Chapter 58: Chronic Neurologic Problems Harding: Lewis's Medical-Surgical Nursing, 11th Edition Exam Questions and Answers

Chapter 58: Chronic Neurologic Problems Harding: Lewis's Medical-Surgical Nursing, 11th Edition Exam Questions and Answers "I will lie down someplace dark and quiet when the headaches begin." - Ans:-The nurse should determine that teaching about migraine headaches has been effective when the patient says which of the following? Unilateral ptosis - Ans:-Which finding should the nurse expect when assessing a patient who is experiencing a cluster headache? Time and observe and record the details of the seizure and postictal state - Ans:-While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic- clonic seizure. Which action should the nurse take? "Epilepsy usually can be well controlled with medications." - Ans:-A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, "I cannot teach any more. It will be too upsetting if I have a seizure at work." How should the nurse respond to specifically address the patient's concern? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/6 Inspect the oral mucosa. - Ans:-A patient has been taking phenytoin (Dilantin) for 2 years. Which action should the nurse take when evaluating possible adverse effects of the medication? Focal-onset - Ans:-A patient reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse should know that this history is consistent with what type of seizure? Inquire about urinary tract problems. - Ans:-What action should the nurse include in completing a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS)? "Symptoms of MS are likely to improve during pregnancy." - Ans:-A woman who has multiple sclerosis (MS) asks the nurse about risks associated with pregnancy. How should the nurse respond? How to draw up and administer injections of the medication? - Ans:-A 33-yr-old patient with multiple sclerosis (MS) is to begin treatment with glatiramer acetate (Copaxone). Which information should the nurse include in patient teaching? The patient has increased serum creatinine. - Ans:-Which information about a patient with multiple sclerosis indicates that the nurse should consult with the health care provider before giving the prescribed dose of dalfampridine (Ampyra)? Teach the patient how to use the Credé method. - Ans:-Which action should the nurse plan to take for a patient with multiple sclerosis who has urinary retention caused by a flaccid bladder? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/6 Suggest that the patient rock from side to side to initiate leg movement - Ans:-A patient with Parkinson's disease has bradykinesia. Which action should the nurse include in the plan of care? Complete physically demanding activities early in the day. - Ans:-What should the nurse advise a patient with myasthenia gravis (MG) to do? Diphenhydramine - Ans:-Which medication taken by a patient with restless legs syndrome should the nurse discuss with the patient? Assist with active range of motion (ROM). - Ans:-A patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which action should the nurse include in the plan of care? Genetic testing is an option for the children to determine their HD risk. - Ans:-A 40-yr-old patient is diagnosed with early Huntington's disease (HD). What information should the nurse provide when teaching the patient, spouse, and adult children about this disorder? Antiparkinsonian drugs - Ans:-A 74-yr-old patient is seen in the health clinic with new development of a stooped posture, shuffling gait, and pill rolling-type tremor. What should the nurse anticipate explaining to the patient? Ask the patient to keep a headache diary - Ans:-A 22-yr-old patient seen at the health clinic with a severe migraine headache tells the nurse about having similar headaches recently. Which initial action should the nurse take? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/6 acetaminophen (Tylenol) - Ans:-A hospitalized patient reports a bilateral headache (4/10 on the pain scale) that radiates from the base of the skull. Which prescribed PRN medication should the nurse administer initially? Discuss the need to stop taking the acetaminophen - Ans:-A patient tells the nurse about using acetaminophen (Tylenol) several times every day for recurrent bilateral headaches that are present on wakening. Which action should the nurse plan to take first? The patient had a recent acute myocardial infarction - Ans:-The health care provider is considering the use of sumatriptan (Imitrex) for a 54-yr-old male patient with migr