Cerebral Palsy
What are some symptoms cerebral palsy?
A. Baby doesn't roll over in either direction
B. Baby cannot bring her hands together
C.Baby has difficulty bringing her hands together
D. All of the above
All of the above
The signs of Cerebral Palsy vary greatly because there are many different types and levels of disability. The main sign that a child might have cerebral palsy is a delay reaching motor or movement milestones (such as rolling over, sitting, standing, or walking).
When assessing a patient diagnosed with multiple sclerosis, which of the following would require immediate action by the healthcare provider?
A. Fatigue and depression
B. Paresthesia and tremor
C. Nystagmus and diplopia
D. Dysphagia and congested cough
D. Dysphagia and congested cough
Dysphagia puts the patient at risk for aspiration pneumonia, and the congested cough
What is the main symptoms of carpal tunnel syndrome?
A. Sweaty palms
B. Finger stiffness
C. Numbness in fingers
D. Hand tremors
C. Numbness in fingers
The median nerve runs from your forearm to the palm of your hand. Carpal tunnel syndrome occurs when this nerve is compressed as it passes through carpal tunnel
Which should be the nurse's first intervention with the client diagnosed with Bell's palsy?
A. Explain that this disorder will resolve within a month
B. Tell the client to apply heat to the involved side of the face
C. Encourage the client to eat a soft diet
D. Teach the client to protect the affected eye from injury
D. Teach the client to protect the affected eye from injury
Teaching the client to protect the eye is priority because the eye is priority and the eye does not close completely and the blink reflex is diminished, making the eye vulnerable for injury
A highschool teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse
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
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. The other information may be necessary if the seizures persist after treatment with anti-seizure medications is implemented
Can a person with cerebral palsy walk?
A. Yes
B. No
C. Maybe
C. Maybe
A CDC study based on children who were 8 years old and living in four communities showed that 58.2% of children with Cerebral Palsy could walk independently, 11.3% walked using a hand-held mobility device, and 30.6% had limited or no walking ability.
The nurse is admitting a client diagnosed with multiple sclerosis. Which clinical manifestation should the nurse assess? Select all that apply
A. Muscle Weakness
B. Lethargy
C. Dysmetria
D. Fatigue
E. Dysphagia
A. C. D. E.
Which of these is another common symptom of carpal tunnel syndrome?
A. Weak Grip
B. Burning and tingling in the fingers
C. Pain that is worse at night
D. All of the above
D. All of the above
The syndrome makes it hard to grip an object with one or both hands. It also causes pain or numbness in one or both hands, especially at night
Bell's palsy is paralysis of what cranial nerve?
A. Fourth
B. Fifth
C. Sixth
D. Seventh
E. Eighth
D. Seventh
Which directs the muscles on one side of the face, including those that eye blinking and closing and facial expressions
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
A. Focal
Symptoms of an absence seizure are staring and a brief loss of consciousness.
What causes Cerebral Palsy?
A. Brain damage that happened before, during or immediately after birth
B. An infection such as meningitis
C. Head Injury
D. The cause is unknown
E. All of the above
E. All of the above
Cerebral palsy is caused by abnormal development of the brain or damage to the developing brain that affects a child's ability to control his or her muscles. There are several possible causes of the abnormal development or damage.
Which of the following is not a typical clinical manifestation of multiple sclerosis?
A. Double Vision
B. Sudden bursts of energy
C. Weakness in the extremities
D. Muscle Tremors
B. Sudden bursts of energy
With MS, hyper-excitability and euphoria may occur, but because of muscle weakness, sudden bursts of energy are unlikely.
Women are more likely than men to develop carpal tunnel syndrome
A. True
B. False
A. True
Women 3 times more likely then men to get carpal tunnel syndrome.
