Med surg Neuro questions
Study online at https://quizlet.com/_1nyxdf
1. The nurse is caring for a group of patients on a medical C. A 38-year-old patient
unit. After receiving report, which patient should the with myasthenia gravis
nurse see first? who declined prescribed
medications
A. A 42-year-old patient with multiple sclerosis who
was admitted with sepsis Patients with myasthe-
B. A 72-year-old patient with Parkinson's disease who nia gravis who discontin-
has aspiration pneumonia ue pyridostigmine (Mesti-
C. A 38-year-old patient with myasthenia gravis who non) will develop a myas-
declined prescribed medications thenic crisis. Myasthenia
D. A 45-year-old patient with amyotrophic lateral scle- crisis results in severe
rosis who refuses enteral feedings muscle weakness and can
lead to a respiratory arrest.
2. The nurse observes a 74-year-old man with Parkin- B. Document the activi-
son's disease rocking side to side while sitting in the ty in the patient's health
chair. Which action by the nurse is most appropriate? record.
A. Provide the patient with diversional activities. Patients with Parkinson's
B. Document the activity in the patient's health record. disease are instructed to
C. Take the patient's blood pressure sitting and stand- rock from side to side to
ing. stimulate balance mecha-
D. Ask if the patient is feeling either anxious or de- nisms and decrease akine-
pressed. sia.
3. The nurse provides dietary instructions to the in-home C. "Calories should be re-
caregiver of a 45-year-old man who has Huntington's stricted to prevent unnec-
disease. The nurse is most concerned if the caregiver essary weight gain."
makes which statement?
Patients with Huntington's
A. "Depression is common and may cause a decrease disease may require 4000
in appetite." to 5000 calories per day
, Med surg Neuro questions
Study online at https://quizlet.com/_1nyxdf
B. "If swallowing becomes difficult, a feeding tube may to maintain body weight.
be needed." Weight loss occurs in pa-
C. "Calories should be restricted to prevent unneces- tients with Huntington's
sary weight gain." disease because of chor-
D. "Muscles in the face are affected, and chewing may eic movements, difficul-
become impossible." ty swallowing, depression,
and mental deterioration.
4. Which measure should the nurse prioritize when pro- A. Vigilant infection control
viding care for a patient with a diagnosis of multiple and adherence to stan-
sclerosis (MS)? dard precautions
A. Vigilant infection control and adherence to standard
precautions Infection control is a prior-
B. Careful monitoring of neurologic assessment and ity in the care of patients
frequent reorientation with MS, since infection is
C. Maintenance of a calorie count and hourly assess- the most common cause of
ment of intake and output an exacerbation of the dis-
D. Assessment of blood pressure and monitoring for ease. Decreases in cogni-
signs of orthostatic hypotension tive function are less likely,
and MS does not typically
result in malnutrition, hy-
potension, or fluid volume
excess or deficit.
5. A male patient with a diagnosis of Parkinson's disease C. Provide small, frequent
(PD) has been admitted recently to a long-term care fa- meals throughout the day
cility. Which action should the health care team take in that are easy to chew and
order to promote adequate nutrition for this patient? swallow.
A. Provide multivitamins with each meal.
B. Provide a diet that is low in complex carbohydrates
Nutritional support is a
and high in protein.
, Med surg Neuro questions
Study online at https://quizlet.com/_1nyxdf
C. Provide small, frequent meals throughout the day priority in the care of indi-
that are easy to chew and swallow. viduals with PD. Such pa-
D. Provide the patient with a minced or pureed diet tients may benefit from
that is high in potassium and low in sodium. meals that are smaller and
more frequent than nor-
mal and that are easy to
chew and swallow.
6. Which nursing diagnosis is likely to be a priority in the C. Activity intolerance
care of a patient with myasthenia gravis (MG)?
A. Acute confusion The primary feature of MG
B. Bowel incontinence is fluctuating weakness of
C. Activity intolerance skeletal muscle. Bowel in-
D. Disturbed sleep pattern continence and confusion
are unlikely signs of MG,
and although sleep distur-
bance is likely, activity in-
tolerance is usually of pri-
mary concern.
