Question 1

A client you are caring for has had a seizure. How would you document this event? Select all that apply.

Accepted Answer

A)   Duration
B)   Precipitating factors
C)   Body parts involved
D)   Visitors present
E)   Foods eatenF) D) and E)
G) B) and D)

Question 2

The critical care nurse is caring for a client with bacterial meningitis. The client has developed cerebral vasculitis and increased ICP. What neurologic sequelae might this client develop?

Accepted Answer

A)   Damage to the optic nerve
B)   Damage to the vagal nerve
C)   Damage to the olfactory nerve
D)   Damage to the facial nerveE) A) and D)
F) A) and B)

Question 3

A 55-year-old female client presents at the walk-in clinic complaining of feeling like a mask is on her face. While doing the initial assessment, the nurse notes the demonstration of a pill-rolling movement in the right hand and a stooped posture. Physical examination shows bradykinesia and a shuffling gait. What would the nurse suspect is the causative factor for these symptoms?

Accepted Answer

A)   Multiple sclerosis
B)   Myesthenia gravis
C)   Parkinson's disease
D)   Huntington's diseaseE) B) and C)
F) None of the above

Question 4

The nursing instructor gives their students an assignment of making a plan of care for a client with Huntington's disease. What would be important for the students to include in the teaching portion of the care plan?

Accepted Answer

A)   How to exercise
B)   How to perform household tasks
C)   How to take a bath
D)   How to facilitate tasks such as using both hands to hold a drinking glassE) All of the above
F) B) and C)

Question 5

The nurse is caring for a client with an inoperable brain tumor. What teaching is important for the nurse to do with these clients?

Accepted Answer

A)   Optimizing nutrition
B)   Managing muscle weakness
C)   Explaining hospice care and services
D)   Offering family support groupsE) A) and B)
F) None of the above

Question 6

A client diagnosed with Huntington's disease has developed severe depression. What would be most important for the nurse to assess for?

Accepted Answer

A)   Loss of bowel and bladder control
B)   Choreiform movements
C)   Suicidal ideations
D)   Emotional apathyE) All of the above
F) C) and D)

Question 7

The nurse is caring for a client with trigeminal neuralgia (tic douloureux) . The care plan for this client reflects the client's problem eating due to jaw pain. To assist the client in meeting the adequate nutritional needs, what should the nurse suggest?

Accepted Answer

A)   Take small meals of soft consistency
B)   Increase the intake of calcium and proteins.
C)   Include additional servings of fruits and raw vegetables
D)   Include fish, liver, and chicken in dietE) A) and D)
F) B) and C)

Question 8

The school nurse notes a 6-year-old running across the playground with their friends. The child stops in mid-stride, freezing for a few seconds. Then the child resumes their progress across the playground. The school nurse suspects what in this child?

Accepted Answer

A)   An absence seizure
B)   A petit mal seizure
C)   A partial seizure
D)   A tonic-clonic seizureE) All of the above
F) A) and D) A

Question 9

You are caring for a client with a neuromuscular disorder who faces the risk of impaired skin integrity. What should you do to ensure that the client's skin remains intact?

Accepted Answer

A)   Administer tepid sponge baths.
B)   Use pressure-relieving devices when the client is in bed or in a wheelchair.
C)   Assist the client to move as much as possible.
D)   Maintain adequate hydration.E) C) and D)
F) B) and C)

Question 10

You are taking care of a client who is taking an anticonvulsant. Why should you advise the client not to stop taking the drug abruptly?

Accepted Answer

A)   It may cause loss in appetite.
B)   It may trigger status epilepticus.
C)   It may cause alopecia.
D)   It may cause severe and ugly skin rashes.E) A) and B)
F) A) and C)

Question 11

You are the nurse caring for a client with Guillain-Barré syndrome (GBS) . The client also has an ascending paralysis. Knowing the complications of the disorder, what should you keep always ready at the bedside?

Accepted Answer

A)   Nebulizer and thermometer
B)   Intubation tray and suction apparatus
C)   Blood pressure apparatus
D)   Incentive spirometerE) All of the above
F) A) and C)

Question 12

You are caring for a client with an inoperable brain tumor. What is a major threat to this client?

Accepted Answer

A)   Increased ICP
B)   Decreased ICP
C)   Hypervolemia
D)   HypovolemiaE) C) and D)
F) A) and B) A

Question 13

A client with a brain tumor has been admitted for Gamma knife treatment. What preparation for the treatment should the nurse give the client?

Accepted Answer

A)   The procedure is painful.
B)   Each of the treatment lasts from 2 to 4 hours.
C)   The treatments are very noisy and ear plugs must be worn.
D)   The client is sedated and sleeps through the treatment.E) A) and B)
F) A) and C)

Question 14

A client diagnosed with Parkinson's disease has developed slurred speech and drooling. The nurse knows that these symptoms indicate which of the following?

