Sensory Adaptive Quizzing

Which finding would the nurse expect when completing an admission physical for a client with Parkinson disease? SELECT ALL THAT APPLY a) muscle rigidity b) blank facial expression c) leaning toward the affected side d) intentional tremors with movement e) hyperextension of the affected extremity

a) muscle rigidity b) blank facial expression

Which adverse response would a nurse assesses for when carbidopa-levodopa is prescribed for a client with Parkinson disease? SELECT ALL THAT APPLY a) nausea b) lethargy c) bradycardia d) polycythermia e) emotional changes

a) nausea e) emotional changes

Which findings would support a client's diagnosis of Parkinson disease? SELECT ALL THAT APPLY a) non-intentional tremors b) frequent bouts of diarrhea c) masklike facial expression d) hyperextension of the neck e) rigidity to passive movement

a) non-intentional tremors c) masklike facial expression e) rigidity to passive movement

Which action would be the HIGHEST PRIORITY for the nurse to implement for a client experiencing an eclamptic seizure? a) prevent injury b) assess fetal heart tones c) place an oral airway d) increase the magnesium sulfate infusion rate

a) prevent injury Always the priority with a seizure

Which information is important for the nurse to include in a teaching program for a client admitted to the hospital after having a tonic-clonic seizure and being diagnosed with a seizure disorder? a) explain strategies a client may use to prevent physical trauma from occurring during a seizure b) teach the client to take anticonvulsant medications on an empty stomach c) teach the client that the symptoms and treatment of seizure disorders are similar, regardless of the cause d) explain that sharing the knowledge of their illness with others is not necessary, because medications will control the seizures

a) explain strategies a client may use to prevent physical trauma from occurring during a seizure

Which medications is prescribed to improve the physical manifestations of Parkinson disease? a) Carbidopa-levodopa b) Isocarboxazid c) Dopamine d) Pyridoxine (vitamin B6)

a) Carbidopa-levodopa

Which equipment would the nurse recommend to foster independence at home for an ambulatory client who has Parkinson disease? a) a raised toilet seat b) side rails for the bed c) crutches for ambulation d) a trapeze above the bed

a) a raised toilet seat

Which nursing action would the nurse take when a child with a seizure disorder has a generalized seizure? SELECT ALL THAT APPLY a) assessing the seizure b) taking the child's vital signs c) turning the child on the side d) pulling the padded side rails up e) initiating oxygen (O2) administration

a) assessing the seizure c) turning the child on the side d) pulling the padded side rails up

Which instruction would the nurse provide when assisting a client with Parkinson disease to ambulate? a) avoid leaning forward b) hesitate between steps c) rest when tremors are experienced d) keep arms close to the center of gravity

a) avoid leaning forward

Which adverse effect would the nurse explain to an ambulatory client with relapsing-remitting multiple sclerosis while receiving every-other-day injections of interferon beta-1a? SELECT ALL THAT APPLY a) depression b) polycythemia c) flu-like symptoms d) increased risk of infection e) decreased perspiration

a) depression c) flu-like symptoms d) increased risk of infection

Which action would the nurse encourage a client who has multiple sclerosis in remission and is the parent of two active preschoolers to take? a) develop a flexible schedule for completion of routine daily activities b) plan a schedule of specific times each day for playtime with the children c) meet with a self-help group for people with the diagnosis of multiple sclerosis d) provide support to other people with multiple sclerosis who also have young children

a) develop a flexible schedule for completion of routine daily activities

Which clinical indicators would the nurse expect to find when assessing a client with Parkinson disease? SELECT ALL THAT APPLY a) resting tremors b) flattened affect c) muscle flaccidity d) tonic-clonic seizures e) slow voluntary movements

a) resting tremors b) flattened affect e) slow voluntary movements (bradykinesia)

Which statement by the client who has multiple sclerosis indicates a need for further teaching? a) "I avoid using a straw to drink liquids" b) "I will take a hot bath to help relax my muscles" c) "I plan to use an incontinence pad when I go out" d) "I may be having a rough time now, but tomorrow may be better"

b) "I will take a hot bath to help relax my muscles"

A client is admitted to the hospital with a tonic-clonic seizure after his seizures had been well controlled by phenytoin for 6 months. The client states, "I am upset. I didn't think I was going to have any more seizures." Which response would the nurse make to the client? a) "Did you forget to take your medication?" b) "You are worried about having more seizures?" c) "You must be under a lot of stress right now." d) "Don't be concerned; your medication can be increased."

b) "You are worried about having more seizures?" Rationale: This response addresses the client's feelings and encourages communication

