Meningitis
If patient is suspected of meningitis, what precautions are they put on?
Isolation and droplet.
A. Myoclonic Seizure (Generalized)
B. Atonic (Generalized)
C. Complex (Partial)
D. Simple (Partial)
Atonic Generalized Seizure. Loss of muscle tone, resulting in head droop (if sitting) or fall (if standing). Followed by a period of confusion. ("I'm confused.")
A nurse is contributing to the plan of care for a client who has Parkinson's disease. Which of the following actions should the nurse include?
A. Provide thre large balanced meals daily
B. Record diet and fluid intake daily
C. Document weight every other week
D. Offer low-protein food choices
B. Record diet and fluid intake daily
A. "This medication should increase my husband's appetite."
B. "This medication should help my husband sleep better."
C. "This medication should help my husband's daily function."
D. "This medication should increase my husband's energy level."
C - Donepezil helps slow progression and help improve behavior and daily functions.
What does FAST stand for?
F - Facial Weakness
A - Arm Weakness
S - Speech Changes
T - Trouble Walking
What is the most common type of meningitis?
Viral, Fungal or Bacterial?
Viral Meningitis ( aseptic meningitis)
Status Epilepticus is a repeated seizure activity within a 30 minute time frame or a single prolonged seizure lasting more than 5 min. True or false?
True.
ati book pg35
A nurse is reinforcing teaching with a client who has Parkinson's disease and has a new prescription for bromocriptine. Which of the following instructions should the nurse include?
A. Rise slowly when standing
B. Expect urine to become dark-colored
C. Avoid foods containing tyramine
D. Report any skin discoloration
A - Orthostatic hypotension. Bromocriptine is a dopamine receptor agonist.
ati book pg42
A nurse is caring for a client who has AD and falls frequently. Which of the following actions should the nurse take first to keep the client safe?
A. Keep call light near client
B. Place client in a room close to nurse's station
C. Encourage client to ask for assistance
D. Remind the client to walk with someone to support
Patient has a history of hypertension and thrombocytopenia. What type of stroke are they at risk for?
Hemorrhagic or Ishemic
Hemorrhagic.
Hypertension is primary risk factor for hemorrhagic
What type of meningitis has the highest mortality rate, highly contagious and a MEDICAL EMERGENCY?
Viral, fungal or bacterial?
Bacterial Meningococcal Meningitis
Patient explains that he is about to have a seizure. "I'm about to have a seizure." The bedrails are padded, the suction is nearby, the bed is level. What is one more thing you can do?
A. Restrain patient
B. Yell for help.
C. Lay patient down on side.
D. Administer antiepileptic drug (phenytoin)
C. Lay patient down on side.
Parkinson's disease is most commonly found in age 40-70 females. True of false?
False - age 40 - 70 MALES
Memory lapses, misplacing items, difficulty concentrating, and able to perform ADLs are what stage of alzheimers?
Nurse is assisting with the care of a client who has experienced a right-hemispheric stroke. The nurse should expect the client to have difficulty with which of the following? (SATA)
a. Impulse control
B. Moving to the left side
C. Depth perception
D. Speaking
E. Writing
A - Client can exhibit loss of impulse control and poor judgement.
B - Can exhibit left sided hemiplegia(paralysis of one side of body.
C - Client can experience a loss in depth perception
What test is the most definitive diagnostic procedure?
A. Urine culture
B. CBC
C. MRI
D. CSF analysis
D. CSF analysis.
cloudy(bacterial) clear(viral). Elevated WBC, Protein and CSF pressure.
Decreased glucose(bacterial)
A nurse is providing discharge instructions to a client who has a prescription for phenytoin. Which of the following information should the nurse include?
A. Consider taking an antacid when on this medication.
B. Watch for receding gums when taking the medication.
C. Take the medication at the same time every day. (phenytoin)
D. Provide a urine sample to determine therapeutic levels of the medication.
C - Take med at same time everyday. To enhance effectiveness.
Parkinson's disease can cause which complications?
A. Arthritis
B. Dementia
C. Delirium
D. Multiple Sclerosis
B. Dementia. Altered cognition. Slow onset.
Forgetting history, wandering, sleep pattern changes, personality behavior changes and difficulty performing planning and organizing tasks are what stage of Alzheimers?
Middle stage (moderate)
Nurse is caring for a client who has global aphasia(both receptive and expressive). Which of the following should the nurse include in the clients plan of care? (SATA)
A. Speak to the client at a slower rate
B. Assist the client to use cards with pictures
C. Speak to client in a loud voice
D. Complete sentences that the client cannot finish
E. Give instructions one step at a time
A
B
E
Ati pg.55
A nurse is contributing to the plan of care for a client who has bacterial meningitis. Which of the following actions should the nurse include in the plan of care?(Select all that apply.)
A. Monitor for bradycardia
B. Provide an emesis basin at the bedside.
C. Administer antipyretic medication.
D. Perform skin data colletion.
E. Keep the head of the bed flat.
B - Provide emesis basin for N & V
C - Administer antipyretic medication for fever.
D - Perform skin data collection to determine wether the client has a red macular rash from meningitis.
from ati book pg32.
A nurse is reviewing trigger factors that can cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following information should the nurse include in this review? (Select all that apply.)
A. Avoid overwhelming fatigue.
B. Remove caffeinated products from the diet.
C. Limit looking at flashing lights.
D. Perform aerobic exercise.
E. Limit episodes of hypoventilation.
F. Use of aerosol hairspray is recommended.
A. - instruct client to avoid overwhelming fatigue, which can trigger a seizure
B - Caffeine is a stimulate DUMMY!
C - Flashing lights can trigger le seizure.
from ati book pg37.
What does TRAP stand for?
T - Tremors
R - Rigidity
A - Akinesia
P - Postural instability
What are some risk factors for alzheimers?
Advanced age, chemical imbalances, genetics, environmental agents (chemicals, toxins), head injuries, FEMALE, african american and hispanic people.
A. Impulse control difficulty
B. Poor judgement
C. Inability to recognize familiar objects
D. Loss of depth perception
C - Left hemispheric stroke will demonstrate the inability to recognize familiar objects, known as agnosia.