication classification of triptans, of which a newly prescribed medication belongs?

Triptans are most effective when taken during an aura

Which explanation regarding trismus and its relation to tetanus infection is accurate?

Trismus is stiffness of the jaw and is one of the first manifestations of tetanus.

Which intervention would the nurse implement when providing care for a patient with a severe migraine?

Turn off the lights and close curtains in the room

Which seizure disorder typically occurs in children and rarely continues beyond adolescence?

Typical absence seizures

The nurse caring for a patient with Bell's palsy expects to find which key symptom on assessment?

Unilateral lower motor facial weakness

Which finding is consistent with a left-hemispheric stroke?

Unilateral weakness of the right extremities

Which intervention does the nurse perform in the acute care of a patient with autonomic dysreflexia?

Urinary catheterization

Which clinical manifestation would the nurse report immediately to the health care provider when providing care for a patient with a traumatic brain injury and an increased intracranial pressure (ICP)?

Urine output of 1000 mL in one hour

The nurse is caring for a patient who has sustained a spinal cord injury. To prevent autonomic dysreflexia, the nurse instructs the patient to avoid which occurrence?

Urine retention

Which nursing intervention would the nurse use with a patient who has been diagnosed with the mild cognitive impairment stage of Alzheimer's disease?

Use a calendar and family pictures as memory aids.

When performing an initial baseline assessment and subsequent assessments, which actions would the nurse implement specific to the patient's neurologic status? Select all that apply.

When performing daily activities, assess the patient. Assess patient's integrated function and balance. Monitor level of consciousness and motor abilities.

A patient injured at work with an open cut asks the occupational health nurse whether a "tetanus shot" is needed. The nurse would base the response on which fact?

When the patient last received a tetanus toxoid booster

When caring for a patient with Bell's palsy, the nurse would monitor for which complications? Select all that apply.

Corneal abrasions Psychologic withdrawal Mucous membrane trauma

Which area would be a priority of care for a patient who is being admitted to the hospital and is demonstrating signs of delirium?

Safety

Which nursing intervention would the nurse plan to provide for a patient who had a right-hemispheric stroke?

Safety measures

Which intervention would the nurse take for a patient who has been prescribed nimodipine?

administer if heart rate is greater than 60 beats/min.

Which medication helps to improve memory and cognition in patients with Alzheimer's disease?

Rivastigmine

Which are primary methods of preventing a stroke? Select all that apply.

healthy diet regular exercise management of BP

Upon review of a patient's medical history, which question would the nurse ask the patient with a history of restless legs syndrome (RLS)?

"Are you able to sleep well and feel rested?"

Which questions would the nurse ask a patient with multiple sclerosis prior to administering the newly prescribed medication, dalfampridine (Ampyra)? Select all that apply.

"Do you have kidney disease?", "Do you have a history of any seizure disorder?"

The nurse is using the Mini-Cog test to assess a patient for the presence of dementia and possibly Alzheimer's disease (AD). Which statement is appropriate for the nurse to include when administering the test to the patient?

"Draw the hands of the clock to read 11:10." 3

The nurse is conducting a teaching session on health strategies to decrease the risk for developing Alzheimer's disease (AD). Which statement made by a participant indicates the need for further education?

"Drinking a few glasses of wine each day has been shown to decrease the incidence of AD."

Which discharge instruction would the nurse provide to a patient with trigeminal neuralgia?

"Eat a diet that is high in protein."

The nurse is assessing an adult patient during a scheduled health maintenance visit. The patient states, "I have become so forgetful. I am worried that I am developing Alzheimer's disease like my parent did." Which assessment question will help to determine whether the patient has memory loss related to Alzheimer's disease (AD)?

"Have you ever forgotten what an item is used for?"

Which statement by the novice nurse demonstrates understanding of the care required for a patient admitted earlier today with a diagnosis of post-head injury concussion?

"I need to assess the patient's level of consciousness frequently because changes are the first indication of complications."

The nurse is providing education on the drug clopidogrel for a patient who experienced a transient ischemic attack (TIA). Which patient statement indicates a need for further teaching?

"I need to keep in close contact with my health care provider because I need frequent blood tests to adjust the medication dose."

Which statements reflect understanding by the newly licensed registered nurse providing care for a patient with recent placement of a ventricular shunt? Select all that apply.

"I need to wear sterile gloves whenever I palpate the patient's incision site.", "I should be concerned if my patient begins to vomit or dry heave and has a headache.", "I will compare my current assessment findings with the patient's preoperative assessments."

The RN is teaching a student nurse about airway management for a patient who is at risk of aspiration. Which statement made by the student nurse indicates effective learning?

"I will perform suctioning PRN."

The nurse is teaching a student nurse about implementing a bladder retraining program for a patient who sustained a stroke. Which statement made by the student nurse indicates the need for further teaching?

"I will provide an adequate amount of fluid to the patient between 5:00 am and 9:00 pm."

For the patient with a seizure disorder and a history of diabetes mellitus, which statements indicate understanding of safety measures taught by the nurse? Select all that apply.

"I will refrain from drinking alcohol." "I will wear a helmet while riding a bike." "I will maintain adequate sleep and rest schedules."

A patient's surgical therapy for trigeminal neuralgia resulted in an altered corneal reflex. After the nurse provides education about long-term management of the reflex, which statement made by the patient indicates the need for further teaching?

"I'm glad I won't need to put drops in my eyes anymore."

Which statement by the spouse of a patient with Alzheimer's disease (AD) demonstrates an accurate understanding of the patient's medication regimen?

"I'm really hoping my spouse's medications will slow down the mental losses."

A patient is not able to talk properly after having a stroke but is able to understand what the nurse is saying. While talking to the patient, which sentence stated by the patient will confirm Broca's aphasia? Select all that apply.

"Ice cream eat.", "Bird bird two tree."

Which ethnic group has the highest incidence of stroke

Blacks

A patient suspected of having a subarachnoid hemorrhage is scheduled to undergo transcranial Doppler (TCD). Which information about this procedure would the nurse provide the patient and the patient's family? Select all that apply.

"It is effective in detecting microemboli." "It measures the velocity of blood flowing through major vessels."

Which instructions would the nurse give to a patient recently diagnosed with Bell's palsy who is being discharged to home? Select all that apply.

"It is important to do good oral hygiene after each meal." "Full recovery generally occurs in three to six months." "Dark glasses will help protect your eyes and help to cover up the paralysis."

A nurse is admitting a patient with a thrombotic stroke. The patient is NPO but is requesting a drink of water. Which response by a nurse is appropriate?

"It is not safe to allow you to have anything by mouth until a swallow assessment can be performed."

Which statement by the nurse is accurate when explaining vascular dementia to a patient's family?

"It occurs after a single stroke or multiple strokes."

Which points would the nurse teach a patient with trigeminal neuralgia who is scheduled for microvascular decompression of the trigeminal nerve? Select all that apply.

"It will be performed by making a small hole behind your ear." "It involves displacement of the blood vessels pressing on the nerve."

After receiving preprocedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

"It will directly measure the pressure within the ventricles of my brain."

The patient with trigeminal neuralgia asks the nurse about the incidence and how this condition is diagnosed. Which responses by the nurse are accurate? Select all that apply.

"Most cases occur in people over the age of 50." "The cause and physical aspects of trigeminal neuralgia are not well known." "Every year, about 12 in 100,000 Americans are diagnosed with this condition."

When determining the type of frequent headaches that a patient experiences, which instructions would the nurse provide the patient? Select all that apply.

"Note the time of the onset of the headache.", Jot down the dates in a diary when experiencing a headache." "List the foods you consumed before the onset of a headache."

After receiving information as to how metabolic disturbances cause seizures, which statements indicate effective learning? Select all that apply.

"Seizures can be caused by a decrease in oxygen levels." "Seizures can be caused by a decrease in pH of the blood." "Seizures can be caused by a decrease in blood glucose levels."

Initially, which response would the nurse use when a patient who developed seizures after a head injury reports feeling as though he or she has lost control over his or her life?

"Tell me about what you would like to do and how the seizures affect you."

A nurse is explaining the National Institutes of Health Stroke Scale (NIHSS) to a student nurse. Which statement indicates that the student nurse understands the purpose of performing the NIHSS?

"The NIHSS measures the severity of a stroke."

When teaching the clinical manifestations of cluster headaches to a group, which statement would the nurse include?

"The pain experienced in cluster headaches is unilateral."

A patient is admitted to the emergency department with right-sided facial drooping. When taking the patient's history, which information would be most significant?

"When did the facial drooping begin?"

Which statement would the nurse include in a teaching session for an adult patient who is diagnosed with early-onset Alzheimer's disease (AD)?

"Your children should consider genetic testing to determine their risk for AD."

Which score range on the Mini-Cog test indicates a positive screen for dementia?

0 to 2

The nurse provides care for a patient with a C3 level of spinal injury. Which is the patient's potential for rehabilitation?

Ability to drive an electric wheelchair

While the patient with Parkinson's disease, who is unresponsive to drug therapy, considers the surgical options presented by the health care provider, which procedures would the nurse anticipate providing as additional resources? Select all that apply.

Ablation, Transplantation, Deep-brain stimulation

Which symptoms distinguish delirium from dementia? Select all that apply.

Abrupt progression of disease Accelerated, incoherent speech Rapid onset of symptoms, often at night

Which information would the nurse provide a patient and the caregiver as discharge instructions related to care during the first three days after sustaining a head injury?

Abstain from alcohol during this time

When planning for venous thromboembolism (VTE) prevention, what should the nurse place as the highest priority ?

Active and passive range-of-motion (ROM) exercises

When planning the care for a patient with myasthenia gravis (MG), for which clinical manifestation would the nurse integrate specific interventions?

Activity intolerance

Which complementary pain management measures would be included in the plan of care for a patient with trigeminal neuralgia? Select all that apply.

Acupuncture Yoga Biofeedback

Which disorder would the nurse associate with a patient who has meningitis with seizures, cranial nerve (CN) III palsy, and bradycardia?

Acute cerebral edema

Using the confusion-assessment method, which feature includes evidence of a sudden change in the patient's mental status from the patient's baseline?

Acute onset and fluctuating course

Which medication would the nurse prepare to administer to a patient admitted to the hospital with a diagnosis of viral encephalitis?

Acyclovir (Zovirax)

For the patient with hypoglycemia who has experienced a suspected seizure, which IV intervention would the nurse implement immediately?

Administer IV 0.9% sodium chloride and 5% glucose (Dextrose)

Which treatment option would the nurse associate with the patient who was received in the emergency department in an unconscious state, who has a routine prescription of gabapentin (Neurontin) for a history of epilepsy, and who is experiencing recurring seizures in rapid succession?