Which description of the onset of symptoms would the nurse give to the client with a tentative diagnosis of Parkinson disease? a) suddenly b) gradually c) overnight d) irregularly

b) gradually

Which information would the nurse include in the teaching plan for a client diagnosed with epilepsy? a) the client will take anticonvulsant medications for life b) individuals taking phenytoin must floss their teeth regularly c) a diagnosis of epilepsy prevents individuals from over obtaining a driver's license d) loss of consciousness during a seizure requires emergency evaluation

b) individuals taking phenytoin must floss their teeth regularly

Which action would be taken when the nurse observes a client who is experiencing a seizure while making rounds? a) hyperextend the client's neck b) move obstacles away from the client c) restrain the client's body movements d) attempt to place an airway in the client's mouth

b) move obstacles away from the client

Which finding would the nurse expect when assessing a client who is in an early stage of multiple sclerosis? SELECT ALL THAT APPLY a) headache b) nystagmus c) skin infection d) scanning speech e) intention tremors

b) nystagmus d) scanning speech e) intention tremors

Which action would the nurse take FIRST when caring for a client who is admitted to the emergency department after experiencing a seizure? a) ask the emergency provider for a prophylactic anticonvulsant b) obtain a history of seizure type and incidence c) ask the client to remove any dentures and eyeglasses d) observe the client for increased restlessness and agitation

b) obtain a history of seizure type and incidence

Which piece of equipment will the nurse remove from the bedside of a client on seizure precautions? a) oxygen b) padded tongue blade c) suction tubing and canister d) airway management equipment

b) padded tongue blade

After the nurse has finished teaching methods of reducing fatigue to the client with multiple sclerosis, which statement made by the client indicates that the client has understood the nurse's instruction? a) take a hot bath on a daily basis b) rest in an air-conditioned room c) increase the dose of muscle relaxants d) avoid naps during the day

b) rest in an air-conditioned room

Which nursing intervention would the nurse implement for a hospitalized client with multiple sclerosis who voices a concern about generalized weakness and fluctuating physical status? a) encourage bed rest for this client b) space activities throughout the day c) teach the limitations imposed by the disease d) have one of the client's relatives stay at the bedside

b) space activities throughout the day

Which diversion activity would the nurse encourage to meet the client's needs during the remission phase of his or her multiple sclerosis? a) hiking b) swimming c) sewing classes d) watching television

b) swimming

Which client statement indicates that the instructions to a client with a seizure disorder receiving phenytoin and phenobarbital are understood? a) "I will not have seizures with these medications" b) "These medications must be continued to prevent falls and injury" c) "Stopping the medications can cause continuous seizures and I may die" d) "By my staying on the medicines I will prevent post-seizure confusion"

c) "Stopping the medications can cause continuous seizures and I may die"

Which autoimmune disease affects the central nervous system? a) Uveitis b) Celiac disease c) Multiple sclerosis d) Goodpasture syndrome

c) Multiple sclerosis

A child becomes cyanotic during a generalized tonic-clonic seizure. Which action would the take? a) insert an oral airway b) administer oxygen (O2) by mask c) continue to observe the seizure d) notify the health care provider immediately

c) continue to observe the seizure

Which intervention is the appropriate INITIAL nursing action when a client reports urinary urgency and frequency during an exacerbation of multiple sclerosis? a) begin teaching self-catheterization b) develop a plan to ensure high fluid intake c) palpate the suprapubic area of the abdomen d) initiate a regimen to monitor urinary output

c) palpate the suprapubic area of the abdomen Rationale: Assessment is the priority; the nurse would determine whether a full bladder caused the clinical manifestations

What is the MOST important safety measure for the nurse to institute immediately when a 2-year-old child has a seizure? a) monitoring the child's vital signs b) padding the side rails of the toddler's crib c) placing the child in the side-lying position d) bringing suction equipment to the bedside

c) placing the child in the side-lying position

Which term would the nurse use to describe the characteristic gait associated with Parkinson disease when documenting it on the client's health record? a) spastic b) steppage c) shuffling d) scissoring

c) shuffling

A client who has multiple sclerosis is admitted to the hospital with increasingly frequent and severe exacerbations. The client's partner confides to the nurse, "Life is getting very hard and depressing, and I am upset with myself for thinking about a nursing home." Which response would the nurse make? a) "You may be able to decrease your feelings of guilt by seeking counseling" b) "It would be helpful if you became involved in volunteer work at this time" c) "I recognize it's hard to deal with, but try to remember that this, too, shall pass" d) "Joining a support group of people who are coping with this situation may be helpful"

d) "Joining a support group of people who are coping with this situation may be helpful"

Which action would be included in the plan of care for a client with a history of Parkinsonism who has recently developed rigidity, tremors, and signs of pneumonia? a) gait training in the physical therapy department daily b) isometric exercises every 2 hours while awake c) active range-of-motion exercises at least every 4 hours d) passive range-of-motion exercises at least every 8 hours

d) passive range-of-motion exercises at least every 8 hours

Which nursing action is appropriate for a patient during the tonic-clonic stage of a seizure? a) go for additional help b) establish a patent airway c) restrain the client to prevent injury d) protect the client's head from injury

d) protect the client's head from injury

Which information would the nurse expect the client who has multiple sclerosis with hand tremors to report? a) the tremors increase when I fall asleep b) the tremors increase when I feel fatigued c) the tremors increase when I become nervous d) the tremors increase when I perform an activity

d) the tremors increase when I perform an activity

Which symptom would the nurse expect to decrease in response to corticosteroid therapy prescribed for a client with multiple sclerosis? a) emotional lability b) muscular contractions c) pain in the extremities d) visual impairment

d) visual impairment Rationale: Corticosteroids decrease the inflammatory process around the optic nerve, thus improving vision