Accepted Answer

A)   The client is having an exacerbation.
B)   Medication needs to be adjusted to higher doses.
C)   The client is exhibiting signs of medication overdose.
D)   The disease has entered the late stages.E) None of the above
F) B) and C)

Question 15

The nursing instructor is teaching the senior nursing class about neuromuscular disorders. When talking about Multiple Sclerosis (MS) what diagnostic finding would the instructor list as being confirmatory of a diagnosis of MS?

Accepted Answer

A)   An elevated acetylcholine receptor antibody titer
B)   Episodes of muscle fasciculations
C)   IV administration of edrophonium
D)   Oligoclonal bandsE) All of the above
F) A) and C)

Question 16

The nurse is caring for a client hospitalized with a severe exacerbation of Myesthenia Gravis. When administering medications to this client what is a priority nursing action?

Accepted Answer

A)   Assess client's reaction to new medication schedule.
B)   Administer medications at exact intervals ordered.
C)   Document medication given and dose.
D)   Give client plenty of fluids with medications.E) A) and C)
F) C) and D)

Question 17

The nurse is caring for a client hospitalized after a motor vehicle accident. The client has a comorbidity of Parkinson's disease. Why should the nurse closely monitor the condition and the drug regimen of a client with Parkinson's disease?

Accepted Answer

A)   Drugs administered may not cause the requisite therapeutic effect.
B)   Clients take an assortment of different drugs.
C)   Clients generally do not adhere to the drug regimen.
D)   Drugs administered may cause a wide variety of adverse effects.E) C) and D)
F) B) and D)

Question 18

You are teaching a class on your unit about the assessment of neurologic clients who have infectious or inflammatory disease processes. After completing an initial assessment, what would you teach the nurses on your unit is the next step in caring for these clients?

Accepted Answer

A)   Auscultate the lungs every 4 to 8 hours.
B)   Evaluate the client's ability to swallow.
C)   Provide for intake and output measurements.
D)   Initiate an assessment flow sheet.E) B) and C)
F) All of the above D

Question 19

A client is experiencing muscle weakness and an ataxic gait. The client has a diagnosis of multiple sclerosis (MS) . Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client. What nursing intervention should be most appropriate to address the nursing diagnosis?

Accepted Answer

A)   Use pressure-relieving devices when the client is in bed or in a wheelchair.
B)   Change body position every 2 hours.
C)   Help the client perform range-of-motion (ROM)  exercises every 8 hours.
D)   Use a footboard and trochanter rolls.E) B) and D)
F) A) and D)

Question 20

An older client complains of a constant headache. A physical examination shows papilledema. What may the symptoms indicate in this client?

Accepted Answer

A)   Epilepsy
B)   Trigeminal neuralgia
C)   Hypostatic pneumonia
D)   Brain tumorE) All of the above
F) B) and D)

Exam 37: Caring for Clients With Central and Peripheral Nervous System Disorders

A client you are caring for has had a seizure. How would you document this event? Select all that apply.

Correct Answer
verified

The critical care nurse is caring for a client with bacterial meningitis. The client has developed cerebral vasculitis and increased ICP. What neurologic sequelae might this client develop?

Correct Answer
verified

Correct Answer
verified

The nursing instructor gives their students an assignment of making a plan of care for a client with Huntington's disease. What would be important for the students to include in the teaching portion of the care plan?

Correct Answer
verified

The nurse is caring for a client with an inoperable brain tumor. What teaching is important for the nurse to do with these clients?

Correct Answer
verified

A client diagnosed with Huntington's disease has developed severe depression. What would be most important for the nurse to assess for?

Correct Answer
verified

The nurse is caring for a client with trigeminal neuralgia (tic douloureux) . The care plan for this client reflects the client's problem eating due to jaw pain. To assist the client in meeting the adequate nutritional needs, what should the nurse suggest?

Correct Answer
verified

The school nurse notes a 6-year-old running across the playground with their friends. The child stops in mid-stride, freezing for a few seconds. Then the child resumes their progress across the playground. The school nurse suspects what in this child?

Correct Answer
verified
A

You are caring for a client with a neuromuscular disorder who faces the risk of impaired skin integrity. What should you do to ensure that the client's skin remains intact?

Correct Answer
verified

You are taking care of a client who is taking an anticonvulsant. Why should you advise the client not to stop taking the drug abruptly?

Correct Answer
verified

You are the nurse caring for a client with Guillain-Barré syndrome (GBS) . The client also has an ascending paralysis. Knowing the complications of the disorder, what should you keep always ready at the bedside?