Administer diazepam (Valium) IV

The arterial blood gas (ABG) report of a patient with a spinal cord injury indicates respiratory distress. The nurse anticipates that which interventions will be included in the patient's treatment plan? Select all that apply.

Administer oxygen. Perform tracheal suctioning if crackles are present. Perform assisted coughing.

Which topics would the nurse include in a teaching plan about self-care for a patient who is diagnosed with Bell's palsy? Select all that apply.

Administration of corticosteroid medications Dark glasses and artificial tears to protect the eyes

A patient has had three episodes of trigeminal neuralgia and has stopped eating food, fearing that chewing would trigger pain. Which instruction would the nurse give that would help to maintain a proper nutritional status of this patient? Select all that apply.

Advise the patient to consume food that is easy to chew. Advise the patient to eat small quantities of food more frequently. Advise the patient to eat food that is rich in carbohydrates and proteins.

Which factors would the nurse consider risk factors for developing Alzheimer's disease? Select all that apply.

Aging Family history Diabetes mellitus

Which symptoms would a nurse assess in a patient with Alzheimer's disease who is in severe pain but who cannot communicate? Select all that apply.

Agitation withdrawl Increased vocalization

The nurse assists with the prehospital care of a patient who experienced a 15-foot fall. Which action by the nurse will limit the damage if a spinal cord injury (SCI) has occurred?

Applying a rigid cervical collar and using a backboard to transport the patient

The nurse provides information for a new graduate who is working in an intensive care unit about mechanical ventilation in patients with a spinal cord injury (SCI). The nurse lists which patient conditions that warrant intubation? Select all that apply.

Arterial blood gases (ABGs) showing inadequate oxygenation A pCO2 > 20 mm Hg above baseline A patient with decreased vital capacity A patient who experiences severe dyspnea

Which assessment factor is included in a Mini-Cog study?

Ask patients to draw and read the hands of a clock and point out a specific time.

During the acute stage of a stroke, which intervention would be included in the plan of care for a patient experiencing aphasia?

Ask simple yes-and-no questions.

The nurse preparing to administer IV recombinant tissue plasminogen activator (tPA) to a patient status post-ischemic stroke prioritizes which action as needing to be done first?

Assess for recent bleeding or surgeries

Which aspects of care may be performed only by the RN caring for a patient who had a stroke one day ago? Select all that apply.

Assess neurologic status. Assess respiratory status.

The nurse is caring for a patient with paraplegia who is at risk for developing venous thromboembolism (VTE). The nurse expects that the patient's care plan will include which interventions? Select all that apply.

Assess thighs and calves for signs of VTE. Administer prophylactic low-dose low-molecular-weight heparin. Regularly perform range-of-motion (ROM) exercises and stretching. Continue VTE prophylaxis for three months after injury.

Which nursing interventions would the nurse delegate to unlicensed assistive personnel when taking care of patients with Alzheimer's disease? Select all that apply.

Assist patients with daily activities. Use bed alarms and surveillance to decrease risk of falls. help patients with eating

For the patient with multiple sclerosis, which action would the nurse classify as a priority intervention when developing the patient's plan of care?

Assist the patient in identifying the factors that precipitate exacerbations

"Drop attacks" are a characteristic of which type of seizure?

Atonic seizure

Which medical condition places a patient at a higher risk for an embolic stroke?

Atrial fibrillation

A patient is hospitalized with a new T2 level spinal cord injury. The nurse notes abnormal cardiovascular assessment findings. The nurse anticipates prescriptions for which medications? Select all that apply.

Atropine Vasopressor drugs

For the patient with myasthenia gravis, which factors experienced in the patient's current life led to development of respiratory failure and a myasthenic crisis, requiring admission? Select all that apply

Attended the funeral of a family member earlier in week Took an antibiotic prescribed for a urinary tract infection Was diagnosed with urinary tract infection previous week Omitted pyridostigmine (Mestinon) on the previous day

For the patient with myasthenia gravis, which factors experienced in the patient's current life led to development of respiratory failure and a myasthenic crisis, requiring admission? Select all that apply.

Attended the funeral of a family member earlier in week Took an antibiotic prescribed for a urinary tract infection Was diagnosed with urinary tract infection previous week Omitted pyridostigmine (Mestinon) on the previous day

Which parameter would the nurse assess when examining a patient with a history of tension-type headaches (TTHs)?

Auscultate carotid artery sounds.

A patient has undergone a percutaneous radiofrequency rhizotomy procedure for trigeminal neuralgia and has facial numbness and trigeminal motor weakness on the affected side. Which instructions would the nurse give this patient? Select all that apply.

Avoid eating hot food or beverages. Protect the face from extreme temperatures. Check oral cavity after eating food for any residual food particles.

Which observation would the nurse identify as a possible beginning sign of delirium in a hospitalized patient?

Awake at 3:00 a.m.

Which potential medications would the nurse anticipate administering to a patient with myasthenia gravis who reports difficulty with swallowing, chewing, eye movement, and facial mobility? Select all that apply.

Azathioprine (Imuran) Prednisone (Deltasone) Pyridostigmine (Mestinon)

When the patient's initial vital signs after a brain injury were a BP of 132/72 mm Hg, pulse 100 beats/minute, and respirations 24 breaths/minute, which subsequent vital signs would the nurse report immediately to the health care provider?

BP 172/54 mm Hg, pulse 58 beats/minute, respirations 10 breaths/minute

A patient with a T4 injury develops signs of neurogenic shock. The nurse expects which assessment findings? S elect all that apply.

BP < 90 mm Hg Temperature dysregulation Peripheral vasodilation Correct5=Venous pooling

A patient with a T4 injury develops signs of neurogenic shock. The nurse expects which assessment findings? Select all that apply.

BP < 90 mm Hg Temperature dysregulation Peripheral vasodilation Venous pooling

For the intubated and mechanically ventilated patient, the development of which potential side effect of dexmedetomidine (Precedex) would the nurse anticipate monitoring?

BP changes

The patient admitted with a closed head injury is awake but lethargic, and the baseline vital signs include a BP of 120/80 mm Hg, pulse of 78 beats/min, and respirations of 20 breaths/min. Which findings indicate deterioration of the patient's condition two hours later?

BP is 160/74 mm Hg, pulse is 53 beats/min, and respirations are 10 breaths/min.

When explaining normal intracranial pressure (ICP) balance to the patient's family, which three components would the nurse include?

BP, brain tissue, and cerebrospinal fluid

Which diagnosis would the nurse associate with a patient's cerebrospinal fluid (CSF) culture findings of a white blood cell (WBC) count of 1200 cells/ µL, protein 600 mg/dL, and glucose 25 mg/dL?

Bacterial meningitis

Which treatment helps to control a patient's spasms that are caused by tetanus?

Barbiturates

Which outcome would the nurse anticipate after administering a high dose of prescribed barbiturates to the patient with an increased intracranial pressure (ICP)?

Barbiturates decrease the level of cerebral metabolism.

Which objective data would the nurse record when assessing a patient with a head injury? Select all that apply.

Battle's sign, Projectile vomiting, Cranial nerve deficits

Which interventions would the nurse implement as a part of nutritional therapy for the patient with an increased intracranial pressure (ICP)? Select all that apply.

Begin parenteral nutrition if oral intake is not adequate., Initiate nutritional replacement within three days after injury, Evaluate the patient's urine output, fluid loss, and electrolyte balance.

Which clinical manifestations would the nurse identify when assessing a patient for intracranial pressure (ICP) changes secondary to a malfunctioning ventricular shunt? Select all that apply.

Blurred vision, Headache and vomiting, Decreased level of consciousness

After a fall at home, a patient is hospitalized and diagnosed with conus medullaris syndrome. The nurse expects which assessment findings? Select all that apply.

Bowel incontinence Urinary incontinence Hypotonicity of the lower limbs

For the patient admitted with a subdural hematoma following a motor vehicle accident, which vital sign change would the nurse interpret as a clinical manifestation of an increasing intracranial pressure (ICP)?

Bradycardia

Which clinical manifestation does the nurse interpret as a manifestation of neurogenic shock in a patient with acute spinal cord injury?

Bradycardia

Which clinical manifestations are characteristics of Cushing's triad? Select all that apply.

Bradycardia, Systolic hypertension Widening pulse pressure

The nurse reviews the laboratory results of a patient with a cerebral inflammatory condition and notes that glucose was absent in the patient's cerebrospinal fluid. The nurse recognizes that the finding is consistent with which condition?

Brain abscess

Which information would the nurse provide the concerned parents of a child recently diagnosed with typical absence seizures? Select all that apply.

Brief staring spells are a characteristic of the seizure. Flashing lights usually precipitate this type of seizure activity. The occurrence of seizures usually subsides during adolescence.

The nurse is providing care to a patient with a spinal cord injury as the result of a motor vehicle accident. The nurse notes that the patient feels no pain in the leg on the side opposite the injury. Which spinal cord syndrome does the nurse suspect?

Brown-Séquard syndrome

Which action would the nurse instruct the patient to perform when prescribed phenytoin (Dilantin) for seizures?

Brush your teeth at least twice per day

The nurse is caring for a patient admitted to the hospital after a motor vehicle accident. The patient is unable to breathe independently and has been intubated and placed on a ventilator. On the basis of these data, which level of spinal cord injury does the nurse suspect?

C1-C3

The nurse identifies that a patient is at risk for failure of the diaphragm when the patient experiences which level of spinal cord injury?

C3-C5

For the patient who sustained a head trauma and has an increased intracranial pressure, which cranial nerve (CN) would the nurse assess to determine the patient's papillary response?

CN III

For the patient whose right eye is fixed and dilated, for which cranial nerve (CN) would the nurse suspect nerve compression?

CN III

Which cranial nerve (CN) irritation, secondary to bacterial meningitis, resulted in the patient's loss of corneal reflexes?

CN V

Which diagnostic test would be prescribed to diagnose vascular dementia (VaD)?

CT scan of the brain

Which action would the nurse implement when a patient's assessment reveals an increased intracranial pressure (ICP) and the patient has a lumbar puncture scheduled?

Cancel the lumbar puncture and contact the prescribing provider.

Which nursing intervention would be included in the plan of care for a patient who is admitted with a stroke and is complaining about having liquid stools?

Checking for stool impaction

Which diagnostic tests are a priority for a patient who had a stroke and needs a cardiac assessment? Select all that apply.

Chest x-ray Cardiac markers Electrocardiogram

Which assessment finding supports the health care provider adding tetrabenazine (Xenazine) to the current medications of sertraline (Zoloft) and paroxetine (Paxil) for treatment of the patient's psychiatric disorders associated with Huntington's disease?

