Chapter 58: Chronic Neurologic
Problems Lewis: Medical-Surgical
Nursing, 10th Edition Exam Questions
and 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...
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.
c. Auscultate the bowel sounds.
b. Listen to the lung sounds.
d. Check pupil reaction to light. - Ans:✔✔-a. Inspect the oral mucosa.
*Phenytoin* can cause *gingival hyperplasia*, but does not affect bowel sounds, lung sounds, or pupil
reaction to light.
A patient reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse
determines that this history is consistent with what type of seizure?
a. Focal
c. Absence
b. Atonic
d. Myoclonic - Ans:✔✔-a. Focal
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