The client newly diagnosed with Parkinson disease is being discharged. Which
instruction is best for the nurse to provide to the client's spouse?
Administer medications promptly on schedule to maintain therapeutic
drug levels.
The client has Parkinson disease (PD). Which nursing intervention best protects the
client from injury?
Monitoring the client's sleep patterns
The client has been admitted with new-onset status epilepticus. Which seizure
precautions does the nurse put in place? Select all that apply.
- Intravenous access
- Suction equipment at the bedside
- Siderails up
The client with dementia and Alzheimer's disease is discharged to home. The
client's daughter says, "He wanders so much, I am afraid he'll slip away from me."
What resource does the nurse suggest?
Safe Return Program
The client with a migraine is lying in a darkened room with a wet cloth on the head
after receiving analgesic drugs. What will the nurse do next?
Allow the client to remain undisturbed.
Which is the most effective way for the college student to minimize the risk for
bacterial meningitis?
Getting the meningitis polysaccharide vaccine
The nurse is teaching the client newly diagnosed with migraine about trigger
control. Which statement made by the client demonstrates good understanding of
the teaching plan?
"I must not miss meals."
The client with Parkinson disease is being discharged home with his wife. To ensure
compliance with the management plan, which discharge action is most effective?
Involving the client and his wife in developing a plan of care
The home health nurse is checking in on the client with dementia and the client's
spouse. The spouse confides to the nurse, "I am so tired and worn out." What is the
nurse's best response?
"Make sure you take some time off and take care of yourself too."
,The nurse is caring for the client with advanced Alzheimer's disease. Which
communication technique is best to use with this client?
Assuming that the client is not totally confused
The client is admitted into the emergency department with frontal-temporal pain,
preceded by a visual disturbance. The client is upset and thinks it is a stroke. What
does the nurse suspect may be occurring?
Classic migraine
The female client with newly diagnosed migraine is being discharged with a
prescription for sumatriptan (Imitrex). Which comment by the client indicates an
understanding of the nurse's discharge instructions?
"I must report any chest pain right away."
The parents of a young child report that their child sometimes stares blankly into
space for just a few seconds and then gets very tired. The nurse anticipates that the
child will be assessed for which seizure disorder?
Absence
The client admitted with cerebral edema suddenly begins to have a seizure while
the nurse is in the room. What will the nurse do first?
Assess the need for additional support
The nurse is administering the intake assessment for a newly admitted client with a
history of seizures. The client suddenly begins to seize. What does the nurse do
next?
Positions the client on the side
The client is admitted with bacterial meningitis. Which nursing intervention is the
highest priority for this client?
Assessing neurologic status at least every 2 to 4 hours
The nurse's friend fears that his mother is getting old, saying that she is becoming
extremely forgetful and disoriented and is beginning to wander. What is the nurse's
best response?
"Have you taken her for a checkup?"
The client is being discharged to home with progressing stage I Alzheimer's disease.
The family expresses concern to the nurse about caring for their parent. What is the
priority for best continuity of care?
, Assigning a case manager
The spouse of the client with Alzheimer's disease (AD) is listening to the hospice
nurse explaining the client's drug regimen. Which statement by the spouse
indicates an understanding of the nurse's instruction?
"Donepezil (Aricept) will treat the symptoms of Alzheimer's disease.
The client with early-stage Alzheimer's disease is admitted to the surgical unit for a
biopsy. Which client problem is the priority?
Potential for injury related to chronic confusion and physical deficits
The wife of the client with Alzheimer's disease mentions to the home health nurse
that although she loves him, she is exhausted caring for her husband. What does
the nurse suggest to alleviate caregiver stress?
Arranges for respite care
The client has been diagnosed with Huntington disease. The nurse is teaching the
client and her parents about the genetic aspects of the disease. Which statement
made by the parents demonstrates a good understanding of the nurse's teaching?
"If she has children, she'll pass the gene on to her kids."
The nursing instructor asks the student nurse caring for a client with Alzheimer's
disease who has been prescribed donepezil (Aricept) how the drug works. Which
response by the nursing student best explains the action of donepezil?
"It delays the destruction of acetylcholine by acetylcholinesterase."
The nurse is caring for a client diagnosed with partial seizures after encephalitis,
who is to receive carbamazepine (Tegretol). The nurse plans to monitor the client for
which adverse effects? Select all that apply.
- Headaches
- Dizziness
- Diplopia
The nurse has received report on a group of clients. Which client requires the
nurse's attention first?
Young adult who has experienced four tonic-clonic seizures within the past
30 minutes
A client receiving sumatriptan (Imitrex) for migraine headaches is experiencing
adverse effects after taking the drug. Which adverse effect is of greatest concern to
the nurse?