Chorea

Which type of hematoma would the nurse suspect when an older adult patient fell and hit their head on the coffee table two weeks ago?

Chronic subdural hematoma

Which type of herniation would the nurse associate with imaging studies indicating the presence of lateral displacement of the patient's brain tissue beneath the falx cerebri?

Cingulate herniation

A patient with a T3 level spinal cord injury has been discharged from the hospital with an indwelling catheter. Which instructions does the nurse give to the patient regarding catheter care? Select all that apply.

Cleanse the catheter regularly. Check for the presence of any folds or kinks in the catheter tube. Observe the urine for cloudiness or change in odor.

Which type of seizure would the nurse suspect when family members report that the patient suddenly lost consciousness and fell, and the patient's left leg exhibited jerky movements for a few seconds?

Clonic seizure

Which prescription would the nurse question for a patient who is admitted with a hemorrhagic stroke?

Clopidogrel 75 mg PO once daily

For which condition would the nurse administer 100% oxygen immediately?

Cluster headache

Which underlying condition would the nurse associate with a patient scheduled for invasive nerve block therapy?

Cluster headache

Which type of headache would the nurse associate with the patient's report of the headache occurring "on the right side of my head, around my right eye, and having a sharp, penetrating type of pain"?

Cluster headaches

A patient seeks medical attention because of cognitive impairment and is diagnosed with Alzheimer's disease. Which finding forms the basis for the diagnosis?

Cognitive impairment with etiologies other than Alzheimer's disease has been ruled out.

A patient presenting with stroke symptoms is being considered for fibrinolytic therapy. Which assessment data would be important to communicate promptly to the prescribing health care provider?

Colonoscopy due to blood in the stools one week ago

Which type of skull fracture would the nurse associate with an x-ray report indicating multiple linear fractures and the presence of a fragmented bone?

Comminuted type

When the unlicensed assistive personnel (UAP) reports the vital signs (VS) of a patient with a suspected brain injury as temperature = 101.6° F (38.7° C) orally, heart rate = 58 beats/minute, respiratory rate = 14 breaths/minute, and BP = 162/48 mm Hg, which action would the nurse implement first?

Compare the current VS to recorded baseline VS.

Which identified clinical manifestation would the nurse associate with those exhibited with a cluster headache?

Conjunctivitis

The patient recovering from a stroke who is confined to bed for most of the day is at risk for which condition?

Constipation

Upon review of a patient's admission orders for treatment of a migraine headache, the nurse notes that the medication list includes sumatriptan (Imitrex). During the admission assessment, which intervention would the nurse implement when the patient reports having experienced a stroke last month?

Contact the health care provider about the patient's history and prescribed sumatriptan.

Which collaborative treatment would be prescribed for an adult patient who is diagnosed with mild cognitive impairment (MCI)?

Continued monitoring

The nurse is caring for a patient diagnosed with tetanus who has been given tetanus immune globulin (TIG). Which interventions would be the focus of collaborative care? Select all that apply.

Control of spasms with diazepam Tracheostomy for mechanical ventilation

The nurse is providing care to a patient with a spinal cord injury who has areflexic bladder. Which syndrome does the nurse anticipate?

Conus medullaris syndrome

For the patient with Parkinson's disease, which dietary adjustments would the nurse include in the plan of care to prevent malnutrition and constipation? Select all that apply.

Cut food into bite-size pieces. Serve hot foods on a warmed plate. Include whole grains and fruits in the diet.

Which action can the nurse delegate to the unlicensed assistive personnel (UAP) to reduce fatigue for a patient recovering from a stroke at mealtimes?

Cut up the meat for the patient.

The nurse is caring for a patient with a spinal cord injury who demonstrates motor paralysis and a loss of pain and temperature sensation below the level of injury. The nurse suspects which causative factor of this condition?

Damage to the anterior spinal artery

For the patient with multiple sclerosis (MS), who has a new prescription for diazepam (Valium), which teaching points would the nurse provide? Select all that apply

Do not stop the medication abruptly, Avoid driving while on the medication, Avoid alcohol intake with the medication

.Which instructions would the nurse provide the patient prescribed carbamazepine (Tegretol) for seizures? Select all that apply.

Do not stop using the medication abruptly. Do not consume grapefruit juice while on this medication. Notify the health care provider about any vision problems.

Which information would the nurse relay to the patient with a newly prescribed medication, carbamazepine (Tegretol), for treatment of a new-onset seizure disorder?

Do not take this medication with grapefruit or grapefruit juice.

Which drug therapy would be prescribed for a patient diagnosed with Alzheimer's disease? Select all that apply.

Donepezil Rivastigmine Memantine

When instructed about topiramate (Topamax) precautions prior to discharge, which patient action is the possible cause of the return with renal stones?

Drinking six glasses of water every day

When performing a physical examination of a patient with Parkinson's disease, which associated clinical manifestations would the nurse likely identify? Select all that apply.

Drooling of saliva Decreased arm swing Shuffling, propulsive gait

Which tests would be of greatest benefit to obtain information about cerebral blood flow in a patient who had a stroke? Select all that apply.

Duplex scanning, Digital subtraction angiography Transcranial Doppler ultrasonography

For the patient with Parkinson's disease who is taking levodopa with carbidopa (Sinemet), the nurse would monitor the potential development of which side effect(s)? Select all that apply.

Dyskinesia, nvoluntary eyelid movements, Severe nausea and vomiting

The nurse will prioritize management of which problem in a patient recovering from a stroke?

Dysphagia

Which classic symptom of amyotrophic lateral sclerosis (ALS) would the nurse expect to identify when performing an assessment?

Dysphagia

Which clinical manifestations of Guillain-Barré syndrome (GBS) are related to cranial nerve involvement? Select all that apply.

Dysphagia, Facial weakness

Which information would the nurse provide the caregiver of a patient with acute seizures regarding actions to implement if another seizure occurs at home? Select all that apply.

Ease the patient to the floor. Loosen constrictive clothes. Protect the patient from any injury

A patient with a spinal cord injury experiences a neurogenic bowel. Beyond the use of bisacodyl suppositories and digital stimulation, which measures does the nurse teach the patient and the caregiver about to assist with bowel evacuation? Select all that apply.

Eat 20 to 30 g of fiber per day. Consume 2 to 3 liters of fluid per day.

Which instructions would the nurse give a patient about methods to reduce the risk of having a stroke? Select all that apply.

Eat a diet low in saturated fats. Maintain a normal BP. Limit consumption of alcohol to moderate levels.

After receiving discharge instructions regarding dietary restrictions to prevent migraine headaches, the patient reports a recurrence of migraine attacks at a follow-up visit. Which patient action would the nurse attribute to the migraine recurrence?

Eating cheese

Which prescribed diagnostic test, used to diagnose a tension-type headache (TTH), would the nurse anticipate explaining to the patient?

Electromyography

Which newly prescribed medication for migraine treatment would the nurse anticipate teaching the patient who also has a history of angina? Select all that apply.

Eletriptan (Relpax) Zolmitriptan (Zomig)

Which intervention would the nurse implement when a patient has cerebrospinal fluid (CSF) rhinorrhea?

Elevate the head of the patient's bed to 30 degrees.

Which information is correct about the association between Alzheimer's disease (AD), dementia, and diabetes mellitus? Select all that apply.

Elevated blood glucose levels contribute to oxidative stress. Insulin resistance may encourage the development of brain plaques. Elevated glucose and cholesterol levels potentiate the development of atherosclerosis.

Which intervention would the nurse include when planning care for a patient with delirium?

Eliminating precipitating factors

A patient with a history of rheumatic heart disease arrives in the emergency department and informs the nurse of sudden loss of strength in the left arm without pain. The patient is unable to lift the arm and says that it "just fell." Which condition would the nurse suspect?

Embolic stroke

Which information would the nurse include in a teaching plan about the onset of embolic stroke?

Embolic stroke occurs rapidly

Which interventions would the nurse include in the bladder retraining program of a patient who had a stroke? Select all that apply.

Encourage adequate fluid intake. Observe for signs of restlessness. Assess bladder distention by palpation.

Which interventions would the nurse implement for a patient who is unable to eat, secondary to a brain tumor? Select all that apply.

Encourage the patient to eat., Ensure adequate nutritional intake, Assess the patient's nutritional status.

A patient with a spinal cord injury is paralyzed below the waist. The patient is completely dependent for all care, is withdrawn, and sleeps excessively. The patient tells the nurse, "I can't believe this is happening to me." How does the nurse respond? Select all that apply.

Encourage the patient to set daily goals. Encourage the patient to participate in care. Teach the patient what to expect during the rehabilitation period.

Which nursing intervention would the nurse include in the plan of care for a patient with hemorrhagic stroke who is having neuromuscular and cognitive impairment?

Encouraging independent exercise

The nurse assesses a patient experiencing visual disturbances, difficulty swallowing, and decreased level of consciousness with a BP of 280/180 mm Hg. Which action by the nurse is a priority?

Ensure patent airway.

After receiving a local anesthesia during surgery, which intervention would the nurse implement for the patient with a history of epilepsy who experiences a tonic-clonic seizure lasting two minutes in the postanesthesia care unit (PACU)?

Ensure that the patient has a patent airway.

The nurse provides postoperative care for a patient after a cervical spine stabilization surgery. The nurse recognizes that which interventions will help stabilize the spine? Select all that apply.

Ensure that the patient's body is correctly aligned. Use a sternal-occipital-mandibular immobilizer brace. Turn the patient as a unit.

The nurse is providing discharge teaching to the family of a patient who is diagnosed with Alzheimer's disease (AD). Which interventions would the nurse recommend to enhance the patient's safety within the home environment? Select all that apply.

Ensuring a well-lit stairwell Tacking down carpet edges Correct4Installing grab rails by the toilet

After sustaining head trauma from skiing, the patient briefly lost consciousness, then was awake and alert. Which head trauma complication would the nurse associate with this patient when bleeding between the dura and the inner surface of the skull develops?

Epidural hematoma

Which assessments would the nurse perform when utilizing the Glasgow Coma Scale (GCS) to assess a patient admitted with a head injury and requiring regular neurologic and vital sign assessments? Select all that apply.

Eye opening, Best verbal response, Best motor response

Which assessment would the nurse teach a patient to report as part of the warning signs of stroke, using the mnemonic FAST?

Facial drooping

Which assessment finding would cause the nurse to suspect trigeminal neuralgia in a patient who reports severe burning of the face?

Facial twitching

Which health promotion activity has the greatest impact in the prevention of spinal cord injury (SCI) in adults 65 years and older?

Fall prevention strategies

For the patient recovering from cranial surgery involving a bone flap, which interventions would the nurse implement to prevent an increased intracranial pressure (ICP)? Select all that apply.

Frequently assess the patient's neurologic status, Do not position the patient's surgical site in a dependent position, Closely monitor fluid and electrolyte levels and serum osmolality.

Which lobe of the brain is affected if a patient has Broca's aphasia?

Frontal lobe

How is Guillain-Barré syndrome (GBS) different from Bell's palsy?

GBS is a potentially fatal disorder.

For the older adult with a brain tumor, which medications would the nurse associate with the treatment of associated headache symptoms, confusion, and altered levels of consciousness reported by the family? Select all that apply.

Gabapentin (Neurontin) Levetiracetam (Keppra) Oxcarbazepine (Trileptal)

Which noninvasive surgical procedure is often performed in patients with trigeminal neuralgia?

Gamma knife radiosurgery

Which seizure activity would the nurse associate with a patient's jerky muscle movements of the extremities, as well as bowel and bladder incontinence during the event?

Generalized seizures

Which actions would the nurse take when assessing a patient with delirium? Select all that apply.

Greet the patient by name. Assist the patient in applying eyeglasses. Gently touch the patient's arm when talking. Remind that patient that he or she is in the hospital.

Which food items would be included in the diet plan for a patient being discharged from the hospital after recovering from a stroke? Select all that apply.

Grilled chicken Vegetable soups

Which diagnosis is supported by the symptom of areflexia?

Guillain-Barré syndrome

Which medication is appropriate for the nurse to administer when the patient who is diagnosed with Alzheimer's disease (AD) is experiencing agitation and physical aggression?

Haloperidol

A nurse is caring for a patient with Alzheimer's disease in an adult day care facility. Which nursing management goals would help this patient? Select all that apply.

Have dignity maintained. Maintain functional ability. Have personal care needs met.

Which measures would be included in a teaching plan for caregivers regarding safety measures to reduce the risk of falls for a patient with Alzheimer's disease? Select all that apply.

Have stairwells well lit. Remove extension cords. Tack down carpet edges. Install handrails in the bath.

A patient who has Alzheimer's disease has difficulty with verbal expression. Which advice would the nurse suggest to the patient's spouse to keep the patient safe during the day while the spouse is at work?

Have the patient attend an adult day care.

To promote self-care and independence in patients with Parkinson's disease, which interventions would the nurse provide family members? Select all that apply.

Have the patient wear slip-on shoes. Provide the patient with an elevated toilet seat Encourage the patient to elevate the legs on an ottoman when sitting

In addition to inquiring about the effectiveness of the newly prescribed medication sumatriptan (Imitrex) at a six-week follow-up appointment, which question would the nurse ask the patient?

Have you experienced any chest discomfort?

Which assessment data indicates that a patient has progressed from moderate Alzheimer's disease (AD) to severe AD?

Having difficulty eating and swallowing

Which manifestations in a patient with a T4 spinal cord injury alerts the nurse to the possibility of autonomic dysreflexia?

Headache and increased BP

The spouse of a patient, just diagnosed with Alzheimer's disease in the mild stage, asks the nurse how to plan for the future and make treatment decisions. Which response by the nurse is appropriate?

Health care decisions, including advanced directives, should be made while the patient is able to participate in the decision making."

Which common causes would the nurse consider when assessing the patient reporting a headache that is worse in the morning and aggravated with movement, results in vomiting without preceding nausea, and is suspected of having an increased intracranial pressure? Select all that apply.

Hematoma Head injury Brain tumor

When feeding a patient with a stroke on the left side, in which position would the nurse place the patient?

High Fowler's position

When a patient has a new prescription of phenytoin (Dilantin) for seizures, the nurse would provide information for which common side effects of the medication? Select all that apply.

Hirsutism, Gingival hyperplasia

A patient underwent aneurysm clipping six hours ago for subarachnoid hemorrhage and is being treated with nimodipine. While examining the patient, the nurse finds that the pulse of the patient is 50 beats per minute (beats/min) and the BP is 90/60 mm Hg. Which action would the nurse take for this patient?

Hold the medication and contact the health care provider.

For the patient with a history of severe migraines who is reporting throbbing headaches after eating, which foods may trigger the patient's throbbing headache? Select all that apply.

Hot dog Ice cream orange juice

Which degenerative neurologic disorder is an example of a genetically transmitted, autosomal dominant disorder?

Huntington's disease

Which disorder can cause dementia and is considered ventricular?

Hydrocephalus

Which extracranial condition would the nurse associate with a patient's seizures?

Hypertension

Which risk factors found in a patient's health history support the diagnosis of Alzheimer's disease (AD)? Select all that apply.

Hypertension Hypercholesterolemia

A patient with a T2 spinal cord injury has begun to experience stress ulcers and intraabdominal bleeding. The nurse expects which assessment findings? Select all that apply.

Hypotension Decreased hemoglobin Expanding abdominal girth

The nurse creates a plan of care for an older male patient with a spinal cord injury who requires clean intermittent catheterization (CIC). Which interventions does the nurse include in the plan? Select all that apply.

If the urine becomes cloudy, then send a specimen for culture. The patient may have benign prostatic hyperplasia, which may interfere with the ability to complete CIC. Bladder distention may cause autonomic dysreflexia (AD). Perform CIC four to six times daily.

A patient's systemic BP is 120/60 mm Hg and the intracranial pressure (ICP) is 24 mm Hg. After calculating the patient's cerebral perfusion pressure (CPP), which interpretation would the nurse apply to the results?

Impaired blood flow to the brain

Which issue would the nurse prioritize when planning care for a patient in the acute phase of an ischemic stroke?

Impaired breathing

When performing a physical assessment of a patient with myasthenia gravis, which clinical manifestations would the nurse likely identify? Select all that apply.

Impaired facial mobility Difficulty in swallowing food Voice fading after a long conversation

Which complications are associated with dementia with Lewy bodies? Select all that apply.

Impaired mobility Impaired nutrition Difficulty swallowing

Which clinical manifestation is associated with a left-hemispheric stroke?

Impaired speech

For the patient reporting difficulty with eye and eyelid movement, chewing, swallowing, speaking, and breathing, which diagnostic findings would the nurse associate with myasthenia gravis? Select all that apply.

Improved muscle contractibility during the Tensilon test Decreased response to repeated stimulation of hand muscles during electromyography (EMG) test

Which behavior would be exhibited by a patient who has suffered a right-brain stroke?

Impulsive and impatient

Which clinical manifestation is associated with a stroke on the right side of the brain?

Impulsiveness

Which statement is true regarding the pathophysiology of Alzheimer's disease (AD)?

In patients diagnosed with AD, more plaques appear in certain parts of the brain.

Regarding a young adult driver with epilepsy who sustained trauma from a motor vehicle accident, which response would the nurse use when family members inquire about the incidence of epilepsy?

In younger patients, epilepsy is generally caused by some birth injury, infection, trauma, or genetic factor.

Which clinical manifestations would the nurse assess in a patient with Bell's palsy? Select all that apply.

Inability to smile Flaccidity of the affected side of the face Drooping of the mouth accompanied by drooling

The nurse is preparing educational materials about the differences between the facial characteristics of Bell's palsy and those of trigeminal neuralgia. Which characteristics of Bell's palsy would the nurse include? Select all that apply.

Inability to whistle Inability to wrinkle brow

Which dietary discharge instructions would the nurse provide a patient recovering from meningitis? Select all that apply.

Include chicken and lean meat in your diet, Include whole grains, potatoes, and cereals in the diet, Divide your three main meals into small, frequent feedings.

The nurse prepares a dietary teaching plan for a patient with a spinal cord injury and includes which information? Select all that apply.

Include two servings from the milk group. Eat three well-balanced meals each day. Include two or more servings from the meat group.

For the patient with a head injury, for which complication related to cerebral hemorrhage and edema would the nurse monitor potential development?

Increased intracranial pressure

After performing a patient's assessment, which condition supports the nurse's intervention to decline IV administration of mannitol (Osmitrol) to the patient?

Increased serum osmolality

Which clinical manifestations would the nurse monitor to assess the development of increasing intracranial pressures in a patient who sustained a head injury and has a baseline Glasgow Coma Scale (GCS) score of 14?

Increased systolic BP, decreased pulse, widening pulse pressure, GCS score of 4

When providing care for a patient who sustained a traumatic brain injury, which condition indicates the need to maintain closure of the patient's eyes as a nursing intervention?

Loss of the corneal reflex

The nurse prepares a home care plan for a patient with a T3 level complete spinal cord injury. The nurse recognizes which rehabilitation potential for this patient? Select all that apply.

Independent self-care is possible. Independent wheelchair mobility is possible. The patient may be able to drive with hand controls. The patient will be able to have independent standing in a standing frame.

The nurse prepares a home care plan for a patient with a T3 level complete spinal cord injury. The nurse recognizes which rehabilitation potential for this patient? Select all that apply.

Independent self-care is possible. Independent wheelchair mobility is possible. The patient may be able to drive with hand controls. The patient will be able to have independent standing in a standing frame.

When planning care for a patient with a C5 spinal cord injury, which nursing diagnosis has the highest priority?

Ineffective airway clearance caused by high cervical spinal cord injury

Which intervention would the nurse perform immediately when a patient, on migraine therapy, complains of a severe headache and vision problems, and the patient's temperature is 101°F (38.3°C)?

Inform the health care provider

A patient with a new cervical spinal cord injury is hospitalized. The nurse identifies that which interventions are appropriate to include in the patient's nutrition plan? Select all that apply.

Insert a nasogastric tube. Evaluate swallowing before starting oral feeding. If oral feeding is not possible, enteral nutrition must be provided.

For the patient with a basilar skull fracture, for which intervention prescribed by the health care provider would the nurse contact the prescriber for clarification?

Insert nasogastric (NG) tube and connect to low, intermittent suction

Which type of stroke correlates with the clinical manifestations of a severe headache, hypertension, vomiting, dysarthria, and eye-movement disturbances?

Intracerebral hemorrhage

The nurse is preparing educational materials about the differences between Bell's palsy and trigeminal neuralgia. Which information would the nurse include about Bell's palsy?

It affects the seventh cranial nerve, whereas trigeminal neuralgia affects the fifth.

The nurse provides a group of nursing students with education about Bell's palsy and includes which information?

It can affect any age group.

How would the nurse explain a transient ischemic attack (TIA) to the spouse of a patient who just had a TIA?

It can be a warning of an impending stroke

A nurse advises a patient with Bell's palsy to use a facial sling. Which benefits would the nurse teach the patient to encourage the use of the facial sling? Select all that apply.

It facilitates eating. It supports facial muscles. It improves mouth alignment.

A patient is scheduled for a serial CT scan after a stroke. Which rationales would the nurse give the patient and the patient's relatives about this procedure? Select all that apply.

