NUR 2790 Nursing 3 Final Lewis Chapter 59 Nursing Management Chronic Neurologic Problems with Answers
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Course
NUR 2790 Nursing 3
Institution
Rasmussen University
1. 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...
Chapter 59: Nursing Management: Chronic Neurologic
Problems: LEWIS
1. 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
tim
ANS: C
2. 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
3. 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 seiz
c
. Time and observe and record the details of the seizure and postictal
d
. Avoid touching the patient to prevent further nervous system stimula
ANS: C
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4. 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 retra
ANS: B
5. 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
6. 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
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.
ANS: A
7. 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
8. A 31-year-old woman who has multiple sclerosis (MS)
asks the nurse about risks associated with pregnancy.
Which response by the nurse is accurate?
a
. MS symptoms may be worse after the pregnancy.
b
. Women with MS frequently have premature labor.
c
. MS is associated with an increased risk for congenital defects.
d
. Symptoms of MS are likely to become worse during pregnancy.
ANS: A
Maintenance
9. A 49-year-old patient with multiple sclerosis (MS) is to
begin treatment with glatiramer acetate (Copaxone). Which
information will the nurse include in patient teaching?
a
. Recommendation to drink at least 4 L of fluid daily
b
. Need to avoid driving or operating heavy machinery
c
. How to draw up and administer injections of the medication
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