Sensory Quiz

a client who has multiple sclerosis is admitted to the hospital with increasingly frequent and severe exacerbations. the client's partner confides in 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? 1. "you may be able to decrease your feelings of guilt by seeking counseling" 2. "it would be helpful fir you became involved in volunteer work at this time" 3. "I recognize its hard to deal with, but try to remember that this, too, shall pass" 4. "joining a support group of people who are coping with this situation may be helpful"

4

which action would be the highest priority for the nurse to implement for a client experiencing an eclamptic seizure? 1. prevent injury 2. assess fetal heart tones 3. place an oral airway 4. increase the magnesium sulfate infusion rate

1

which action would th sure encourage a client who has multiple sclerosis in remission and is the parent of two active preschoolers to take? 1. develop a flexible schedule for completion of routine daily activities 2. plan a schedule of specific times each day for playtime with the children 3. meet with a self-help group for people with the diagnosis of multiple sclerosis 4. provide support to the people with multiple sclerosis who also have young children

1

which equipment would the nurse recommend to foster independence at home for an ambulatory client who has Parkinson disease? 1. a raised toilet seat 2. side rails for the bed 3. crutches for ambulation 4. a trapeze above the bed

1

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? 1. explain strategies a client may use to prevent physical trauma from occurring during a seizure 2. teach the client to take anticonvulsant mediations on an empty stomach 3. teach the client that the symptoms and treatment of seizure disorders are similar, regardless of the cause 4. explain that sharing the knowledge of their illness with others is not necessary, because medications will control the seizures

1

which instruction would the nurse provide when assisting a client with Parkinson disease to ambulate? 1. avoid leaning forward 2.hesitate between steps 3. rest when tremors are experienced 4. keep arms close to the center of gravity

1

which action would the nurse take first when caring for a client who is admitted to the emergency department after experiencing a seizure? 1. ask the emergency provider for a prophylactic anticonvulsant 2. obtain a history of seizure type and incidence 3. ask the client to remove any dentures and eyeglasses 4. observe the client for increased restlessness and agitation

2

which medication is prescribed to improve the pjyscial manifestations of Parkinson disease? 1. carbidopa-levodopa isocarboxaxid 3. dopamine 4. pyridoxine (vitamin B6)

1

which finding would the nurse expect when completing an admission physical for a client with Parkinson disease? (select all that apply) 1. muscle rigidity 2. blank facial expression 3. leaning toward the affected side 4. intention tremors with movement 5. hyperextension of the affected extremity

1, 2

which findings would support a client's diagnosis of Parkinson disease? (select all that apply) 1. non intentional tremors 2. frequent bouts of diarrhea 3. masklike facial expression 4. hyperextension of the neck 5. rigidity to passive movement

1, 3, 5

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) 1. depression 2. polycythemia 3. flu-like symptoms 4. increased risk for infection 5. decreased perspiration

1, 3, 4

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? 1. gait training in the physical therapy department daily 2. isometric exercises every 2 hours while awake 3. active ROM exercises at least every 8 hours 4. passive ROM exercises at least every 8 hours

4

which information would the nurse expect the client who has multiple sclerosis with hand tremors to report? 1. the tumors increase when I fall asleep 2. the tremors increase when I feel fatigued 3. the tremors increase when I become nervous 4. the tremors increase when I perform an activity

4

which description of the onset of symptoms would the nurse give to the client with a tentative diagnosis of Parkinson disease? 1. suddenly 2. gradually 3. overnight 4. irregularly

2

which diversion activity would the nurse encourage to meet the clients needs during the remission phase of his or her multiple sclerosis (MS)? 1. hiking 2. swimming 3. sewing classes 4. watching television

2

which clinal indicators would the nurse expect to find when assessing a client with Parkinson disease? (select all that apply) 1. resting tremors 2. flattened affect 3. muscle flaccidity 4. tonic-clonic seizures 5. slow voluntary movements