It helps to evaluate recovery. It helps to assess the effectiveness of treatment.

A CT scan is prescribed for a patient with a spinal cord injury. When obtaining consent for the procedure, which explanations does the nurse provide? Select all that apply.

It helps to find the exact location of injury. It helps to find the degree of spinal canal compromise.

Which information would be included when explaining to the relatives of a patient suspected of having a stroke about the importance of undergoing MRI? Select all that apply.

It is helpful in identifying the likely causes of stroke. It helps to differentiate between a stroke and any other brain lesion.

Which information will a transcranial Doppler (TCD) ultrasonography provide?

It measures the velocity of blood flow

For the patient with an increased intracranial pressure (ICP), which precautions would the nurse implement to protect the patient from potential seizure activity? Select all that apply.

Keep suction equipment readily available at the patient's bedside., Pad side rails and maintain an airway at the bedside per facility protocol., Use prophylactic antiseizure therapy during first seven days after injury.

The nurse is providing care to a patient with a spinal cord injury (SCI). The patient's assessment findings include varying control of legs and pelvis, instability of the lower back, and good sitting balance. The patient has full use of the wheelchair and can ambulate with long leg braces. Which level of spinal cord injury would have caused this manifestation?

L1

Which clinical manifestation would the nurse associate with a cluster headache?

Lacrimation

For the older adult patient with impaired liver functions who is suspected of sustaining a recent seizure, which antiseizure medications would the nurse anticipate administering? Select all that apply.

Lamotrigine (Lamictal) Gabapentin (Neurontin)

When admitted with status epilepticus, which long-acting antiseizure medications would the nurse associate with the treatment of a patient's seizure disorder? Select all that apply.

Lamotrigine (Lamictal) Phenobarbital (Luminal) Phenytoin (Dilantin)

Which interventions would help to promote mental health in a group of patients who have a high risk of developing Alzheimer's disease? Select all that apply.

Learn new skills. Exercise regularly. Solve crossword puzzles

Which clinical manifestations would the nurse expect to identify during data collection and assessment of a patient admitted to an acute care facility with Willis-Ekbom disease? Select all that apply.

Leg pain localized to the calf muscles Sensation like bugs creeping on the legs Numbness and tingling in the legs

Which assessment finding demonstrates a positive response to carbamazepine in the patient with trigeminal neuralgia?

Less frequent and severe facial pain.

When assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

Level of consciousness

Which neurologic factor would the nurse assess and record for a patient who had a stroke?

Level of consciousness

Which medication would the nurse plan to administer to a patient diagnosed with dementia with Lewy bodies (DLB)?

Levodopa

Which medication overdose may lead to paradoxical intoxication in a patient with parkinsonism?

Levodopa (L-dopa)

When performing a physical assessment on a patient with amyotrophic lateral sclerosis (ALS), which clinical manifestations would the nurse identify? Select all that apply.

Limb weakness Difficulty swallowing Difficulty articulating words

Which nursing interventions would be included in the plan of care for a patient who becomes agitated in the evening? Select all that apply.

Limiting caffeine intake Creating a calm environment Consulting with the health care provider

Which prescribed medication would the nurse associate with a beneficial treatment to prevent cluster headaches?

Lithium (Lithium)

Which distraction activity would the nurse provide for an adult patient who is diagnosed with mild Alzheimer's disease (AD)?

Looking at family photos

Which medication would be prescribed for a patient with delirium related to alcohol withdrawal?

Lorazepam

Which symptoms are found in a patient with Alzheimer's disease that indicates memory loss rather than normal forgetfulness? Select all that apply.

Loses sense of time Forgets what an item is used for Little awareness of cognitive problems

When providing community health care teaching regarding the early warning signs of Alzheimer's disease, which key signs would the nurse advise family members to report? Select all that apply.

Losing sense of time Difficulty performing familiar tasks Problems with performing basic calculations Becoming lost in a usually familiar environment

Which findings would the nurse identify as supporting a diagnosis of dementia in a patient with behavioral changes? Select all that apply.

Loss of memory Difficulty with normal conversation

Which interventions would the nurse implement to promote optimal outcomes for the patient with an increased intracranial pressure (ICP)? Select all that apply.

Maintain fluid balance and assess osmolality., Maintain intubation and mechanical ventilation., Elevate the head of the bed to 30 degrees with the head in a neutral position.

During the acute phase of stroke management, which nursing intervention is most important to decrease risk of aspiration?

Maintaining NPO status

The nurse assists with prehospital care of a patient with a suspected C7 spinal cord injury. Which is the most important nursing intervention during this acute stage of care?

Maintaining a patent airway

Which nursing intervention is a priority for a patient who is experiencing a hemorrhagic stroke?

Maintenance of the patient's airway

How would the nurse communicate with the patient who has aphasia after suffering from a stroke? Select all that apply.

Make use of gestures. Present only one thought at a time. Do not interrupt the patient if he or she is taking too long to communicate.

After 72 hours of intravenous (IV) fluid therapy for a patient who suffered a diffuse axonal traumatic brain injury (TBI), which rationale supports the nurse seeking an enteral feeding prescription?

Malnutrition promotes continued cerebral edema.

Which medication is an osmotic diuretic that the nurse would prepare to administer when needing to lower a patient's intracranial pressure (ICP)?

Mannitol

Which food would be included in the diet for a patient who had a stroke and has dysphagia?

Mashed potatoes

Which responsibilities would the nurse delegate to unlicensed assistive personnel when caring for a patient who has suffered from a stroke this morning? Select all that apply.

Measure and record urine output. Perform passive and active range-of-motion exercises.

Which intervention may be beneficial to a patient in the early stages of Alzheimer's disease (AD)?

Memory aids such as calendars

Which symptoms would the nurse assess if an older adult is showing signs of dementia? Select all that apply.

Memory loss Cognitive dysfunction Abrupt changes in behavior

A male patient with a T7 complete spinal cord injury (SCI) asks the nurse about sexual problems that he may experience. The nurse recalls which information related to sexual function that is associated with SCIs? Select all that apply.

Men with complete injuries are less likely to have psychogenic erections. Most men with SCI can have a reflex erection with physical stimulation if the S2-S4 nerve pathways are not damaged. Signals from the brain about sexual thoughts are sent through the nerves of the spinal cord to the T10-L2 levels. The signals are then relayed to the penis and trigger an erection. Phosphodiesterase inhibitors have become the first-line treatment in men with SCI between T6 and L5.

In the mnemonic "DELIRIUM," the M represents which cause of delirium?

Metabolic disorders

For the patient voicing complaints of pain on the left side of the head, nausea, vomiting, and sensitivity, which potential condition would the nurse associate with the prescriber's treatment of corticosteroids?

Migraine

For the treatment of a patient's tension-type headache (TTH), about which newly prescribed medication would the nurse prepare information for the patient?

Mirtazapine (Remeron)

Which intervention would the nurse implement when providing care for a patient with an increased intracranial pressure (ICP)?

Monitor ICP continuously.

Which intervention would the nurse implement when providing care for a patient experiencing an increased intracranial pressure (ICP)?

Monitor fluid and electrolyte disturbances carefully

Which interventions would be included in the acute care of a stroke patient? Select all that apply.

Monitor urine output. Monitor the blood sugar level. Ensure adequate fluid intake.

A patient has been given an infusion of tissue plasminogen activator (tPA) for ischemic stroke. Which actions would the nurse take for 24 hours post treatment? Select all that apply.

Monitor vital signs., check BP

While monitoring a patient's intracranial pressure (ICP) via an intracranial device in the neurologic intensive care unit, which aspect of care requires collaborative actions by the nurse?

Monitoring the intracranial device for greater than five days

Which disease process includes Lhermitte's sign as a clinical manifestation?

Multiple sclerosis

The nurse would assess for trigeminal neuralgia in patients with which conditions? Select all that apply.

Multiple sclerosis Shingles

Which medication classification would the nurse expect of a new medication prescribed to treat the major symptoms of a patient's multiple sclerosis (MS)?

Muscle relaxant

A decreased number of acetylcholine receptors in the neuromuscular junction is a characteristic of which autoimmune disease?

Myasthenia gravis

Which interventions would be included in the plan of care for a patient who had a stroke and is at risk of venous thromboembolism (VTE)? Select all that apply.

Note unusual warmth of legs. Measure the calf and thigh daily. Observe swelling of lower extremities.

Which intervention would the nurse implement as the highest priority after determining that a patient's Glasgow Coma Scale (GCS) score is 5?

Notify the rapid response team.

Which condition is associated with reversible manifestations of dementia?

Nutritional deficiency

For the patient who receives scheduled doses of phenytoin (Dilantin) and begins to experience diplopia, the nurse would immediately determine the presence of which clinical manifestation?

Nystagmus or confusion

A patient with a known history of hypertension presents to the emergency department with the complaint of sudden severe headache with no known cause. Which intervention would the nurse do first?

Obtain orders and send the patient for a CT scan.

Which intervention would the nurse implement when a patient with a history of tension headaches complains of head pain, but the patient's vital signs and brief neurologic assessment are normal?

Obtain the patient's detailed past medical history.

Which behavioral patterns in an older adult may indicate normal forgetfulness related to aging? Select all that apply.

Occasionally forgets to run an errand Forgets an event from the distant past Sometimes misplaces keys, eyeglasses, or other items

When a patient's clinical manifestations include visual disturbances and seizures, which area of the brain would the nurse identify as the most likely location of the diagnosed brain tumor?

Occipital lobe

A patient with Parkinson's disease taking a dopamine agonist medication reported nausea and vomiting. The patient lost consciousness from a sudden drop in BP after receiving an IV antiemetic. Which antiemetic medication interaction would nurse associate with the patient's response?

Ondansetron (Zofran) and apomorphine (Apokyn)

Which medication may cause a rebound headache effect and requires dose tapering before discontinuing the medication?

Opioids (Oxycodone)

The nurse provides care for a patient immediately after a spinal cord injury (SCI). The nurse identifies that which renal problems can occur because of the loss of autonomic and reflex control of the bladder? Select all that apply.

Overdistention of the bladder Renal failure Rupture of the bladder No sensation of bladder fullness

When a patient with restless legs syndrome (RLS) failed to respond to gabapentin (Neurontin), which newly prescribed medication would the nurse anticipate administering?

Oxycodone (Percodan)

Which intracranial pressure waveform supports the nurse's assessment of a compromise occurring with the patient's intracranial compliance?

P2 wave is higher than P1 wave

The nurse performs a respiratory assessment on a patient with uncomplicated tetraplegia and identifies that which finding is acceptable?