Chest tightness
instruction is best for the nurse to provide to the client's spouse?
Administer medications promptly on schedule to maintain therapeutic
drug levels.
The client has Parkinson disease (PD). Which nursing intervention best protects the
client from injury?
Monitoring the client's sleep patterns
The client has been admitted with new-onset status epilepticus. Which seizure
precautions does the nurse put in place? Select all that apply.
- Intravenous access
- Suction equipment at the bedside
- Siderails up
The client with dementia and Alzheimer's disease is discharged to home. The
client's daughter says, "He wanders so much, I am afraid he'll slip away from me."
What resource does the nurse suggest?
Safe Return Program
The client with a migraine is lying in a darkened room with a wet cloth on the head
after receiving analgesic drugs. What will the nurse do next?
Allow the client to remain undisturbed.
Which is the most effective way for the college student to minimize the risk for
bacterial meningitis?
Getting the meningitis polysaccharide vaccine
The nurse is teaching the client newly diagnosed with migraine about trigger
control. Which statement made by the client demonstrates good understanding of
the teaching plan?
"I must not miss meals."
The client with Parkinson disease is being discharged home with his wife. To ensure
compliance with the management plan, which discharge action is most effective?
Involving the client and his wife in developing a plan of care
The home health nurse is checking in on the client with dementia and the client's
spouse. The spouse confides to the nurse, "I am so tired and worn out." What is the
nurse's best response?
"Make sure you take some time off and take care of yourself too."
,The nurse is caring for the client with advanced Alzheimer's disease. Which
communication technique is best to use with this client?
Assuming that the client is not totally confused
The client is admitted into the emergency department with frontal-temporal pain,
preceded by a visual disturbance. The client is upset and thinks it is a stroke. What
does the nurse suspect may be occurring?
Classic migraine
The female client with newly diagnosed migraine is being discharged with a
prescription for sumatriptan (Imitrex). Which comment by the client indicates an
understanding of the nurse's discharge instructions?
"I must report any chest pain right away."
The parents of a young child report that their child sometimes stares blankly into
space for just a few seconds and then gets very tired. The nurse anticipates that the
child will be assessed for which seizure disorder?
Absence
The client admitted with cerebral edema suddenly begins to have a seizure while
the nurse is in the room. What will the nurse do first?
Assess the need for additional support
The nurse is administering the intake assessment for a newly admitted client with a
history of seizures. The client suddenly begins to seize. What does the nurse do
next?
Positions the client on the side
The client is admitted with bacterial meningitis. Which nursing intervention is the
highest priority for this client?
Assessing neurologic status at least every 2 to 4 hours
The nurse's friend fears that his mother is getting old, saying that she is becoming
extremely forgetful and disoriented and is beginning to wander. What is the nurse's
best response?
"Have you taken her for a checkup?"
The client is being discharged to home with progressing stage I Alzheimer's disease.
The family expresses concern to the nurse about caring for their parent. What is the
priority for best continuity of care?
, Assigning a case manager
The spouse of the client with Alzheimer's disease (AD) is listening to the hospice
nurse explaining the client's drug regimen. Which statement by the spouse
indicates an understanding of the nurse's instruction?
"Donepezil (Aricept) will treat the symptoms of Alzheimer's disease.
The client with early-stage Alzheimer's disease is admitted to the surgical unit for a
biopsy. Which client problem is the priority?
Potential for injury related to chronic confusion and physical deficits
The wife of the client with Alzheimer's disease mentions to the home health nurse
that although she loves him, she is exhausted caring for her husband. What does
the nurse suggest to alleviate caregiver stress?
Arranges for respite care
The client has been diagnosed with Huntington disease. The nurse is teaching the
client and her parents about the genetic aspects of the disease. Which statement
made by the parents demonstrates a good understanding of the nurse's teaching?
"If she has children, she'll pass the gene on to her kids."
The nursing instructor asks the student nurse caring for a client with Alzheimer's
disease who has been prescribed donepezil (Aricept) how the drug works. Which
response by the nursing student best explains the action of donepezil?
"It delays the destruction of acetylcholine by acetylcholinesterase."
The nurse is caring for a client diagnosed with partial seizures after encephalitis,
who is to receive carbamazepine (Tegretol). The nurse plans to monitor the client for
which adverse effects? Select all that apply.
- Headaches
- Dizziness
- Diplopia
The nurse has received report on a group of clients. Which client requires the
nurse's attention first?
Young adult who has experienced four tonic-clonic seizures within the past
30 minutes
A client receiving sumatriptan (Imitrex) for migraine headaches is experiencing
adverse effects after taking the drug. Which adverse effect is of greatest concern to
the nurse?
Chest tightness
