Med Surg 2 Exam 3

which medication is an antiviral used to treat HSV encephalitis?

Acyclovir

A client has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize?

Generalized seizure

The clinic nurse caring for a client with Parkinson's disease notes that the client has been taking levodopa and carbidopa for seven years. For what common side effect should the nurse assess in this client?

Dyskinesia or also known as involuntary movements such as ticks

A school nurse is called to the playground where a six year old girl has been found sitting unresponsive and staring into space according to the playground supervisor. How would the nurse document the girls activity in her chart at school?

Absence seizure

Splints have been prescribed for a client who is at risk of developing foot drop following a spinal cord injury. When should the nurse remove and reapply the splints?

Every 2 hours, check skin and documentation

A client exhibiting an altered level of consciousness due to blunt force trauma to the head is admitted to the emergency department. The nurse should first gauge the clients LOC on the results of what diagnostic tool?

Glasgow coma scale

what arrhythmias are associated with cardiogenic embolic shock?

Atrial Fibrillation

A severe headache in a spinal cord unjust patient can indicate ?

Autonomic dysreflexia

The nurse is caring for a client whose spinal cord injury has caused a recent muscle spasticity. What medication should the nurse expect to be prescribed to control this?

Baclofen

To alleviate pain associated with trigeminal neuralgia, a client is taking carbamazepine. What health education should the nurse provide to the client before initiating this treatment?

Blood levels of the drug must be monitored

A nurse is caring for a critically ill client with autonomic dysreflexia. What clinical manifestations would the nurse expect in this client?

Bradycardia and hypertension

A nurse is planning discharge education for a client who underwent a surgical discectomy. What strategies with the nurse assess that would aid in planning discharge teaching?

Care of the cervical collar

what is it called when reflexes are elicited, hyperactive and continues to beat before it returns to a state of rest?

Clonus

What effect does the parasympathetic nervous system have on the genitourinary system?

Contraction = urinary incontinence or retention

The nurse is planning the care of a client with Parkinson's disease. The nurse should be aware that treatment will focus on what pathophysiological phenomenon?

Decreased availability of dopamine

what med is given to reduce swelling around a tumor?

Dexamethasone

What should the nurse suspect when hourly assessment of urine output on a client post craniotomy exhibit a urine output from a catheter of 1500 ML's for two consecutive hours?

Diabetes insipidus

The nurse is caring for a client who is scheduled for a cervical discectomy the following day. During health education the client should be made aware of what potential complication?

Hematoma/bleeding at the surgical site

The nurse is providing information to a client about neurological disorders associated with genetic defects. The nurse knows which disease is considered an autosomal dominant disorder?

Huntington's Disease

The nurse is caring for a client with increased intercranial pressure caused by a traumatic brain injury. Which of the following clinical manifestations would suggest that the client may be experiencing increased brain compression causing brain stem damage?

Hyperthermia

What is the cause of myasthenia gravis?

Impairment of acetylcholine binding

A client has just returned to the unit from the PACU after surgery for a tumor within the spine. The client reports pain. When positioning the client for comfort and to reduce injury to the spinal cord site the nurse will position the client and what position?

In a flat side lying position

A client with a documented history of seizure disorder experiences a generalized seizure. What nursing action is most appropriate?

Loosen the clients restrictive clothing

A 37-year-old client is brought to the clinic by the spouse because the client is experiencing loss of motor function and sensation. The healthcare provider suggests the client has a spinal cord tumor and hospitalized as the client for diagnostic testing. In light of the need to rule out spinal cord compression from a tumor the nurse will most likely prepare the client for what test?

MRI

the following symptoms : blurred vision, intentional tremors, urinary hesitancy, balance loss and weakness are typical of?

Multiple sclerosis

When caring for a client with an altered level of consciousness the nurse is preparing to test cranial nerve seven. What assessment technique would most likely elicit the response from cranial nerve seven?

Observe for focal movement symmetry such as a smile

What class of medication can constrict pupils?

Parasympathetic system stimulents

A client presents at the clinic with pain and weakness in the hands. On assessment the nurse notes diminished reflexes in the upper extremities bilaterally and bilateral loss of sensation. The nurse knows that these findings are indicative of what condition?

Peripheral nerve disorder

what is a nursing intervention for a patient experiencing hemianopsia?

Place ALL items where the patient can see them/and body parts

A client with a new diagnosis of ALS (amyotrophic lateral sclerosis) is overwhelmed by the diagnosis and the known complications of the disease. How can the client best make known their wishes for care as the disease progresses?

Prepare an advance directive

What medication for the best opportunity for a patients neurologic status?

Propofol

what is a way to assist a patient with their communication needs?

Provide a board of commonly used phrases and needs

A critical care nurse is admitting a client to the myasthenic crisis to the ICU. The nurse should prioritize what nursing action in the immediate care of this client?

Providing Ventilatory assistance

Dyskinesia is a side effect of what medication?

Sinemet/ aka lovadopa+carbidopa

A trauma client was admitted to the ICU with a brain injury that resulted in a change in level of consciousness and altered vital signs. The client subsequently became diaphoretic and agitated. The nurse should recognize which of the following syndromes as the most plausible cause of the symptoms?

Sympathetic storm

A client who has been experiencing numerous episodes of unexplained headaches and vomiting has subsequently been referred for testing to rule out a brain tumor. What characteristics of the clients vomiting is most associated with a brain tumor

The client vomiting is unrelated to food intake

A client diagnosed with a pituitary adenoma has arrived on the neurologic unit. When planning the clients care the nurse should be aware that the effects of the tumor will primarily depend on what variable?

The specific hormones secreted by the tumor

A client diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid Endarterectomy. The nurse explains that this procedure will be done for what purpose?

To remove atherosclerotic plaques blocking cerebral flow

What is an absolute contradiction for thrombolitic therapy?

Type of stroke/ Hemmorhagic

Loss of voluntary control of movement is mostly due to?

Upper motor neuron lesion

The nurse is planning discharge education for a client with trigeminal neuralgia. The nurse knows to include information about factors that precipitate in attack. What would the nurse be correct in teaching the client to avoid?

Washing of the face, brushing your teeth, putting on makeup, shaving your face

what is a sign of a meningitis infection?

a positive Kernig sign

A nurse is assessing a client with an acoustic neuroma who has been recently admitted to an oncology unit. What symptoms is the nurse likely to find during the initial assessment?

loss of hearing, tinnitus, and vertigo

The nurse is caring for a client with an upper motor neuron lesion. What clinical manifestations should the nurse anticipate when planning the clients neurological assessment?

loss of voluntary control of movement

A client is scheduled for a myelogram, and the nurse explains to the client that this is an invasive procedure which assesses for any lesions in the spinal cord. The nurse should explain that the preparation is similar to which of the following neurologic tests?

lumbar puncture

A female client is admitted to the medical unit for evaluation of cerebral metastasis from a primary site. When reviewing the clients history the nurse would most likely find which site as being the primary site?

lungs

A client is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. When planning this clients care the nurse would expect to administer what priority medication?

mannitol