PaO2 >60 mm Hg

For the patient with an increased intracranial pressure, who required a tracheostomy to help to maintain adequate ventilation, which postprocedural outcomes indicate an effective intervention? Select all that apply.

PaO2 of the patient is 110 mm Hg, PaCO2 of the patient is 40 mm Hg.

When developing the plan of care for a patient with an elevated intracranial pressure (ICP), which factors guide the nursing interventions? Select all that apply.

Pain and agitation may elevate the patient's ICPs., Extreme hip flexion increases intraabdominal pressures., Increased intrathoracic pressures impede venous return.

The nurse suspects that a patient with bacterial meningitis is experiencing cranial nerve II irritation based on which assessment finding?

Papilledema and blindness

Which clinical manifestation would the nurse associate with those of a migraine?

Paralysis

When experiencing speech disturbances and an inability to write, which part of the patient's cerebral hemisphere would the nurse associate with the patient's brain tumor?

Parietal lobe

Which clinical manifestations would the nurse anticipate identifying in a patient who is comatose? Select all that apply.

Patient does not respond to painful stimuli., Patient has incontinence of urine and feces, Patient's corneal and pupillary reflexes are absent.

A patient's spouse asks how one can tell if someone has routine forgetfulness that happens with age or something associated with the beginning of Alzheimer's disease. Select the examples of forgetfulness associated with mild cognitive impairment, which are not "normal" forgetfulness. Select all that apply.

Patient frequently becomes lost. Patient worries about memory loss. Patient frequently forgets a friend's name and is slow to recall.

A percutaneous radiofrequency rhizotomy procedure has been planned for a patient with trigeminal neuralgia. Which information would the nurse give to this patient about the procedure? Select all that apply.

Patient may experience facial numbness after the surgery. Patient may have difficulty with eye movements after the procedure. An ice pack will be placed on the jaw for three to five hours after the procedure.

For the patient with myasthenia reporting concern about the potential need for a thymectomy, the nurse explains which patients are candidates for this surgical procedure? Select all that apply.

Patients with thymoma Patients with purely ocular myasthenia gravis Patients between the ages of puberty and about 65 years

The nurse creates a plan of care for an older male patient with a spinal cord injury who requires clean intermittent catheterization (CIC). Which interventions does the nurse include in the plan? Select all that apply.

Perform CIC four to six times daily. If the urine becomes cloudy, then send a specimen for culture. The patient may have benign prostatic hyperplasia, which may interfere with the ability to complete CIC. Bladder distention may cause autonomic dysreflexia (AD).

A nurse in a long-term care facility is caring for a patient with Alzheimer's disease. The patient, who is usually cooperative and calm, is agitated and refusing care from the nursing assistant. Which action would the nurse do first?

Perform a physical assessment, including monitoring vital signs and signs of pain.

Which intervention would the nurse delegate to the experienced unlicensed assistive personnel (UAP) when working with a patient who had a stroke?

Perform passive range-of-motion exercises to flaccid extremities.

Which medications are considered to be first-line drugs for treatment of trigeminal neuralgia? Select all that apply.

Phenytoin Topiramate Gabapentin Clonazepam Carbamazepine

Which medication would the nurse associate with the primary drug of choice when treating tonic-clonic seizures?

Phenytoin (Dilantin)

Which medication, taken by a patient with a history of epilepsy, would the nurse associate with gingival enlargement?

Phenytoin (Dilantin)

For the patient receiving emergency treatment for continuous muscle contractions and loss of consciousness secondary to head trauma, which medications would the nurse anticipate administering? Select all that apply.

Phenytoin (Dilantin) Carbamazepine (Tegretol)

Which clinical manifestation would the nurse associate with a tension-type headache (TTH)?

Phonophobia

When evaluating the presence of an initial symptom of Parkinson's disease, which clinical manifestation would the nurse evaluate?

Pill-rolling tremors

The nurse identifies that a patient with delirium is at risk for injury. Which interventions would be included in the patient's plan of care to address the safety concerns? Select all that apply.

Place a calendar within view. Reorient the patient to person, place, and time as necessary.

Which interventions would help to facilitate patient safety during eating for a patient who has dysphagia? Select all that apply.

Place food on the unaffected side of the mouth. Check mouth for pocketing of food. Help the patient to maintain a sitting position for 30 minutes after completing a meal.

When hydrocephalus develops, for which surgical procedure would the nurse begin preparing the patient?

Placement of a ventriculoatrial shunt

Which reported behavior by a patient supports the diagnosis of memory loss associated with Alzheimer's disease (AD)?

Placing keys in the freezer

For the patient diagnosed with myasthenia gravis, which instructions would the nurse include in the patient's discharge teaching plan? Select all that apply.

Plan activities with periods of rest., Eat a balanced diet promoting easily chewed items, Schedule medications so their peak effect is at mealtime.

A patient who is hospitalized with a T10 spinal cord injury experiences neurogenic bowel. Which intervention does the nurse include in the patient's bowel management program?

Plan bowel evacuation for 30 to 60 minutes after the first meal.

Which criterion would the nurse associate with the health care provider's diagnosis of Parkinson's disease (PD)? Select all that apply.

Positive response to antiparkinsonian medications Presence of two of the three classic features: rigidity, bradykinesia, and tremor

Which criterion would the nurse associate with the health care provider's diagnosis of Parkinson's disease (PD)? Select all that apply.

Positive response to antiparkinsonian medications Presence of two of the three classic features: rigidity, bradykinesia, and tremor

A patient diagnosed with Alzheimer's disease is prescribed donepezil. Which explanation is accurate regarding the purpose of this medication?

Possibly slows the rate of cognitive decline.

Which seizure phase would the nurse identify when a patient with systemic lupus erythematosus presents to the emergency department with warm skin, pallor, lethargy, and an altered level of consciousness?

Postictal phase

Which factors would the nurse associate with influencing a patient's intracranial pressure (ICP) readings? Select all that apply.

Posture, Temperature, Carbon dioxide levels, Intraabdominal pressure

Which rationale is accurate for why a patient who is demonstrating signs of delirium is scheduled for a CT scan of the brain?

Potential head injury is causing the symptoms.

Which suggestions would the nurse provide the patient inquiring about complementary therapies to use in addition to prescription medications for migraine headaches? Select all that apply.

Practice yoga to possibly enhance the benefits of your prescription medication. Visit an acupuncturist to treat migraine pain, along with your usual prescription.

When determining that the prescribed gabapentin (Neurontin) for focal seizures is ineffective, which medication, in addition to the gabapentin, would the nurse anticipate the health care provider will add to the patient's medication list?

Pregabalin (Lyrica)

When teaching a community group, which conditions would the nurse discuss as precipitating the development or intensity of restless legs syndrome (RLS)? Select all that apply.

Pregnancy Hypertension Iron deficiency

A patient presents to the emergency department reporting a sudden onset of headache described as "the worst headache ever." The patient also reports nausea and visual disturbances. Which collaborative intervention would be a priority for the nurse?

Prepare patient for transport to CT scan

Which action would the nurse take first for a patient arriving at the emergency department with headache, nausea, hypertension, and difficulty talking?

Prepare the patient for a CT scan

Which data, obtained during the nurse's assessment of the patient, indicates that the patient in the neurologic intensive care unit with an increased intracranial pressure (ICP) is deteriorating?

Presence of fixed unresponsive pupils

Which diagnostic findings would the nurse associate with a patient's diagnosis of multiple sclerosis (MS)? Select all that apply.

Presence of visual and auditory evoked potential. Presence of increased immunoglobin G (IgG) antibodies in the cerebrospinal fluid, Presence of inflammation, tissue breakdown, and atrophy of the spinal cord in the MRI scan

The nurse is providing care to an adult patient diagnosed with early-onset Alzheimer's disease (AD). The nurse recommends that the patient's children have genetic testing performed to determine the presence of which genes that are associated with AD? Select all that apply.

Presenilin-1 (PSEN1) gene Presenilin-2 (PSEN2) gene Amyloid precursor protein (APP) gene

Which instruction would be given to a patient who is diagnosed with Bell's palsy?

Prevent corneal drying by instillation of ointment at night with an eye shield.

During an acute exacerbation of the patient's multiple sclerosis, which interventions would the nurse implement? Select all that apply.

Prevent the complication of pressure ulcers. Prevent the complication of urinary tract infections

During an acute exacerbation of the patient's multiple sclerosis, which interventions would the nurse implement? Select all that apply

Prevent the complication of pressure ulcers. Prevent the complication of urinary tract infections.

Which potential factors would the nurse associate with explaining a patient's pupils becoming fixed and unresponsive to light stimulus? Select all that apply.

Previous eye surgery, Increased intracranial pressure (ICP), Direct injury to the third cranial nerve (CN III)

In a patient who had a change in mental status, which factors would be assessed as a possible cause for delirium? Select all that apply.

Previous health history Serum electrolyte values Medications routinely taken

When diagnosed with a brain tumor and acquired immunodeficiency syndrome (AIDS), which type of tumor growth would the nurse associate with this patient?

Primary central nervous system lymphoma

For the patient diagnosed with a brain abscess, which events would the nurse associate with the development of the abscess? Select all that apply.

Prior brain trauma or surgery, Distant spread from a pulmonary infection, Direct extension from an ear or sinus infection

Which symptoms would the nurse include in a teaching plan for a group of caregivers regarding how to detect the early warning signs of Alzheimer's disease? Select all that apply.

Problems with language Disorientation to time and place Memory loss that affects job skills

Which medication has a rapid onset, short half-life, and would the nurse administer to treat a patient's anxiety and agitation secondary to an increased intracranial pressure?

Propofol (Diprivan)

Which intervention would the nurse implement when a patient experiences a generalized tonic-clonic seizure?

Protect the patient's head and extremities

A woman with a T4 level complete spinal cord injury (SCI) asks the nurse about the impact of the injury on her sexuality. Which information does the nurse provide? Select all that apply.

Protection against unplanned pregnancy is needed. The patient has the capacity to become pregnant. The injury does not affect the ability to deliver normally through the birth canal. Pregnancy is associated with a higher rate of autonomic dysreflexia (AD).

Which intervention would the nurse implement when a patient's adult child becomes emotionally upset upon hearing the patient's diagnosis of Huntington's disease?

Provide emotional and psychologic support

When preparing a plan of care to reduce an elderly patient's risk of developing delirium, which interventions would the nurse include in the plan? Select all that apply.

Provide for uninterrupted sleep during the night. Assess for pain with every vital signs assessment. Ensure that eyeglasses and hearing aids are within reach.

Which nursing interventions would assist the patient who had a right-brain stroke in coping with perceptual deficits? Select all that apply.

Provide good lighting. Break tasks into simple steps. Provide nonslip socks at all times.