1, 2, 5

which nursing action would the nurse take when a child with a seizure disorder has a generalized seizure? (select all that apply) 1. assessing the seizure 2. taking the child's vital signs 3. turning the child on the side 4. pulling the padded side rails up 5. initiation O2 administration

1, 3, 4

which adverse response would a nurse assess for when carbidopa/levodopa is prescribed for a client with Parkinson disease? (select all that apply) 1. nausea 2. lethargy 3. bradycardia 4. polycythemia 5. emotional changes

1, 5

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 so upset. I didn't think I was going to have any more seizures." which response would the nurse make to the client? 1. "did your forget to take your medication" 2. "you are worried about having more seizures?" 3. "you must be under a lot of stress right now" 4. "don't be concerned; your medication can be increased"

2

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? 1. take a hot bath on a daily basis 2. rest in an air-conditioned room 3. increase the dose of muscle relaxants 4. avoid naps during the day

2

which action would be taken when the nurse observes a client who is experiencing a seizure while making rounds? 1. hyperextend the client's neck 2. move obstacle away from the client 3. restrain the client's body movements 4. attempt to place an airway in the client's mouth

2

which information would the nurse include in the teaching plan for a client diagnosed with epilepsy? 1. the client will take anticonvulsant medications for life 2. individuals taking phenytoin must flow their teeth regularly 3. a diagnosis of epilepsy presents individuals from ever obtain a driver's license 4. loss of consciousness during a seizure requires emergency evaluation

2

which is the most important safety measure for the nurse to institute immediately when a 2 yo child has a seizure? 1. monitoring the child's vital signs 2. padding the side rails of the toddlers crib 3. placing the child in the side-lying position 4. brining suction equipment to the bedside

2

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? 1. encourage bed rest for this client 2. space activities throughout the day 3, talc the mitigations imposed by the disease 4. have one one the client's relatives stay at the bedside

2

which piece of equipment will the nurse remove from the bedside of a client on seizure precautions? 1. oxygen 2. padded tongue blade 3. suction tubing and canister 4. airway management equipment

2

which statement by the client who has multiple sclerosis indicates a need for further teaching? 1. "I avoid using a straw to dirink liquids" 2. "I will take a hot bath to help relax my muscles" 3. "I plan to sue in incontinence pad when I go out" 4. "I may be having a rough time nor tomorrow

2

which finding would the nurse expect when assessing a client who is in an early stage of multiple sclerosis? (select all that apply) 1. headache 2. nystagmus 3. skin infection 4. scanning speech 5. intention tremors

2, 4, 5

a child becomes cyanotic during a generalized tonic-clonic seizure. which action would the nurse take? 1. insert an oral airway 2. administer O2 by mask 3. continue to observe the seizure 4. notify the health care provider immediately

3

which autoimmune disease affects the central nervous system? 1. uveitis 2. celiac disease 3. multiple sclerosis 4. good pasture syndrome

3

which client statement indicates that the instructions to a client with a seizure disorder receiving phenytoin and phenobarbital are understood? 1. "I will not have any seizures with these medications" 2. " these medicines must be continued to prevent falls and injury" 3. "stopping the medications can cause continuous seizures and I may die" 4. "by my staying on the medicines I will prevent post seizure confusion"

3

which intervention is the appropriate initial nursing action when a client reports urinary urgency and frequency during an exacerbation of multiple sclerosis? 1. begin teaching self-catheterization 2. develop a plan to ensure high fluid intake 3. palpate the suprapubic area of the abdomen 4. initiate a regimen to monitor urinary output

3

which term would the nurse use to describe the characteristic gait associated with Parkinson disease when documenting it on the client's health record? 1. spastic 2. steppage 3. shuffling 4. scissoring

3

which nursing action is appropriate for patient during the tonic-clonic stage of a seizure? 1. go for additional help 2. establish a patent airway 3. restrain the client to prevent injury 4. protect the client's head form injury

4

which symptom would the nurse expect to decrease in response to corticosteroid therapy prescribed for a client with multiple sclerosis? 1. emotional lability 2. muscular contractions 3. pain in the extremities 4. visual impairment

4