Intermediate Med Surg Midterm
1. The nurseis providing teaching to the family of a patient who has Parkinson’s disease.
What should the nurse include in the teaching?
® Provide client supervision**
® recommend an exercise program, alternated with periods of rest, to improve the
client's mobility.
® SUPERVISION IS REQUIRED DUE TO HIGHER CHANCES OF FALLS OR
LOSS OF CONSIOUSINESS
' 2. Thenurseis teaching a patient who taking benztropine (Cogentin) to treat Parkinson’s
disease. The nurse should instruct the patient to report which of the following adverse
effects?
® urinary retention (trouble voiding)
® tachycardia
= —_—
3. Client was diagnosed with Parkinson's disease; the nurse describes which drug as the
most effective treatment for patients with severe symptoms?
® Levodopa/Carbidopa
® Saliva, urine, and sweat can darken
® Orthostatic hypotension
® It can take several months for the full effect
4. The client diagnosed with Parkinson's disease is being discharged. Which statement
indicates an understanding.
® Medication should be taken on scheduled time given by the spouse
5.pt taking diphenhydramine for Parkinson’s, how do you know it has worked?
® Pt has decrease in tremors
6. The healthcare provider is teaching a student about Parkinson’s disease. Which of these
statements best describes the brain abnormality characteristic of the disease?
® Neurons in the substantia nigra begin to degenerate disrupts the normal balance
between DA and acetylcholine (ACh) in the basal ganglia
7. During an interview with a patient with a diagnosis of Parkinson disease, which of the
following speech patterns and physical will the healthcare provider anticipate?
® Monotone
® TRAP (tremor, rigidity, akinesia, and postural instability)
® Bradykinesia
® Pill-rolling tremor when the hand is at rest
® heing unable to stop themselves from going forward (propulsion) or backward
(retropulsion).
8. The nurse is teaching a patient who has multiple sclerosis about a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching?
® IMPROVEMENT WHEN stiffness in your muscles decrease
, *® Do not take antihistamines with this medication
® Take with milk or meal
9. Anurseis presenting discharge instructions to a patient who has multiple sclerosis
(MS). The patient reports symptoms of diplopia, dysmetria, and sensory change. Which
of the following nursing statements are appropriate?
® Implement a schedule to include periods of rest
10. When assessing a patient diagnosed with multiple sclerosis, which of the following
would require immediate action by the healthcare provider?
® Dysphagia and congested cough
® Intention tremors, poor coordination and loss of balance
11. Anurseis teaching a patient who has multiple sclerosis and a new prescription for
dantrolene. Which of the following statements by the patient indicates an
understanding of the teaching?
® I need to apply sunscreen when I go outside
® avoid over-the-counter medications such as cough preparations and antihistamines
12. A 31-year-old woman who has multiple sclerosis (MS) asks the nurse about risks
associated with pregnancy. Which response by the nurse is accurate?
® “MS symptoms may be worse after the pregnancy.”
13. The nurse is assessing a patient who has suspected diagnosis of Guillain barre
syndrome (GBS) Which of the following questions should the nurse ask the patient?
® Development of sudden muscle weakness
® confirm a diagnosis. EMG, excess lacrimation
® ask if they had recent influenza vaccination
14. Anurseis caring for a patient who has a new diagnosis of myasthenia gravis. For
which of the following manifestations should the nurse monitor?
® Respiratory difficulty
® AUTOIMMUNE DISEASE OF ACETCHOLINE DESTRUCTION
® Difficulty swallowing, closing eyelids, drooping of face
15. The client with myasthenia gravis (MG) is receiving cholinesterase inhibitor drugs to
improve muscle strength. The nurse is educating the family about this therapy. Which
statement by a family member indicates correct understanding of the nurse's
instruction?
® "I should call 911 if a sudden increase in weakness occurs." (can lead to
respiratory difficulty)
16. The nurse s preparing to administer PO medication to a patient who has myasthenia
gravis. Which of the following actions should the nurse take prior to administering the
patient medication?
® Give sips of water to assess for aspiration (difficulty swallowing)
17. Myasthenia
y: g gravis P patient complains
p! of nausea vomiting and confusion on
pyridostigmine (Mestinon) what to do?