When providing care for a patient with advanced Huntington's disease (HD), which interventions would the nurse implement?

Provide palliative care as the collaborative approach.

Regarding the patient with Parkinson's disease (PD) who recently entered a long-term care facility, which action would the health care team implement to promote adequate nutrition for this patient?

Provide small, frequent meals throughout the day that are easy to chew and swallow.

When planning the care for a patient with an increased intracranial pressure (ICP), which interventions would the nurse integrate to provide the most comfort? Select all that apply.

Provide the patient a quiet and calm environment., Minimize procedures that potentially produce agitation., Observe the patient for signs of agitation or irritation and intervene.

For the patient with Parkinson's disease who has difficulty swallowing, which intervention would the nurse initially include in the patient's plan of care?

Provide the patient with semisolid or soft foods

Which intervention would the nurse take for a patient with trigeminal neuralgia whose oral intake is sharply reduced and is compromising his or her nutritional status?

Providing food through a nasogastric tube

The nurse is providing care to a patient with Alzheimer's disease (AD) who is hospitalized for an appendectomy. Which actions are appropriate when providing care to the patient? Select all that apply.

Providing reassurance to the patient Assessing closely for safety concerns Orienting frequently to place and time

Which nursing intervention would be included in the plan of care for a patient with a stroke who has a decreased level of consciousness and an altered swallowing reflex?

Providing small amounts of food

The nurse determines that a patient with delirium will benefit from pharmacologic intervention. The nurse made this conclusion based on which action performed by the patient?

Pulled out hemodialysis catheters during a dialysis session

Which assessment is most important to conduct on a patient presenting with symptoms of an acute ischemic stroke?

Pupillary response

which surgery involves destruction of the sensory fibers of the trigeminal nerve using low-voltage current?

Radiofrequency thermal lesioning

During a home visit, the nurse suspects that an older patient who was discharged after an emergency appendectomy is demonstrating signs of delirium. Which assessment information supports the nurse's suspicion?

Rambling during the assessment

Which interventions would the nurse take for a patient with Alzheimer's disease who is restless and agitated? Select all that apply.

Reassure the patient. Change the patient's focus. Do not ask the patient challenging "why" questions.

Which information is an important part of the health history for a patient with a new diagnosis of Guillain-Barré syndrome (GBS)?

Recent viral infection

The nurse reviews a patient's medical record and notes tic douloureux. Which assessment finding would the nurse expect?

Recurrent episodes of stabbing pain along the distribution of the trigeminal nerve

Which interventions would the nurse implement when managing a fever for a patient with acute meningitis? Select all that apply.

Reduce fever with the use of acetaminophen, Use a cooling blanket on the patient to reduce fever, Lower temperature by using tepid-water sponge baths.

Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

Reduce the patient's environmental stimuli as much as possible

Which outcome would the nurse expect after administration of IV mannitol (Osmitrol) prescribed for a patient experiencing an increased intracranial pressure (ICP)?

Reduced ICP

For patients with amyotrophic lateral sclerosis (ALS), which treatment goal focuses on preventing a common cause of death in patients with ALS?

Reduced risk of aspiration

While assessing a patient who sustained a hemorrhagic stroke, the nurse finds that the patient has decreased gag, cough, and swallowing reflexes. Which complication would the nurse expect in the patient?

Risk of aspiration

Which instructions would the nurse provide the patient who has a history of focal seizures, controlled with phenytoin (Dilantin), and mild gingival hyperplasia? Select all that apply.

Regular tooth brushing can limit hyperplasia. Regular flossing can control gingival tissue growth.

Which action would be beneficial to a patient with a right-brain stroke?

Remove clutter and obstacles.

Which interventions would the nurse implement immediately for the patient experiencing generalized tonic-clonic seizures due to hypoxia? Select all that apply.

Remove restrictive clothes. Ensure the presence of a patent airway.

Which surgical treatment would the health care provider discuss with the patient whose seizure activity failed to respond to medication therapy and who reports unusual sensations and hallucinations?

Resection of epileptogenic tissue

Which body system is the priority focus for nursing care of the patient with Guillain-Barré syndrome?

Respiratory

Which assessment is a priority when caring for a patient who has been diagnosed with Guillain-Barré syndrome?

Respiratory assessment

For which major complication would the nurse monitor development in a patient experiencing a myasthenic crisis?

Respiratory insufficiency

Which manifestations is the nurse likely to document when performing a physical assessment on a patient with dementia with Lewy bodies? Select all that apply.

Rigidity Dementia Bradykinesia Postural instability

When planning the care for a patient with multiple sclerosis who has an exacerbation of sensory deficits, for which patient problem would the nurse develop nursing interventions?

Risk for injury

A patient with spinal cord injury is suspected of having venous thromboembolism (VTE). Low-molecular-weight heparin is prescribed. Before initiating the drug, the nurse performs which assessments? Select all that apply.

Signs of any internal bleeding Any history of recent surgeries

Which instructions would the nurse include when teaching a group of caregivers about the guidelines for caring for a patient with dementia? Select all that apply.

Simplify tasks for easy understanding. Treat the patient with respect and dignity. Give directions using gestures or pictures.

A nurse is planning a bowel program for a patient with an L1 level spinal cord injury. Which is the most suitable position for bowel evacuation for this patient?

Sitting position

which pupil comparisons would the nurse perform when completing a neurologic assessment of the eyes? Select all that apply.

Size Shape Reactivity Movement

Which deficit is associated with left-hemispheric stroke?

Slow and possibly fearful performance of tasks

Which clinical manifestation is exclusive to a complex focal seizure?

Smacking of the lips

Which risk factors would the nurse include in a teaching plan when instructing a patient about modifiable risk factors for stroke?

Smoking

Which information would the nurse give a patient who had a transient ischemic attack (TIA) and is being discharged home? Select all that apply.

Smoking cessation decreases risk of a stroke. Hypertension is the most important Diabetes increases the risk of stroke. 5

The nurse reviews the medical record of a patient with poikilothermia. The nurse identifies that which history finding likely caused this condition?

Spinal cord injury

A patient experiences a spinal cord injury as a result of a motor vehicle accident. The patient exhibits a loss of deep tendon and sphincter reflexes, loss of sensation, and flaccid paralysis below the level of injury. The nurse identifies that the findings are consistent with which condition?

Spinal shock

Which is a priority nonoperative treatment following a spinal cord injury?

Stabilization

Which criteria are used to determine whether plasmapheresis is effective in a patient who is diagnosed with Guillain-Barré syndrome? Select all that apply.

Stabilization of BP and pulse rate. Symptoms of paralysis stop progressing and abate. Lung vital capacity and arterial blood gases are stable.

Which initial interventions would the nurse implement as emergency management of a patient who fell and presented with scalp lacerations and a depressed skull? Select all that apply.

Stabilize the cervical spine, Administer oxygen via a non-rebreather mask, Control external bleeding with a sterile pressure dressing.

Which interventions would be included in postoperative care of a patient who has undergone aneurysmal occlusion via clipping and has a BP of 90/60 mm Hg? Select all that apply.

Start dopamine encourage fluid intake start crystalloid solution

Which disorder would the nurse associate with a patient's seizure lasting longer than five minutes and occurring in rapid succession without a return to consciousness between seizures?

Status epilepticus

For the patient taken to the hospital after a seizure, which characteristic pattern reported by the patient's caregiver would the nurse associate with those of a tonic-clonic seizure?

Stiffening of the body for 20 seconds, followed by jerking of the extremities for 40 seconds

Which characteristic would the nurse assess when performing a palmar drift (pronator drift) test during a neurologic assessment?

Strength of the hands

Which response would the nurse use when a patient's caregiver inquires as to why the patient developed tonic-clonic seizures without a prior history of epilepsy? Select all that apply.

Stroke is an intracranial cause of tonic-clonic seizure." "Brain tumor is an intracranial cause of tonic-clonic seizure." "Hypertensive crisis is an intracranial cause of tonic-clonic seizure."

After suffering a head trauma, a patient with a stiff neck and cranial nerve deficits is at risk for which complication?

Subarachnoid hemorrhage

For the patient who sustained a head trauma, which type of seizure might he or she experience while on a ventilator and receiving sedation medications in the intensive care unit?

Subclinical seizure

Which factors would the nurse consider prior to repositioning a patient with an increased intracranial pressure (ICP)? Select all that apply.

Take care to prevent extreme neck flexion of patient, Adjust body position to decrease ICP, Follow protocol standards to maintain a head-up position for the patient

For the patient with a history of cluster headaches, which advice would the nurse provide the patient to decrease the likelihood of an attack occurring during air travel overseas?

Take ergotamine (Migranal) before your flight takes off.

A patient with delirium who has been treated with haloperidol begins to display involuntary movements of the face, trunk, and arms. Which complication has occurred?

Tardive dyskinesia

A patient asks the nurse about the differences between trigeminal neuralgia and Bell's palsy. Which symptoms of trigeminal neuralgia would the nurse include in the teaching? Select all that apply.

Tearing of the eye Pain on the side of the nose

Which condition is associated with trismus?

Tetanus

Which type of brain tumor would the nurse associate with a patient's clinical manifestations of uncontrolled urination, excessive thirst, high serum sodium levels, and involuntary eye movements?

Thalamus and sellar tumors

Which explanation would the nurse provide the patient who asked why he or she is on 100% oxygen for cluster headaches?

The administration of 100% oxygen increases your synthesis of serotonin

A lumbar puncture is to be performed for a patient with suspected subarachnoid hemorrhage. Which explanation would the nurse give about why this procedure was ordered to help with diagnosis? Select all that apply.

The lumbar puncture will assess for the presence of red blood cells in the cerebrospinal fluid.", "The lumbar puncture is a follow-up study because your CT scan does not show hemorrhage."

For the mechanically ventilated patient, which response would the nurse use when family members inquire as to the benefit of maintaining the propofol (Diprivan) drip?

The medication has a short half-life and rapid onset of action

Which instructions would the nurse provide the patient with multiple sclerosis (MS) who received a new prescription for interferon?

The medication often causes patients to experience flu-like symptoms

Which factors would the nurse associate with the use of hypertonic saline as a treatment for the patient with an increased intracranial pressure (ICP)? Select all that apply.

The nurse would frequently monitor the BP and sodium levels., Hypertonic saline treatment provides massive movement of water out of the swollen brain cells., Hypertonic saline treatment provides massive movement of water out of the swollen brain cells

Which patient's description of frequent headaches would the nurse associate with the clinical manifestations of a migraine headache?

The pain throbs and is synchronous with the beating of my heart

Which patient complaint would indicate that the individual may be experiencing clinical manifestations of a cluster headache?

The pain wakes me up and disturbs my sleep at night.

