quiz 8 version B

A nurse is collecting data from a client who has a possible medical diagnosis of Guillain-Barré syndrome (GBS). Which of the following questions should the nurse ask the client?

"Have you had a recent upper respiratory infection?"

The nurse is providing education to a patient recently prescribed pregabalin (Lyrica). Which statement by the patient indicates a need for further instruction?

"Once my pain improves, I will stop taking this medication."

A patient has been diagnosed with amyotrophic lateral sclerosis, commonly known as Lou Gehrig's disease. Which symptoms might the patient display? (SATA)

- Difficulty speaking - Muscle weakness - Difficulty swallowing - Difficulty clearing the airway

An LVN is at the bedside of a patient with meningitis. Which intervention, if found in the nursing care plan, should the nurse view as a concern? (SATA)

- Elevate the head of the bed at a 30-degree angle. - Restrain the patient with chest restraint if restless. his

A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)

- Encourage fluid intake. - Monitor the puncture site for hematoma.

Nursing measures when a patient has a generalized seizure include which of the following? (Select all that apply)

- Turn the patient to one side to maintain a patent airway - Move objects away from the patient to prevent injury - Note the time the seizure began

A nurse is collecting data from a client who has Bell's palsy. Which of the following findings should the nurse expect? (Select all that apply)

-Muscle paralysis -Pain behind the ear

A patient is having frequent seizure activity. As a result, which are used excessively by the large number of hyperactive neurons? (Select all that apply)

-Oxygen -Glucose

Which term describes the collective symptoms of blurred vision; constipation; urinary retention; and dry nose, mouth, and throat?

Anticholinergic effects

Why is a patient with amyotrophic lateral sclerosis (ALS) uniquely prone to depression?

Intellectual capacity is not affected

9. A nurse is collecting data from a client who has meningitis. When passively flexing the client's neck, the nurse notes an involuntary flexion of both legs. Which of the following conditions is the client displaying?

Brudzinski sign

Paralysis associated with a loss of motor coordination caused by cerebral damage is descriptive of what neurological disorder?

Cerebral palsy

In order to reduce the symptoms of Parkinson disease, what is Levodopa converted to as it crosses the blood-brain barrier?

Dopamine

The nurse is providing information to a patient recently prescribed entacapone (Comtan) which is a COMT inhibitor. Which statement is correct:

Dosage is adjusted according to the patient's response

A nurse is caring for a client who is scheduled for a Tension challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?

Electrical charge in the muscle increases in intensity

How can the nurse assist in the treatment of increased ICP?

Elevating the head of the bed to no more than 30 degrees

Inflammation of brain tissue usually caused by a virus is called

Encephalitis

A nurse caring for a patient with a history of seizures should be knowledgeable of which condition of the following conditions associated with Pheytoin (hydantoin) therapy?

Gingival hyperplasia

A nurse is collecting data from a client who had an unwitnessed fall one hour ago. The physician suspects the client has an epidural hematoma. Which of the following manifestations should the nurse expect at this time?

Headache and drowsiness 24 to 48 hr after the injury occurs

Which nursing assessment would indicate a need for suctioning a patient with Guillain-Barre who is experiencing impaired breathing patterns because of neuromuscular failure?

Increased pulse rate and dyspnea

Which assessment on a patient on mannitol therapy for cerebral edema indicates the medication is effective in decreasing ICP?

Increased urinary output

A patient with a severe head injury begins to assume a posture of flexed upper extremities, with plantarflexed lower extremities. What do these assessments indicate?

Increasing intracranial pressure (ICP) with decorticate posturing

A patient presents to the clinic with complaints of a severe headache, nuchal rigidity, photophobia, and positive Kernig and Brudzinski signs. What condition do these symptoms suggest?

Meningitis

A type of headache in which the pain is usually unilateral and has a warning is called:

Migraine

A patient with Parkinson disease is depressed because his drug protocol of L-dopa and Sinemet is no longer controlling his symptoms. What is the best response by the nurse?

Other drugs can be combined with L-dopa to increase its effectiveness.

A nurse is collecting data from an adult client who has meningococcal meningitis. Which of the following findings should the nurse expect?

Photophobia

A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?

Place the toddler in a side-lying, knee-chest position.

A nurse is caring for a client who has myasthenia gravis (MG). Which of the following is a complication of MG for which the nurse should monitor?

Respiratory difficulty

A nurse is collecting data from a client who has Parkinson's disease and is experiencing bradykinesia. Which of the following findings should the nurse expect?

Slowed speech

Which intervention should be added to the nursing care plan for supporting nutritional intake in a patient with Parkinson disease?

Thicken liquids to make them easier to swallow.

For which condition may carbamazepine (Tegretol) be used?

Trigeminal neuralgia pain

The nurse is collecting data on a client who has multiple sclerosis. Which of the following findings should the nurse expect?

Visual disturbances

A patient in the emergency department states that she fell and hit her head and blacked out for a while but became alert again. The nurse suspects an epidural hematoma. For what should the nurse be diligent to assess

drowsiness