100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Chapter 58: Chronic Neurologic Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions and Answers $12.49   Add to cart

Exam (elaborations)

Chapter 58: Chronic Neurologic Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions and Answers

 6 views  0 purchase
  • Course
  • 2024/2025
  • Institution
  • 2024/2025

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 ...

[Show more]

Preview 4 out of 36  pages

  • October 30, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
avatar-seller
Emillect
©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




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 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." - ANSWER✔✔-c. "I will lie

down someplace dark and quiet when the headaches begin."




It is recommended that the patient with a migraine rest in a dark, quiet area. Topiramate (Topamax) is

used to prevent migraines and must be taken for several months to determine effectiveness. Aspirin or

other nonsteroidal antiinflammatory medications can be taken with the triptans. Alcohol may precipitate

migraine headaches.

Page 1/36

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




The nurse expects the assessment of a patient who is experiencing a cluster headache to include


a. nuchal rigidity.


c. projectile vomiting.


b. unilateral ptosis.


d. throbbing, bilateral facial pain. - ANSWER✔✔-b. unilateral ptosis.




Unilateral eye edema, tearing, and ptosis are characteristic of cluster headaches. Nuchal rigidity suggests

meningeal irritation, such as occurs with meningitis.


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 patient's 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. - ANSWER✔✔-c. Time and

observe and record the details of the seizure and postictal state.




Page 2/36

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Because the diagnosis and treatment of seizures frequently are based on the description of the seizure,

recording the length and details of the seizure is important.


A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-clonic

seizure tells the nurse, "I cannot teach any more. It will be too upsetting if I have a seizure at work."

Which response by the nurse specifically addresses the patient's concern?


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." - ANSWER✔✔-b.

"Epilepsy usually can be well controlled with medications."




The nurse should inform the patient that most patients with seizure disorders are controlled with

medication.


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.
Page 3/36

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




c. Auscultate the bowel sounds.


b. Listen to the lung sounds.


d. Check pupil reaction to light. - ANSWER✔✔-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 - ANSWER✔✔-a. Focal




The initial symptoms of a focal seizure involve clinical manifestations that are localized to a particular

part of the body or brain.




Page 4/36

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Emillect. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79373 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart