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NUR 426 Test 3 Questions And Correct Answers
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NUR 426 Test 3 Questions And Correct AnswersA patient is prescribed carbamazepine (Tegretol) for a new onset seizure disorder. The
nurse is educating the patient about this drug. Which of the following teaching
comments does the nurse make that is most accurate?
1 This medication is given to treat absence and myloclonic seizures.
2 Don't be concerned if any visual disturbances occur while taking this medication.
3 Do not take this medication with grapefruit.
4 This medication is intended to heal your condition and prevent any further seizures. -
ANSWER 3
A 50-year-old male client is diagnosed with amyotrophic lateral sclerosis (ALS). The
most important nursing intervention for the prevention of a common cause of death for
ALS clients is related to which of the following?
1 Restrict dietary fat
2 Reduce the risk of aspiration
3 Reduce injury from falls
4 Decrease pain secondary to muscle weakness - ANSWER 2
Which of the following criterion is included to establish that a patient has Parkinson's
disease? Select all that apply.
1 Decreased serum dopamine levels.
2 Tumor present in the thymus gland.
3 Magnetic resonance imaging (MRI) shows areas of plaque on cranial nerves.
4 Presence of two of the three classic features: rigidity, bradykinesia, and tremor.
5 Positive response to antiparkinsonian medications. - ANSWER 4,5
,Physical examination of a patient with myasthenia gravis, the nurse is likely to find the
following manifestations:
1. Muscle atrophy
2. Abnormal reflexes
3. Impaired facial mobility
4. Difficulty in swallowing food
5. Voice fading after a long conversation - ANSWER 3, 4, & 5
A patient is ordered to take diazepam (Valium) for multiple sclerosis. What patient
teaching is appropriate for a patient who receives this medication? (Select all that
apply) Description
1 Avoid driving while taking the drug.
2 Do not abruptly discontinue the drug
3 Do not drink alcohol while taking the drug.
4 Measure and record your blood pressure routinely.
5 Avoid being in a crowd of people. - ANSWER 1, 2, & 3
Pull test This is the examination conducted by the nurse to a patient who is suspected to
have Parkinson's disease. In this exam, the nurse is at the back of the patient and pulling
the shoulder backward. Which of the following would be the response of the patient 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 - ANSWER 3
A patient is taking phenytoin (Dilantin) for seizures. What are the common side effects of
phenytoin (Dilantin) that the nurse should teach the patient? (Select all that apply.)
1 Gingival hyperplasia
2 Neuropathy
, 3 Memory loss
4 Hirsutism
5 Weight gain - ANSWER 1 & 4
A patient has been prescribed teriflunomide (Aubagio) to treat multiple sclerosis. What
are significant nursing interventions for this patient? (Select all that apply.).
1 Instruct the patient not to drive.
2 Check liver function tests.
3 Instruct the patient not to become pregnant.
4 Ask the patient to limit salt intake.
5 Monitor blood pressure levels. - ANSWER 2 & 3
The nurse is caring for a client with Parkinson's disease. What changes should the nurse
make in the patient's dietary habits to prevent malnutrition and constipation? Choose all
that offer the best options.
1
Include a diet made up of whole grains and fruits.
2
Cut food into bite-sized pieces.
3
Serve hot foods onto a pre-warmed plate.
4
Include a large amount of foods that have a high content of protein.
5
Provide three main meals instead of six smaller meals. - ANWER 1, 2, & 3
A patient is brought to the emergency department. The relatives explain that the patient
suddenly fell, became unconscious, and his left leg had jerky movements for a few
seconds. What kind of seizure should the nurse suspect?
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