NUR426 Test 3
NUR426 TEST 3 NEWEST ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
The nurse performs a pull test on a patient with suspected Parkinson's disease.
The nurse stands behind the patient and gives a tug backward on the shoulder.
What would be the patient's reaction if he has Parkinson's disease?
1
Lose balance and sit down
2
Lose balance and fall forward
3
Lose balance and fall backward
4
Lose balance and become unconscious - Correct Answer-3
In a pull test, when the examiner stands behind the patient and gives a tug
backward on the shoulder, the patient loses balance and falls backward. This
reaction indicates postural instability, a common feature in Parkinson's disease.
Sitting down, falling forward, or becoming unconscious after losing balance is
not indicative of postural instability related to Parkinson's disease.
A patient diagnosed with seizures is advised to take phenytoin (Dilantin). Which
common side effects of phenytoin (Dilantin) should the nurse inform the patient
about? Select all that apply.
1
Gingival hyperplasia
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, NUR426 Test 3
2
Neuropathy
3
Memory loss
4
Hirsutism
5
Weight gain - Correct Answer-1 & 4
Gingival hyperplasia and hirsutism are the most common side effects of
phenytoin. Good dental hygiene, including regular tooth brushing and flossing,
can limit gingival hyperplasia. The drug is not associated with neuropathy,
memory loss, or weight gain
A patient is advised to use teriflunomide (Aubagio) for multiple sclerosis. What
nursing interventions are important for this patient? Select all that apply.
1
Instruct the patient to avoid driving.
2
Monitor liver function tests.
3
Instruct the patient to avoid pregnancy.
4
Ask the patient to restrict salt intake.
5
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, NUR426 Test 3
Monitor blood pressure levels. - Correct Answer-2 & 3
Teriflunomide (Aubagio) is an immunomodulatory agent with antiinflammatory
properties. The exact mechanism of action is unknown but may involve a
reduction in the number of activated lymphocytes in the central nervous system.
Teriflunomide (Aubagio) is specifically indicated for treatment of relapsing forms
of multiple sclerosis. The drug may cause serious liver disease; therefore, it is
important to monitor liver function tests. Women should avoid getting pregnant
when taking this drug, because teratogenicity may occur. Avoiding driving,
restricting salt intake, and monitoring blood pressure may not be important
interventions related to this drug.
The nurse is caring for a patient with Parkinson's disease. What adjustments
should the nurse make in the dietary habits of the patient to prevent malnutrition
and constipation? Select all that apply.
1
Include whole grains and fruits in the diet.
2
Cut food into bite-size pieces.
3
Serve hot foods on a warmed plate.
4
Include plenty of food items high in protein.
5
Provide three large meals rather than six small meals. - Correct Answer-1, 2, & 3
Patients with Parkinson's disease are predisposed to malnutrition and
constipation, owing to inadequate food intake caused by difficulty in chewing
and swallowing. To promote adequate nutrition, the nurse should include whole
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, NUR426 Test 3
grains and fruits in the diet, which will prevent constipation. The food should be
cut into bite size pieces so that chewing and swallowing is easy. Serving hot
foods on a warmed plate makes the food more appealing. Food items high in
protein should be limited in the diet, because they can interfere with the
absorption of carbidopa-levodopa (Sinemet), the most common drug used in the
treatment of Parkinson's disease. Six small meals, rather than three large meals,
would be less exhausting for the patients.
A patient is brought to the emergency department. The family members express
that the patient suddenly fell down and became unconscious, and his left leg had
jerky movements for a few seconds. Which type of seizure should the nurse
suspect?
1
Clonic seizure
2
Atonic seizure
3
Focal seizure
4
Absence seizure - Correct Answer-1
Losing consciousness and falling to the ground, followed by jerky movements of
the left leg, indicate a clonic seizure. An atonic seizure is characterized by tonic
episode or a paroxysmal loss of muscle tone and begins suddenly with the
person falling to the ground. Consciousness usually returns by the time the
person hits the ground, and normal activity can be resumed immediately. In
focal seizures, the person may or may not lose consciousness and experience
unusual feelings and sensations. An absence seizure is characterized by brief
staring spells
4|Page
NUR426 TEST 3 NEWEST ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
The nurse performs a pull test on a patient with suspected Parkinson's disease.