Of the four assigned patients in the intensive care unit (ICU), which patient with an infection has the highest risk for developing cerebral edema?

The patient diagnosed with encephalitis

Which interpretation would the nurse associate with a positive Dextrostix test of the clear nasal discharge obtained from the patient who sustained head trauma?

The patient has cerebrospinal fluid (CSF) rhinorrhea.

Which symptom is consistent with the mild cognitive impairment (MCI) stage of Alzheimer's disease?

The patient has difficulty in learning new skills.

For the patient admitted for observation after a minor head injury, which assessment findings would support the nurse's suspicion of an increasing intracranial pressure? Select all that apply.

The patient is experiencing hemiplegia., The patient has unilateral pupil dilation, The patient is vomiting without preceding nausea

Which interpretation would the nurse associate with a patient's Glasgow Coma Scale score of 5 after sustaining a head injury?

The patient is unresponsive and comatose.

An RN is teaching a student nurse about the management of increased intracranial pressure in a patient who sustained a stroke. Which statement made by the student nurse indicates the need for further teaching?

The patient should be placed in a supine position

A nurse is teaching a group of caregivers the warning signs of stroke. Which type of assessment data obtained from the patients would the nurse teach the caregivers to consider an emergency? Select all that apply.

The patient suddenly has blurry vision. The patient suddenly has slurred speech.

Which expected outcome would be included in the plan of care for a patient who had a stroke and is experiencing residual expressive aphasia?

The patient will demonstrate alternative communication techniques.

Which treatment outcome would the nurse expect when administering antibiotic therapy and symptomatic treatment of a patient with bacterial meningitis?

The patient will return to maximal neurologic function

Which patient's dementia is caused by a neurodegenerative disorder?

The patient with Alzheimer's disease

Of the four assigned patients on the acute care unit, which patient has the highest risk for developing bacterial meningitis?

The patient with a pulmonary infection

Which rationale is accurate for why the use of video games would be included in the plan of care for a patient who sustained a stroke?

The patient's motor skills can be improved.

For the patient with recent seizure activity, which characteristic would the nurse associate with a focal seizure?

The seizure involved lip smacking and repetitive movements.

For the family members of a patient with Huntington's disease (HD), which inferences would the nurse associate with a positive genetic test result for the patient's son? Select all that apply.

The son will develop a progressive, degenerative brain disorder. The onset of disease usually occurs between 30 and 50 years of age There is no cure for Huntington's disease

A patient with paraplegia experiences convulsive movements of the lower limbs. Which information does the nurse provide to the patient and the caregivers about the spasms? Select all that apply.

The spasms can occur as a result of a variety of stimuli. Such reflexes could be positively used for bowel and bladder retraining. Medications such as baclofen or dantrolene may be prescribed to help to control the spasms.

Which concepts about the pathology of botulism would the nurse teach the patient who is newly diagnosed with the disease? Select all that apply.

The spores of the organism are difficult to destroy. This neurotoxin inhibits nerve impulses from reaching the muscle. The neurotoxin produced by the bacteria is absorbed in the gastrointestinal (GI) tract.

Which points would the nurse include in a teaching plan about Bell's palsy and the reason why oral hygiene and nutrition are affected in this condition? Select all that apply.

The taste sensation is impaired. There is accumulation of food on one side of the mouth. There is pain around the jaw, which prevents the proper chewing of food.

When teaching the patient, family, and caregiver about long-term care of the patient who had a craniotomy, which instruction would the nurse include?

There are often residual changes in personality and cognition.

A patient who has been admitted to the hospital with a spinal cord injury at the upper thoracic level experiences neurogenic shock. How does the nurse explain the condition to the patient's family? Select all that apply.

There is loss of nervous control of the blood vessels. The amount of blood pumped out of the heart is reduced. There is pooling of blood in the veins of the extremities.

The nurse is providing care for a patient with a C7 spinal cord injury (SCI). Which instructions does the nurse give to the patient to prevent skin breakdown? Select all that apply.

Use a special mattress to reduce pressure. Use wheelchair cushions to reduce pressure. Use pillows to protect bony prominences when in bed.

Which nursing interventions would be included in the plan of care for a patient with Alzheimer's disease who has difficulty eating and swallowing? Select all that apply.

Use easy-grip utensils. Use pureed foods and thickened liquids. Remind the patient to chew and swallow the food.

For the patient with a resolved head injury, which prevention interventions would the nurse include when providing discharge instructions? Select all that apply.

Use of car seat belts, Use of child car seats, and Use of helmets by cyclists

A patient with a T1 level spinal cord injury (SCI) is scheduled to be discharged from the hospital. The nurse creates a neurogenic bowel management plan and includes which information? Select all that apply.

Use of stool softeners Dietary choices for a high-fiber diet Use of suppositories for evacuation Instructions for how to perform digital stimulation of the rectum

Which interventions does the nurse include in the teaching plan for a patient with paraplegia who is being discharged from a rehabilitation facility? Select all that apply.

Use pressure-relief devices while sitting. Change bed positions at least every two hours. Dress warmly in cold weather to prevent frostbite.

Which intervention would the nurse take when communicating with a patient suffering from aphasia following a stroke?

Use simple, short sentences accompanied by visual cues to enhance comprehension.

Which intervention would the nurse implement as the priority when providing care for a patient with a ventriculostomy to measure increased intracranial pressures (ICP) caused by a brain tumor?

Use strict aseptic technique with all procedural dressing changes.

Which nursing interventions optimize musculoskeletal function of a patient with a stroke? Select all that apply.

Using a lapboard Placing a trochanter roll by the hip Using posterior leg splints

Which interventions would be included in the plan of care to prevent skin breakdown in a patient with paralysis due to a stroke? Select all that apply.

Using emollients on the skin Providing good skin care and hygiene Using a special mattress for pressure relief

Which nursing interventions would be included in the plan of care to prevent skin breakdown in a patient who had a stroke? Select all that apply.

Using pillows under lower extremities Applying emollients to dry skin

Which action would help a nurse to communicate better with a stroke patient with aphasia?

Utilizing touch

Which cranial nerve is associated with tic douloureux?

V

When assessing a patient for the presence of petit mal, or absence, seizures, which classic sign would the nurse associate with this disorder?

Vacant facial expression

An older adult patient with a history of a cardiovascular disease is undergoing treatment in a long-term care facility. Which disease is the patient most at risk of developing?

Vascular dementia

Which type of cerebral edema would the nurse associate with a diagnostic report indicating edema of the white matter and characterized by leakage of large molecules from the capillaries into the surrounding space?

Vasogenic cerebral edema

When preparing to teach a patient about a newly prescribed medication, which preventative medication would the nurse associate with treatment of patients experiencing cluster headaches during the evening hours?

Verapamil (Calan)

Which artery would be obstructed if a patient sustained a stroke and is experiencing cranial nerve deficits?

Vertebral artery

Which intervention would the nurse implement as a priority when providing care for a patient with a diagnosis of multiple sclerosis (MS)?

Vigilant infection control and adherence to standard precautions

For the patient with multiple sclerosis, which interventions would the nurse teach about the new prescription for teriflunomide (Aubagio)? Select all that apply.

We need to monitor your liver function., Implement and maintain practices to avoid pregnancy.

Which statement is accurate about Guillain-Barré syndrome (GBS)?

Weakness of the limbs is acute and symmetrical.

Which instructions would the nurse give to a patient with Bell's palsy regarding preventive measures for complications related to the eye? Select all that apply.

Wear dark glasses. Tape eyelids at night. Instill artificial tears frequently

Which early symptoms associated with Alzheimer's disease (AD) would the nurse include in patient and family teaching sessions? Select all that apply.

Wearing a sweater on a hot day Having rapid mood swings for no apparent reason Experiencing unexplained confusion in the workplace

A nurse is updating the health history of a patient who is being admitted to the hospital with an evolving stroke. Which question is most important for the nurse to ask the patient's support person?

What was the time of onset of symptoms?"

The nurse provides education about rehabilitation for a patient with a spinal cord tumor. Which statement made by the patient indicates effective learning?

With rehabilitation, I will be able to function at my highest level of wellness."

Which drug on the medication administration record would the nurse administer to a patient with Alzheimer's disease who is experiencing sleep disturbances?

Zolpidem

Which methods are used to diagnose the preclinical stage of Alzheimer's disease? Select all that apply.

cerebrospinal fluid (CSF) analysis Positron emission tomography (PET) scan

For the patient whose right eye is fixed and dilated, for which cranial nerve (CN) would the nurse suspect nerve compression?

cn III

Which issue is the leading risk factor for delirium?

dementia

A patient with quadriplegia who has been hospitalized for one month is at a risk of developing pressure injury (PI). Which steps does the nurse take to prevent this complication? Select all that apply.

evaluate the nutritional status of the patient. Monitor urinary incontinence. Check bony prominences for signs of pressure sores.

Which risk is the nurse's priority concern for a patient with delirium who becomes severely agitated?

falls

Which adverse effect would the nurse monitor for the potential development of in a patient who received a botulinum A toxin (Botox) injection?

headache

If a patient has Parkinson's disease, which patient reaction would the nurse expect when performing a pull test by standing behind the patient and giving a tug backward on the patient's shoulders?

loses balance and falls backward

When teaching a patient with cluster headaches, which factor would the nurse include as a potential trigger?

napping

When a patient presents with hypertension and reports paresthesia, tingling, and a pins-and-needles sensation, which disorder would the nurse associate the health care provider's prescription for gabapentin (Neurontin)?

restless legs syndrome (RLS)

Which class of drug is used to treat delirium associated with alcohol withdrawal?

short-acting benzodiazepines

Which assessment finding is associated with initial manifestations of tetanus?

stiffness in the jaw

An RN is teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with ischemic stroke. Which statement made by the student nurse indicates a need for further teaching?

tPA should be administered within 12 hours of the onset of a stroke.

For the patient started on topiramate (Topamax) therapy for migraines, which patient action would the nurse associate with the development of seizure activity?

the patient abruptly discontinued taking the topiramate.

Which tools will be used to diagnose Alzheimer's disease (AD)? Select all that apply.

thyroid function tests Brain imaging tests Psychologic evaluation

Which cranial nerve is associated with Bell's palsy?

vll

Which safety measures would the nurse implement for a patient immediately after a right-brain stroke? Select all that apply.

void using vests. Elevate the side rails. Use video monitors to observe the patient continuously.

Which intervention would the nurse suggest for the patient with restless leg syndrome (RLS) to improve mood, sleep, and function?

yoga

For the patient receiving initial medications for treatment of multiple sclerosis, which medication would the nurse associate with the patient's reports of flu-like symptoms, depressed feelings, and frequent thoughts of committing suicide?

β-1a interferon (Rebif)