Chapter 70 test book questions
B
A patient with Parkinson's disease is exhibiting bradykinesia, rigidity, and tremors. These symptoms are directly related to what decreased neurotransmitter level? A. Acetylcholine B. Dopamine C. Serotonin D. Phenylalanine
A
The nurse is caring for a patient with Huntington disease in the long-term care facility. What most prominent symptom that correlates with this disease will the nurse document? A. Rapid, jerky, involuntary movements B. Slow, shuffling gait C. Dysphagia and dysphonia D. Dementia
B
The nurse is caring for a patient with Parkinson's disease and is preparing to give medication. What does the nurse give to the patient that is considered the most effective drug currently given for the tremor of Parkinson's? A. Ropinirole B. Levodopa C. Amantadine D. Pergolide mesylate
B
The nurse is performing an assessment for a patient in the clinic with Parkinson's disease. The nurse determines that the patient's voice has changed since last visit and is now more difficult to understand. How should the nurse document this finding? A. Dysphagia B. Dysphonia C. Hypokinesia D. Micrographia
C
A patient is diagnosed with ALS. The nurse understands that the symptoms of the disease will begin in what way? A. Ascending paralysis B. Numbness and tingling in the lower extremities C. Weakness starting in the muscles supplied by the the cranial nerves D. Jerky, uncontrolled movements in the extremities
C
A patient with Parkinson's disease asks the nurse what can be done to prevent problems with bowel elimination. What intervention should the nurse include when developing the plan of care for this patient to assist with a regular stool pattern? A. Take psyllium daily B. Take a laxative whenever bloating is experienced C. Adopt a diet with moderate fiber intake D. Adopt a high-fiber diet
D
A patient with Parkinson's disease is experiencing an on-off syndrome. What does the nurse recognize that the patient's clinical symptoms will be? A. The patient will have unilateral resting tremors and then will have a period of no tremors present B. The patient will have a slow, shuffling gait and then will be able to move at a faster pace C. The patient will have a period when medication with levodopa will be unnecessary D. The patient will have periods of near immobility, followed by a sudden return of effectiveness of the medication
C
The adult child of a patient with Huntington disease asks the nurse what the risk is of inheriting the disease. What is the best response by the nurse? A. "The disease is not hereditary and therefore there is no risk to you" B."If one parent has the disorder, there is a 75% chance that you will inherent the disease" C. "If one parent has the disorder, there is a 50% chance that you will inherit the disease" D. " The disease is inherited and all offspring of a parent will develop the disease"
A,B,C,D
A patient is diagnosed with an intracerebral tumor. The nurse is aware that the diagnosis may include which form (s) of tumor growth? (Select all that apply) A. Astrocytoma B. Ependymoma C. Medulloblastoma D. Meningioma E. Acoustic neuroma
A
A patient with Huntington disease is prescribed medication to reduce the chorea. What medication will the nurse give that is the only drug approved for the treatment of this symptom? A. Tetrabenazine B. Carbamazepine C. Phenobarbital D. Diazepam
D
An older adult patient exhibiting clinical manifestations of a brain tumor is admitted to the hospital for testing. What tumor types does the nurse recognize are commonly seen in the older adult? A. Anaplastic astrocytoma B. Cerebral metastasis from other sites C. Glioblastoma multiforme D. Medulloblastoma
B
A patient with ALS asks if the nurse has heard of a drug that will prolong the patient's life. What medication will the nurse inform the patient may prolong life by 3 to 6 months? A. Baclofen B. Riluzole C. Dantrolene sodium D. Diazepam
D
A patient is diagnosed with a spinal cord tumor and has had a course of radiation and chemotherapy. Two months after the completion of the radiation, the patient reports severe pain in the back. What does this indicate for the patient? A. Lumbar sacral strain B. The development of a skin ulcer from the radiation C. Hematoma formation D. Spinal metastasis
C
A patient is exhibiting seizure-like movements localized to one side of the body. What type of brain tumor does the nurse determine the patient most likely has? A. A cerebellar tumor B. A frontal lobe tumor C. A motor cortex tumor D. An occipital lobe tumor
A
A patient with a brain tumor reports headaches that are worse in the morning. What explanation does the nurse give for the morning headaches? A. "You may have an increase in intracranial pressure" B. "You are most likely dehydrated" C. "You are probably experiencing migraine headaches" D. "The tumor is shrinking"