The nurse stands behind the patient and gives a tug backward on the shoulder.
What would be the patient's reaction if he has Parkinson's disease?
1
Lose balance and sit down
2
Lose balance and fall forward
3
Lose balance and fall backward
4
Lose balance and become unconscious - Correct Answer-3
In a pull test, when the examiner stands behind the patient and gives a tug
backward on the shoulder, the patient loses balance and falls backward. This
reaction indicates postural instability, a common feature in Parkinson's disease.
Sitting down, falling forward, or becoming unconscious after losing balance is
not indicative of postural instability related to Parkinson's disease.
A patient diagnosed with seizures is advised to take phenytoin (Dilantin). Which
common side effects of phenytoin (Dilantin) should the nurse inform the patient
about? Select all that apply.
1
Gingival hyperplasia
1|Page
, NUR426 Test 3
2
Neuropathy
3
Memory loss
4
Hirsutism
5
Weight gain - Correct Answer-1 & 4
Gingival hyperplasia and hirsutism are the most common side effects of
phenytoin. Good dental hygiene, including regular tooth brushing and flossing,
can limit gingival hyperplasia. The drug is not associated with neuropathy,
memory loss, or weight gain
A patient is advised to use teriflunomide (Aubagio) for multiple sclerosis. What
nursing interventions are important for this patient? Select all that apply.
1
Instruct the patient to avoid driving.
2
Monitor liver function tests.
3
Instruct the patient to avoid pregnancy.
4
Ask the patient to restrict salt intake.
5
2|Page
, NUR426 Test 3
Monitor blood pressure levels. - Correct Answer-2 & 3
Teriflunomide (Aubagio) is an immunomodulatory agent with antiinflammatory
properties. The exact mechanism of action is unknown but may involve a
reduction in the number of activated lymphocytes in the central nervous system.
Teriflunomide (Aubagio) is specifically indicated for treatment of relapsing forms
of multiple sclerosis. The drug may cause serious liver disease; therefore, it is
important to monitor liver function tests. Women should avoid getting pregnant
when taking this drug, because teratogenicity may occur. Avoiding driving,
restricting salt intake, and monitoring blood pressure may not be important
interventions related to this drug.
The nurse is caring for a patient with Parkinson's disease. What adjustments
should the nurse make in the dietary habits of the patient to prevent malnutrition
and constipation? Select all that apply.
1
Include whole grains and fruits in the diet.
2
Cut food into bite-size pieces.
3
Serve hot foods on a warmed plate.
4
Include plenty of food items high in protein.
5
Provide three large meals rather than six small meals. - Correct Answer-1, 2, & 3
Patients with Parkinson's disease are predisposed to malnutrition and
constipation, owing to inadequate food intake caused by difficulty in chewing
and swallowing. To promote adequate nutrition, the nurse should include whole
3|Page
, NUR426 Test 3
grains and fruits in the diet, which will prevent constipation. The food should be
cut into bite size pieces so that chewing and swallowing is easy. Serving hot
foods on a warmed plate makes the food more appealing. Food items high in
protein should be limited in the diet, because they can interfere with the
absorption of carbidopa-levodopa (Sinemet), the most common drug used in the
treatment of Parkinson's disease. Six small meals, rather than three large meals,
would be less exhausting for the patients.
A patient is brought to the emergency department. The family members express
that the patient suddenly fell down and became unconscious, and his left leg had
jerky movements for a few seconds. Which type of seizure should the nurse
suspect?
1
Clonic seizure
2
Atonic seizure
3
Focal seizure
4
Absence seizure - Correct Answer-1
Losing consciousness and falling to the ground, followed by jerky movements of
the left leg, indicate a clonic seizure. An atonic seizure is characterized by tonic
episode or a paroxysmal loss of muscle tone and begins suddenly with the
person falling to the ground. Consciousness usually returns by the time the
person hits the ground, and normal activity can be resumed immediately. In
focal seizures, the person may or may not lose consciousness and experience
unusual feelings and sensations. An absence seizure is characterized by brief
staring spells
4|Page
