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Test #5 Lewis Test Bank Ch 58 Chronic Neurologic Problems questions with answers.
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Test #5 Lewis Test Bank Ch 58 ChronicNeurologic Problems questions with
answers.
The nurse determines that teaching about management of migraine headaches has been effective when
the
patient says which of the following?
a. I can take the (Topamax) as soon as a headache starts.
b. A glass of wine might help me relax and prevent a headache.
c. I will lie down someplace dark and quiet when the headaches begin.
d. I should avoid taking aspirin and sumatriptan (Imitrex) at the same time. ANS - c. I will lie down
someplace dark and quiet when the headaches begin.
The nurse will assess a 67-year-old patient who is experiencing a cluster headache for
a. nuchal rigidity.
b. unilateral ptosis.
c. projectile vomiting.
d. throbbing, bilateral facial pain. ANS - b. unilateral ptosis.
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?
a. Insert an oral airway during the seizure to maintain a patent airway.
b. Restrain the patients arms and legs to prevent injury during the seizure.
c. Time and observe and record the details of the seizure and postictal state.
d. Avoid touching the patient to prevent further nervous system stimulation. ANS - c. Time and observe
and record the details of the seizure and postictal state.
A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic
, seizure tells the nurse, I cannot teach anymore, it will be too upsetting if I have a seizure at work. Which
response by the nurse is best?
a. You might benefit from some psychologic counseling.
b. Epilepsy usually can be well controlled with medications.
c. You will want to contact the Epilepsy Foundation for assistance.
d. The Department of Vocational Rehabilitation can help with work retraining. ANS - b. Epilepsy usually
can be well controlled with medications.
A patient has been taking phenytoin (Dilantin) for 2 years. Which action will the nurse take when
evaluating
for adverse effects of the medication?
a. Inspect the oral mucosa.
b. Listen to the lung sounds.
c. Auscultate the bowel tones.
d. Check pupil reaction to light. ANS - a. Inspect the oral mucosa.
A patient reports feeling numbness and tingling of the left arm before experiencing a tonic-clonic
seizure.
The nurse determines that this history is consistent with what type of seizure?
a. Focal
b. Atonic
c. Absence
d. Myoclonic ANS - a. Focal
When obtaining a health history and physical assessment for a 36-year-old female patient with possible
multiple sclerosis (MS), the nurse should
a. assess for the presence of chest pain.
b. inquire about urinary tract problems.
c. inspect the skin for rashes or discoloration.
d. ask the patient about any increase in libido. ANS - b. inquire about urinary tract problems.
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