Correct Answer
verified

You are caring for a client with an inoperable brain tumor. What is a major threat to this client?

Correct Answer
verified
A

A client with a brain tumor has been admitted for Gamma knife treatment. What preparation for the treatment should the nurse give the client?

Correct Answer
verified

A client diagnosed with Parkinson's disease has developed slurred speech and drooling. The nurse knows that these symptoms indicate which of the following?

Correct Answer
verified

The nursing instructor is teaching the senior nursing class about neuromuscular disorders. When talking about Multiple Sclerosis (MS) what diagnostic finding would the instructor list as being confirmatory of a diagnosis of MS?

Correct Answer
verified

The nurse is caring for a client hospitalized with a severe exacerbation of Myesthenia Gravis. When administering medications to this client what is a priority nursing action?

Correct Answer
verified

The nurse is caring for a client hospitalized after a motor vehicle accident. The client has a comorbidity of Parkinson's disease. Why should the nurse closely monitor the condition and the drug regimen of a client with Parkinson's disease?

Correct Answer
verified

You are teaching a class on your unit about the assessment of neurologic clients who have infectious or inflammatory disease processes. After completing an initial assessment, what would you teach the nurses on your unit is the next step in caring for these clients?

Correct Answer
verified
D

Correct Answer
verified

An older client complains of a constant headache. A physical examination shows papilledema. What may the symptoms indicate in this client?

Correct Answer
verified

Exam 37: Caring for Clients With Central and Peripheral Nervous System Disorders

A client you are caring for has had a seizure. How would you document this event? Select all that apply.

Correct AnswerverifiedShow Answer

The critical care nurse is caring for a client with bacterial meningitis. The client has developed cerebral vasculitis and increased ICP. What neurologic sequelae might this client develop?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nursing instructor gives their students an assignment of making a plan of care for a client with Huntington's disease. What would be important for the students to include in the teaching portion of the care plan?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with an inoperable brain tumor. What teaching is important for the nurse to do with these clients?

Correct AnswerverifiedShow Answer

A client diagnosed with Huntington's disease has developed severe depression. What would be most important for the nurse to assess for?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with trigeminal neuralgia (tic douloureux) . The care plan for this client reflects the client's problem eating due to jaw pain. To assist the client in meeting the adequate nutritional needs, what should the nurse suggest?

Correct AnswerverifiedShow Answer

The school nurse notes a 6-year-old running across the playground with their friends. The child stops in mid-stride, freezing for a few seconds. Then the child resumes their progress across the playground. The school nurse suspects what in this child?

Correct AnswerverifiedA

You are caring for a client with a neuromuscular disorder who faces the risk of impaired skin integrity. What should you do to ensure that the client's skin remains intact?

Correct AnswerverifiedShow Answer

You are taking care of a client who is taking an anticonvulsant. Why should you advise the client not to stop taking the drug abruptly?

Correct AnswerverifiedShow Answer

You are the nurse caring for a client with Guillain-Barré syndrome (GBS) . The client also has an ascending paralysis. Knowing the complications of the disorder, what should you keep always ready at the bedside?

Correct AnswerverifiedShow Answer

You are caring for a client with an inoperable brain tumor. What is a major threat to this client?

Correct AnswerverifiedA

A client with a brain tumor has been admitted for Gamma knife treatment. What preparation for the treatment should the nurse give the client?

Correct AnswerverifiedShow Answer

A client diagnosed with Parkinson's disease has developed slurred speech and drooling. The nurse knows that these symptoms indicate which of the following?

Correct AnswerverifiedShow Answer

The nursing instructor is teaching the senior nursing class about neuromuscular disorders. When talking about Multiple Sclerosis (MS) what diagnostic finding would the instructor list as being confirmatory of a diagnosis of MS?

Correct AnswerverifiedShow Answer

The nurse is caring for a client hospitalized with a severe exacerbation of Myesthenia Gravis. When administering medications to this client what is a priority nursing action?

Correct AnswerverifiedShow Answer

The nurse is caring for a client hospitalized after a motor vehicle accident. The client has a comorbidity of Parkinson's disease. Why should the nurse closely monitor the condition and the drug regimen of a client with Parkinson's disease?

Correct AnswerverifiedShow Answer

You are teaching a class on your unit about the assessment of neurologic clients who have infectious or inflammatory disease processes. After completing an initial assessment, what would you teach the nurses on your unit is the next step in caring for these clients?

Correct AnswerverifiedD

Correct AnswerverifiedShow Answer

An older client complains of a constant headache. A physical examination shows papilledema. What may the symptoms indicate in this client?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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Correct Answer
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A

Correct Answer
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D

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Correct Answer
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