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The initial concern for a patient with Parkinson's disease is
safety due to: - Answer-Risk for falls
A 30-year-old woman is experiencing double vision,
trigeminal neuralgia, ataxia, and spasms.
What do you suspect? - Answer-Multiple Sclerosis
What medication is often used to treat spasms in a patient
with multiple sclerosis? - Answer-Baclofen
A patient arrives in the ER with ascending paralysis.
What do you suspect? - Answer-Guillain-Barre Syndrome
A patient arrives in the ER with a diagnosis of Guillain-
Barre Syndrome.
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As the nurse, you monitor for which complication due to
ascending paralysis? - Answer-Respiratory problems
What time of illness is believed to contribute to developing
Guillain-Barre Syndrome? - Answer-Ebstein-Barr virus
A patient is experiencing a seizure that lasts longer than 5
minutes. What is this called and what type of medication
do you expect to give? - Answer-Status Epilepticus;
Benzodiazepine
A patient with a history of seizures is prescribed Dilantin.
What is important patient teaching about this medication?
- Answer-Make regular dental checkups, causes gum
overgrowth.
A patient is taking seizure medications for 6 months and
states "I have not had a seizure since starting this
medication."
Important patient education: - Answer-Do not stop the
medication.
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What is the normal phenytoin level? - Answer-10-20
A patient is scheduled for an EEG tomorrow morning.
The nurse should advise them: - Answer-No caffeine the
night before.
A patient with parkinson's disease is prescribed a MAO B
inhibitor.
Important nursing education: - Answer-Avoid tyramine:
Cured
Smoked
Pickled
Fermented foods
Processed meats
A patient with Parkinson's disease is experiencing
bradykinesia.
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We can assist them with getting up from a chair by: -
Answer-Encourage rocking back and forth
You witness a patient with stiffening and/or rigidity of
muscles, especially arms and legs, with immediate loss of
consciousness.
What type of seizure? - Answer-Tonic
You witness a patient with rhythmic jerking/relaxing of all
extremities.
What type of seizure? - Answer-Clonic
You witness a patient with a sudden loss of muscle tone
lasting a few seconds, the patient dropped to the floor.
What type of seizure? - Answer-Atonic
A patient is in recovery after a seizure, they are a bit
confused and their brain is recovering. May last minutes to
hours.