7. When establishing a diagnosis of MS, the nurse should B. CT scan Correct
teach the patient about what diagnostic studies (select D. Evoked response test-
all that apply)? ing Correct
E. Cerebrospinal fluid
A. EEG analysis Correct
B. CT scan
C. Carotid duplex scan
D. Evoked response testing There is no definitive diag-
E. Cerebrospinal fluid analysis nostic test for MS. CT scan,
evoked response testing,
cerebrospinal fluid analy-
sis, and MRI along with
Study online at https://quizlet.com/_1nyxdf
1. The nurse is caring for a group of patients on a medical C. A 38-year-old patient
unit. After receiving report, which patient should the with myasthenia gravis
nurse see first? who declined prescribed
medications
A. A 42-year-old patient with multiple sclerosis who
was admitted with sepsis Patients with myasthe-
B. A 72-year-old patient with Parkinson's disease who nia gravis who discontin-
has aspiration pneumonia ue pyridostigmine (Mesti-
C. A 38-year-old patient with myasthenia gravis who non) will develop a myas-
declined prescribed medications thenic crisis. Myasthenia
D. A 45-year-old patient with amyotrophic lateral scle- crisis results in severe
rosis who refuses enteral feedings muscle weakness and can
lead to a respiratory arrest.
2. The nurse observes a 74-year-old man with Parkin- B. Document the activi-
son's disease rocking side to side while sitting in the ty in the patient's health
chair. Which action by the nurse is most appropriate? record.
A. Provide the patient with diversional activities. Patients with Parkinson's
B. Document the activity in the patient's health record. disease are instructed to
C. Take the patient's blood pressure sitting and stand- rock from side to side to
ing. stimulate balance mecha-
D. Ask if the patient is feeling either anxious or de- nisms and decrease akine-
pressed. sia.
3. The nurse provides dietary instructions to the in-home C. "Calories should be re-
caregiver of a 45-year-old man who has Huntington's stricted to prevent unnec-
disease. The nurse is most concerned if the caregiver essary weight gain."
makes which statement?
Patients with Huntington's
A. "Depression is common and may cause a decrease disease may require 4000
in appetite." to 5000 calories per day
, Med surg Neuro questions
Study online at https://quizlet.com/_1nyxdf
B. "If swallowing becomes difficult, a feeding tube may to maintain body weight.
be needed." Weight loss occurs in pa-
C. "Calories should be restricted to prevent unneces- tients with Huntington's
sary weight gain." disease because of chor-
D. "Muscles in the face are affected, and chewing may eic movements, difficul-
become impossible." ty swallowing, depression,
and mental deterioration.
4. Which measure should the nurse prioritize when pro- A. Vigilant infection control
viding care for a patient with a diagnosis of multiple and adherence to stan-
sclerosis (MS)? dard precautions
A. Vigilant infection control and adherence to standard
precautions Infection control is a prior-
B. Careful monitoring of neurologic assessment and ity in the care of patients
frequent reorientation with MS, since infection is
C. Maintenance of a calorie count and hourly assess- the most common cause of
ment of intake and output an exacerbation of the dis-
D. Assessment of blood pressure and monitoring for ease. Decreases in cogni-
signs of orthostatic hypotension tive function are less likely,
and MS does not typically
result in malnutrition, hy-
potension, or fluid volume
excess or deficit.
5. A male patient with a diagnosis of Parkinson's disease C. Provide small, frequent
(PD) has been admitted recently to a long-term care fa- meals throughout the day
cility. Which action should the health care team take in that are easy to chew and
order to promote adequate nutrition for this patient? swallow.
A. Provide multivitamins with each meal.
B. Provide a diet that is low in complex carbohydrates
Nutritional support is a
and high in protein.
, Med surg Neuro questions
Study online at https://quizlet.com/_1nyxdf
C. Provide small, frequent meals throughout the day priority in the care of indi-
that are easy to chew and swallow. viduals with PD. Such pa-
D. Provide the patient with a minced or pureed diet tients may benefit from
that is high in potassium and low in sodium. meals that are smaller and
more frequent than nor-
mal and that are easy to
chew and swallow.
6. Which nursing diagnosis is likely to be a priority in the C. Activity intolerance
care of a patient with myasthenia gravis (MG)?
A. Acute confusion The primary feature of MG
B. Bowel incontinence is fluctuating weakness of
C. Activity intolerance skeletal muscle. Bowel in-
D. Disturbed sleep pattern continence and confusion
are unlikely signs of MG,
and although sleep distur-
bance is likely, activity in-
tolerance is usually of pri-
mary concern.
7. When establishing a diagnosis of MS, the nurse should B. CT scan Correct
teach the patient about what diagnostic studies (select D. Evoked response test-
all that apply)? ing Correct
E. Cerebrospinal fluid
A. EEG analysis Correct
B. CT scan
C. Carotid duplex scan
D. Evoked response testing There is no definitive diag-
E. Cerebrospinal fluid analysis nostic test for MS. CT scan,
evoked response testing,
cerebrospinal fluid analy-
sis, and MRI along with