® Call provider
1. The nurseis providing teaching to the family of a patient who has Parkinson’s disease.
What should the nurse include in the teaching?
® Provide client supervision**
® recommend an exercise program, alternated with periods of rest, to improve the
client's mobility.
® SUPERVISION IS REQUIRED DUE TO HIGHER CHANCES OF FALLS OR
LOSS OF CONSIOUSINESS
' 2. Thenurseis teaching a patient who taking benztropine (Cogentin) to treat Parkinson’s
disease. The nurse should instruct the patient to report which of the following adverse
effects?
® urinary retention (trouble voiding)
® tachycardia
= —_—
3. Client was diagnosed with Parkinson's disease; the nurse describes which drug as the
most effective treatment for patients with severe symptoms?
® Levodopa/Carbidopa
® Saliva, urine, and sweat can darken
® Orthostatic hypotension
® It can take several months for the full effect
4. The client diagnosed with Parkinson's disease is being discharged. Which statement
indicates an understanding.
® Medication should be taken on scheduled time given by the spouse
5.pt taking diphenhydramine for Parkinson’s, how do you know it has worked?
® Pt has decrease in tremors
6. The healthcare provider is teaching a student about Parkinson’s disease. Which of these
statements best describes the brain abnormality characteristic of the disease?
® Neurons in the substantia nigra begin to degenerate disrupts the normal balance
between DA and acetylcholine (ACh) in the basal ganglia
7. During an interview with a patient with a diagnosis of Parkinson disease, which of the
following speech patterns and physical will the healthcare provider anticipate?
® Monotone
® TRAP (tremor, rigidity, akinesia, and postural instability)
® Bradykinesia
® Pill-rolling tremor when the hand is at rest
® heing unable to stop themselves from going forward (propulsion) or backward
(retropulsion).
8. The nurse is teaching a patient who has multiple sclerosis about a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching?
® IMPROVEMENT WHEN stiffness in your muscles decrease
, *® Do not take antihistamines with this medication
® Take with milk or meal
9. Anurseis presenting discharge instructions to a patient who has multiple sclerosis
(MS). The patient reports symptoms of diplopia, dysmetria, and sensory change. Which
of the following nursing statements are appropriate?
® Implement a schedule to include periods of rest
10. When assessing a patient diagnosed with multiple sclerosis, which of the following
would require immediate action by the healthcare provider?
® Dysphagia and congested cough
® Intention tremors, poor coordination and loss of balance
11. Anurseis teaching a patient who has multiple sclerosis and a new prescription for
dantrolene. Which of the following statements by the patient indicates an
understanding of the teaching?
® I need to apply sunscreen when I go outside
® avoid over-the-counter medications such as cough preparations and antihistamines
12. A 31-year-old woman who has multiple sclerosis (MS) asks the nurse about risks
associated with pregnancy. Which response by the nurse is accurate?
® “MS symptoms may be worse after the pregnancy.”
13. The nurse is assessing a patient who has suspected diagnosis of Guillain barre
syndrome (GBS) Which of the following questions should the nurse ask the patient?
® Development of sudden muscle weakness
® confirm a diagnosis. EMG, excess lacrimation
® ask if they had recent influenza vaccination
14. Anurseis caring for a patient who has a new diagnosis of myasthenia gravis. For
which of the following manifestations should the nurse monitor?
® Respiratory difficulty
® AUTOIMMUNE DISEASE OF ACETCHOLINE DESTRUCTION
® Difficulty swallowing, closing eyelids, drooping of face
15. The client with myasthenia gravis (MG) is receiving cholinesterase inhibitor drugs to
improve muscle strength. The nurse is educating the family about this therapy. Which
statement by a family member indicates correct understanding of the nurse's
instruction?
® "I should call 911 if a sudden increase in weakness occurs." (can lead to
respiratory difficulty)
16. The nurse s preparing to administer PO medication to a patient who has myasthenia
gravis. Which of the following actions should the nurse take prior to administering the
patient medication?
® Give sips of water to assess for aspiration (difficulty swallowing)
17. Myasthenia
y: g gravis P patient complains
p! of nausea vomiting and confusion on
pyridostigmine (Mestinon) what to do?
® Call provider
