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NUR 2755 / NUR2755 Final Exam: Multidimensional Care IV / MDC 4 Final Exam Review (2021/2022) Rasmussen
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NUR2755 Multidimensional Care IV / MDC 4 Final Exam Review
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MDC 4 Final Exam1. You witness a patient with stiffening and/or rigidity of muscles, especially arms and legs,
with immediate loss of consciousness. What type of seizure?
- Tonic
2. You witness a patient with rhythmic jerking/relaxing of all extremities. What type of
seizure?
- Clonic
3. 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?
- Atonic
4. A patient is in recovery after a seizure, they are a bit confused and their brain is
recovering. May last minutes to hours. What phase of seizure?
- Postictal
5. A 25-year-old female is prescribed Phenytoin Sodium (seizure medication). What is an
example of patient education for this specific population of patients?
- Use alternative form of birth control
6. Bradykinesia, muscle rigidity, and masklike face are clinical manifestations of:
- Parkinsons Disease
7. The initial concern for a patient with Parkinson's disease is safety due to:
- Risk for falls
,8. A 30-year-old woman is experiencing double vision, trigeminal neuralgia, ataxia, and
spasms. What do you suspect?
- Multiple Sclerosis
9. What medication is often used to treat spasms in a patient with multiple sclerosis?
- Baclofen
10. A patient arrives in the ER with ascending paralysis. What do you suspect?
- Guillain-Barre Syndrome
11. A patient arrives in the ER with a diagnosis of Guillain-Barre Syndrome. As the nurse,
you monitor for which complication due to ascending paralysis?
- Respiratory problems
12. What time of illness is believed to contribute to developing Guillain-Barre Syndrome?
- Ebstein-Barr virus
13. 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?
- Status Epilepticus; Benzodiazepine
14. A patient with a history of seizures is prescribed Dilantin. What is important patient
teaching about this medication?
- Make regular dental checkups, causes gum overgrowth.
, 15. A patient is taking seizure medications for 6 months and states "I have not had a seizure
since starting this medication. "Important patient education:
- Do not stop the medication.
16. What is the normal phenytoin level?
- 10-20
17. A patient is scheduled for an EEG tomorrow morning. The nurse should advise them:
- No caffeine the night before.
18. A patient with Parkinson's disease is prescribed a MAO B inhibitor. Important nursing
education:
- Avoid tyramine:
Cured
Smoked
Pickled
Fermented foods
Processed meats
19. A patient with Parkinson's disease is experiencing bradykinesia. We can assist them with
getting up from a chair by:
- Encourage rocking back and forth
20. A patient comes into the ER with a T6 injury. As the nurse, you know they are at risk for
autonomic dysreflexia which can be caused by:
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