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Chapter 58: Chronic Neurologic Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions and Answers $12.49   Add to cart

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

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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 ...

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  • October 30, 2024
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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.

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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.




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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.
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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.




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