A majority of patients with Bell's palsy experience a return to normal within:
A. 2 weeks
B. 1 month
C. 4 to 6 months
D. 1 year
B. 1 month
Which prescribed in intervention with the nurse implement first for a patient in the emergency department who is experiencing continuous tonic-clonic seizures
A. Give phenytoin 100 mg IV
B. Monitor level of consciousness (LOC)
C. Obtain computed tomography (CT) scan
D. Administer lorazepam (Ativan) 4 mg IV
D. Administer lorazepam
A CT scan is appropriate, but prevention of any seizure activity during a CT scan is necessary
Which of the following are ways to help prevent cerebral palsy after a child is born?
A. Treating jaundice early
B. Get your child vaccinated
C. Use a car seat, booster seat, or seat belt
D. Carefully watch young children at all times around water
E. All of the above
E. All of the above
In many cases, the cause or causes of congenital cerebral palsy aren't fully known, which means that currently little can be done to prevent it. Cerebral Palsy related to genetics is not preventable.
Which of the following is not a realistic outcome to establish with a client who has multiple sclerosis? The client will develop:
A. Joint mobility
B. Muscle Strength
C. Cognition
D. Mood elevation
C. Cognition
MS interferes with the transmission of electrical impulses from one nerve cell to the next. MS affects speech, coordination, and vision, but not cognition
You are more likely to get carpal tunnel syndrome if you work on an assembly line than in data-entry
A. True
B. False
A. True
Carpal tunnel is 3 times more common in assemblers than in people who work in data-entry.
What are some nursing education for a client with Bell's palsy?
A. Chew on affected side
B. Protect eye with ophthalmic ointment
C. Chew on an unaffected side
D. Report any insect bites
E. Report if you been fresh water swimming
B. and C.
How do generalized seizures differ from focal seizures?
A. Focal seizures are confined to one side of the brain and remain focal in nature
B. Generalized seizures result in loss of consciousness whereas focal seizures do not
C. Generalized seizures result in temporary residual deficits during the postictal phase
D. Generalized seizures have bilateral synchronous epileptic discharges affecting the whole brain at onset of the seizure
D. Generalized seizures have bilateral synchronous epileptic discharges affecting the whole brain at onset of the seizure
Focal seizures that start with a local focus and spread to the entire brain, causing a secondary generalized seizure
Cerebral Palsy is usually diagnosed during the first or second year after birth?
A. True
B. False
A. True
Cerebral palsy generally is diagnosed during the first or the second year after birth. But if a child's symptoms are mild, it is sometimes difficult to make a diagnosis until the child is a few years older.
Which intervention should the nurse suggest to help a client with multiple sclerosis avoid episodes of urinary incontinence?
A. Limit fluid intake to 1,000 mL/day
B. Insert an indwelling urinary catheter
C. Establish a regular voiding schedule
D. Administer prophylactic antibiotics, as prescribed
C. Establish a regular voiding schedule
Maintaining a regular voiding pattern is the most appropriate measure to help the client avoid urinary incontinence. Incontinence is related to the strength of the detrusor and urethral sphincter muscles
Carpal tunnel release is one of the most common surgeries done in the U.S
A. True
B. False
A. True
In carpal tunnel release, the surgeon cuts the band of tissue around the wrist. This makes the carpal tunnel bigger and eases pressure on the median nerve.
A patient with Bell's palsy refuses to eat while others present because of embarrassment about drooling. The best response by the nurse to the patient's behavior is to
A. Respect the patient's desire and arrange for privacy at mealtimes
B. Offer the patient liquid nutritional supplements at frequent intervals
C. Discuss the patient's concerns with visitors who arrive at mealtimes
D. Teach the patient to chew food on the unaffected side of the mouth
A. Respect the patient's desire and arrange for privacy at mealtimes
Which type of seizure occurs in children, is also known as a petit mal seizure, and consists of a staring spell that lasts for a few seconds?
A. Atonic
B. Simple Focal
C. Typical absence
D. Atypical absence
C. Typical absence
This seizure has the child staring spells that last a few seconds. Staring spells in atypical seizures last longer than those in typical absence seizures and are accompanied by peculiar behavior during the seizure or confusion after the seizure