2009-11-10 Class Review With Aa

1. A client has Alzheimer’s disease. Which of the following approaches would be most appropriate for the nurse to include in the client’s plan of care a. Provide a variety of activities daily 2. The nurse is caring for a client with ALS/Lou Gehrig’s Disease. The nurse should give priority to a. Assessing the client’s respiratory status 3. The nurse should consider which of the following when planning the care of a client with Lou Gehrig’s Disease? a. Death frequently occurs from decreased respiratory function 4. A nurse is teaching the children of a client diagnosed with Huntington’s Chorea, which instruction is most appropriate? a. It is important to get genetic testing prior to having children 5. To confirm a tentative diagnosis of Myasthenia Gravis, the drug Tensilon (edrophonium) will be ordered. Should the client have MG the action of this drug will cause a. A temp increase in muscle strength 6. A nurse is assessing an elderly man admitted to the medical unit with a diagnosis of Myasthenia Gravis. Which of the following manifestations is most indicative of MG? a. Ptosis (drooping) of the eye lids 7. The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirm a diagnosis of MG. The medication used to treat MG is a. Prostigmine (neostigmine) 8. A client with MG is admitted in a cholinergic crisis. Symptoms of cholinergic crisis include a. Decreased blood pressure and pupil miosis 9. The nurse is admitting a client suspect of Parkinson’s Disease. Which of the following does the nurse observe that support the diagnosis? Select all that apply a. Tremor

b. Rigidity c. Bradykinesia d. B. (B, D, E) 10.A client asks the nurse what causes Parkinson’s Disease. The nurse correct reply would be based on which of the following statements? This is thought due to: a. Deficiency of dopamine in the brain 11.A client with Parkinson’s disease is receiving combination therapy with levodopa and carbidopa (Sinemet). Which of the following manifestations indicates to the nurse that an adverse drug reaction is occurring? a. Involuntary head movement 12.How can the nurse best help the client who is experiencing an exacerbation of Multiple Sclerosis to deal with her fears? a. Encourage her to verbalize her feelings and concerns 13.A client is admitted with Shingles. When the client asks about the cause of shingles, the nurse answers a. The reactivation of a dormant virus 14.A client with Bell’s Palsy asks the nurse why artificial tears were ordered by the physician. The best reply by the nurse is: a. “Because you cannot close or blink the affected eye, it becomes dry and irritated.” 15. A neurological consult has been ordered for a client with suspected Absence Seizures the client with absent seizures can be expect to have a. Brief lapse in consciousness 16.A nursing instructor is discussing a Seizure with a group of nursing students. When discussing Tonic-Clonic (grand Mal) seizures should include a. The frequently are associated with a loss of consciousness with violent muscle contraction and body rigidity 17.A 17 year old had one generalized seizure several hours prior to admission to themedical unit for a neurological workup. He tells the nurse, “I can’t believe I really had a seizure. My mom says she was in the room when it happened, but I don’t remember it.” What is the best interpretation of his comments?

a. Inability to remember the seizure is a normal response 18.A client is taking phenytoin (Dilantin) 200 mg PO. The nurse monitors client for which of the following adverse reactions? a. Sedation 19.A client taking Dilantin for Tonic-Clonic seizures is preparing for discharge. Which information should be included in the client’s discharge plan of care? a. The client will need a regularly scheduled SBC 20.A client with a history of Seizures has been placed on the drug Depakene. Which would indicate to the nurse that the client is experiencing an adverse reaction to this medication? a. Bruising 21.The nurse should monitor which of the following lab test for a client receiving Zarontin (ethosuximide)? a. Complete blood count and liver function tests 22.The nurse’s plan of care for a client with Guillain-Barre’ syndrome is based on an understanding of which of the following disease processes? a. Segmental demyelination of the peripheral nervous system 23. A 17 year old client is brought to the hospital with complaints of severe headache, nausea, vomiting, and a high fever. The tentative diagnosis is Meningitis. Which of the following symptoms is the nurse most likely to assess? a. Nuchal rigidity (stiff neck) 24. An adult is admitted with Meningitis. During the acute phase of the illness, which measure should the nurse include in the nursing care plan to reduce the chance of seizures? a. Darken the client’s room 25.