Seizures pt.1
Seizures pt.2
multiple sclerosis
Parkinson’s disease
GBS
ALS
Meningitis
100
This type of seizure causes a brief jerking or stiffening of the extremities that may occur singly or in groups and lasting for just a few seconds.
What is myoclonic seizure?
100
This term describes a patient who experiences continuous seizures for more than 6 minutes per episode? ( A medical emergency!!)
What is status epilepticus?
100
The nurse is communicating with a client with multiple sclerosis (MS), which has affected the speech. Which communication actions are necessary for the nurse/client relationship? Select all that apply.
A)Asking client to speak up and loudly, especially when tired
B) Encourage the client to speak slowly and not rush sentences
C)Encourage the client to speak distinctly
D)Encourage the client to repeat words that are indistinguishable
E)Encourage the client to keep sentences short
What is B,C,D,and E?
100
A client with Parkinson’s disease is observed coughing numerous times while eating breakfast. Which priority action may help with the coughing while eating?
Offer thickened fluids with each meal, offer smaller bites
100
A client with Guillain-Barre syndrome will be receiving immunoglobulin therapy (IVIG) and questions the nurse about the purpose of the treatment. How would you best describe the treatment
What is: Donated blood plasma that contains certain antibodies is given to provide your body with the antibodies needed to fight infection?
100
A client is in the latter stages of ALS. Which assistance is most associated with the needs of a client at this late stage?
Options:
Leg braces to assist with mobility
Lift chair and rising toilet to help client lift in seated position
Meds to help the client cope with anxiety
A feeding tube to provide nutrition and reduce risk of choking and aspiration
What is A feeding tube to provide nutrition and reduce risk of choking and aspiration?
100
This action is the most effective way for a college student to minimize the risk for bacterial meningitis
What is meningitis vaccine ?
200
Which of the following positions is worse meaning possible damage to the brain
What is decerebrete?
make sure you also know the positions of the body parts that are labeled
200
Name at least one factor that can induce status epilepticus
What is withdrawal of antiepileptic medications or alcohol, head and cerebral trauma, infection, or metabolic disturbances (hyponatremia)?
200
A client is concerned about having multiple sclerosis (MS). The nurse determines that the client has which of these assessment findings characteristic of MS? Select all that apply.
A)Tremors of the large and small muscle groups
B)Progressive weakness in extremities
C) Double vision
D)Sudden strength and burst of hyperactivity
E)Bowel and bladder dysfunction
A,B,C and E
200
A client with Parkinson’s disease is prescribed carbidopa-levodopa. What is the most important complication to monitor during the initial phase of medication adjustment?
Blood pressure
200
The nurse is preparing a client who is being tested for Guillain-Barre syndrome by spinal tap. The CSF is being analyzed for this specific elevation
What is elevation is protein (with out elevation in WBC)
200
The newly diagnosed ALS client’s family member asks the nurse why the client is constipated. What is the best reply from the nurse?
What is: This disease on the muscles which causes lack of mobility leads to decreased peristalsis, which contributes to the clients constipation?
200
Which priority diagnostic and priority assessment confirms a diagnosis of meningitis?
What is a lumbar puncture and analyzing the cerebrospinal fluid?
300
In this type of seizure the patient has a sudden loss of muscle tone, lasting for seconds, followed by post-ictal (after the seizure) confusion.
What is atonic seizure?
300
Describe the characteristics of a tonic clonic seizure
What is stiffening or rigidity of muscles followed by jerky, rhythmic movements of the extremities?
300
A client with multiple sclerosis is being discharged from the hospital following treatment for a fall. Which discharge teaching is appropriate for the client? Select all that apply.
A: Use a cane to conserve energy
B: Drink 6-8 glasses of water a day
C:Minimize stretching to prevent stiffness
D: Avoid aerobic exercise to conserve energy
E: Report vision changes including diplopia
A,B and E
300
The nurse is caring for a client with Parkinson’s disease and prioritizes which intervention in the plan of care?
