Seizures & GBS
This type of eizures will typically only affect one side of the body...
Focal seizure disorder
The following side effects can be related to which drug for Parkinson disease...Urinary retention, diaphoresis, and orthostatic hypotension?
carbidopa-levodopa
An endarterectomy is indicated for stroke prevention when carotid obstruction is greater than what percentage?
60%
Ptosis and diplopia assessment findings best supports this neurological diagnosis?
Suspected myasthenia gravis
Wat is the purpose of a V-P shunt?
A V-P shunt redirects the cerebrospinal fluid (CSF) from the ventricles to the peritoneum
What must be ruled out before diagnosis of epilepsy is made?
All other causes of seizure activity must be ruled out before the diagnosis of epilepsy is made
An irregular apical pulse is most concerning which IV seizure medication?
Intravenous (IV) phenytoin (Dilantin)
Which nursing intervention best encourages self-feeding in a patient with right-sided paralysis after a CVA?
Place finger foods on the left side of the plate
How may a nurse assess for Meningitis following a craniotomy?
The patient exhibits nuchal rigidity, rash on the chest, headache, and a positive Brudzinski sign
A headache that awakens patient a night may be a sign what serious condition?
brain tumor
Which condition(s) may cause seizures? (5)
Stroke
Cerebral tumor
Hyperpyrexia
Epilepsy
Metabolic toxicity
What would you insruct a patient about dental care who is taking phenytoin (Dilantin)?
They should visit the dentist every 3 to 6 months while taking this medication
What is important about caring for a patient who has partial left-sided paralysis and is experiencing ataxia from a CVA?
Encourage the patient to ambulate as much as possible when she feels the energy to do so.
Tremors decrease with voluntary movement may be a key assessment for which disorder?
Parkinson disease
What is important about the patient environment caring for a patient with bacterial meningitis?
Maintain a quiet environment with minimal stimulation
Signs and symptoms of Guillain-Barré syndrome (GBS) usually appear within how many days after a viral infection?
2 to 4 weeks
Which medciations are important for the nurse to include in the patient's care wirth Bell palsy?
Administer artificial tears and acyclovir
How could you best assess a patient for agnosia after a CVA?
Showing the patient a spoon while calling it by name and describing its purpose
Which problem statement/nursing diagnosis is most appropriate for a person with Parkinson disease?
Risk for falls related to unsteady gait
Explain the etiology of Parkinson disease...
Regardless of the actual etiology, Parkinson disease is caused by depletion of dopamine and excess of acetylcholine
Laboratory checks will monitor for which potential medication-induced change with phenytoin (Dilantin)?
Liver damage
Which drug therapy is indicated for an acute severe attack of multiple sclerosis (MS)?
Intravenous (IV) methylprednisolone
Intravenous tissue plasminogen activator (IV tPA or alteplase) must be given within what time frame for acute ischemic stroke symptom onset?
Must be given within 4.5 hours of acute ischemic stroke symptom onset, with the optimal window being within 3 hours for broader eligibility
What activity should the nurse suggest to diminish the effects of fatigue with multiple sclerosis (MS)?
Scheduling rest periods during the day
Cognitive and mental capacities will most likely remain intact throughout this neurological disease progression?
Amyotrophic lateral sclerosis (ALS)