A) Instruct the client to eat foods high in phosphorus which helps mental clarity
Place client on bedpan every 3 hours to establish voiding
Elevate clients legs when sitting to avoid edema
Use armless chair to increase leg strength when getting up
What is C?
300
When the nurse enters the hospital room of a client diagnosed with Guillain-Barré Syndrome (GBS) the spouse asks, “Why is he drooling and having swallowing difficulty?” You would be prepared to answer that this is due to what?
What is cranial nerve involvement that affects swallowing and gag reflex
300
The nurse is caring for a client diagnosed with amyotrophic lateral sclerosis (ALS). The client’s family consists of two children ages 8 years of age and 16 years of age and a spouse. Which of the following nursing diagnoses will have priority?
Options:
Self care deficit related to paralysis
Altered nutrition: Less than body requirements
Impaired physical mobility related to decreased motor function and loss of muscle tone
Anticipatory grieving related to inevitable death
Anticipatory grieving related to inevitable death
300
Of the following options which would the nurse assess for clinical manifestations for patient hospitalized with meningitis (there are 3):
neck stiffness
muscle aches
light sensitivity
retina damage
increased intraocular pressure
What is neck stiffness, muscle aches, light sensitivity?
400
Brief blank staring,lip smacking,and involuntary picking at clothes are characteristics of which type of seizure
considered a generalized seizure
What is absent seizure?
400
This is the type of seizure that the nurse would associate with a psychomotor seizure? (Involves neurological changes in the temporal lobe)
What is a complex partial seizure?
400
This is the benefit of taking baclofen in a patient with MS
What is helping relieve muscular spasticity?
400
An elderly client is being assessed in the clinic. The client voices concern that Parkinson’s disease may be happening. What assessment will the nurse determine to be one of the first signs of onset of Parkinson’s disease?
Restring tremor
Cogwheel Rigidity
Akinesia
Bradykinesia
What is Resting tremor?
400
This nursing diagnosis is appropriate for a client with GBS
What is ineffective breathing pattern?
400
A nurse is preparing to care for a client with ALS. Which nursing intervention is priority?
What is have airway management materials at bedside?
400
Which client would be most at risk for meningitis?
A: 30 year old prisoner one year post op splenectomy
B: 19 year old college student living in a dorm room
C: A 2 month old moving from Scotland
D: 65- year old grandmother exposed by her grand daughter
What is A?
500
Out of arthritis, advanced age, acute alcohol withdrawal, and peripheral vascular disease. This option is a medical condition increases the risk of a patient having a seizure
What is acute alcohol withdrawl?
500
When a patient reports hearing smelling or tasting something unusual, that is not around or real before a seizure
What is an aura?
500
These are the two most important things to avoid with MS that will most likely be on the test!
What is stress and heat( No hot tubs, marathons in the desert,)
500
The nurse and rehabilitation disciplines are collaborating on the care for a client with Parkinson’s disease. Which collaborative goal is the most appropriate for the client with Parkinson’s disease?
To maintain optimal body function?
500
A nurse caring for a client with Guillain-Barré syndrome (GBS) notifies the health care provider of the client’s deteriorating condition. Which of these assessment findings indicate a worsening of Guillain-Barré syndrome?
Options:
Weakness
Paresthesia
Thick green respiratory sputum
Lower extremity pain
What is thick green respiratory sputum?
500
The charge nurse on a neurologic unit is explaining to the novice nurse about important defining characteristics of amyotrophic lateral sclerosis (ALS) ALS. Which characteristic is most specific to ALS?
Gradual muscle twitching, weakness in a limb, or slurred speech that eventually leads to weakness of the muscles to speak, eat, move, and breathe
500
Which of the symptoms below will the nurse expect to observe with a client diagnosed with meningitis?
Severe headache with photophobia
Prescence of lesions of buccal mucosa
Paresthesia and weakness of lower extremities
Fasciculations of the face
What is A?