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During hospitalization, a child experiences a grand-mal seizure. Which of the following actions should the nurse take?
During hospitalization, a child experiences a grand-mal seizure. Which of the following actions should the nurse take?
Which of the following findings would be most supportive of the diagnosis of myasthenia gravis?
Which of the following findings would be most supportive of the diagnosis of myasthenia gravis?
Which of the following risk factors should the nurse identify as the most important factor contributing to a stroke?
Which of the following risk factors should the nurse identify as the most important factor contributing to a stroke?
The nurse is caring for a client who has aphasia following a cerebrovascular accident. Which of the following nursing interventions should the nurse include in the plan of care?
The nurse is caring for a client who has aphasia following a cerebrovascular accident. Which of the following nursing interventions should the nurse include in the plan of care?
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Which of the following actions is a priority for the nurse to perform first in a client with a spinal cord injury who complains of a headache?
Which of the following actions is a priority for the nurse to perform first in a client with a spinal cord injury who complains of a headache?
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The patient with a spinal cord injury is at risk for pneumonia and respiratory arrest, you should plan to:
The patient with a spinal cord injury is at risk for pneumonia and respiratory arrest, you should plan to:
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You are caring for a client with Parkinson's disease. What will you do in the client's care?
You are caring for a client with Parkinson's disease. What will you do in the client's care?
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The physician tells a client with multiple sclerosis that it is a chronic progressive neurologic condition. The client asks the nurse, "Will I experience pain?" The most appropriate response by the nurse is which of the following?
The physician tells a client with multiple sclerosis that it is a chronic progressive neurologic condition. The client asks the nurse, "Will I experience pain?" The most appropriate response by the nurse is which of the following?
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You are caring for a client with Guillain-Barré syndrome. Which of the following would indicate the client's condition is deteriorating?
You are caring for a client with Guillain-Barré syndrome. Which of the following would indicate the client's condition is deteriorating?
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The nurse's response should be based on an understanding that meningitis is a
The nurse's response should be based on an understanding that meningitis is a
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You are caring for a patient with atrioventricular malformation who is scheduled for surgery. Which of the following should be the priority in the care?
You are caring for a patient with atrioventricular malformation who is scheduled for surgery. Which of the following should be the priority in the care?
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Immediately following a spinal cord injury, a client's family asks the nurse, "Is the damage the client presents with in the emergency room as bad as it seems?" The most appropriate response by the nurse is which of the following?
Immediately following a spinal cord injury, a client's family asks the nurse, "Is the damage the client presents with in the emergency room as bad as it seems?" The most appropriate response by the nurse is which of the following?
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You see a client with myasthenia gravis at 5pm. Which of the following assessment findings should the nurse anticipate the client to report?
You see a client with myasthenia gravis at 5pm. Which of the following assessment findings should the nurse anticipate the client to report?
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The nurse's plan of care for a client with Guillain-Barré syndrome is based on an understanding of which of the following disease processes?
The nurse's plan of care for a client with Guillain-Barré syndrome is based on an understanding of which of the following disease processes?
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What is the most accurate information regarding a client suspected of having a C4 injury?
What is the most accurate information regarding a client suspected of having a C4 injury?
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A client has difficulty communicating because of expressive aphasia following a cerebrovascular accident. When the nurse asks how the client is feeling, the spouse answers for the client. The nurse should?
A client has difficulty communicating because of expressive aphasia following a cerebrovascular accident. When the nurse asks how the client is feeling, the spouse answers for the client. The nurse should?
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Which statement made by the spouse of a client with multiple sclerosis indicates to the nurse an understanding of the home-care needs for this client?
Which statement made by the spouse of a client with multiple sclerosis indicates to the nurse an understanding of the home-care needs for this client?
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What is true about with Lou Gehrig disease, or amyotrophic lateral sclerosis (ALS)?
What is true about with Lou Gehrig disease, or amyotrophic lateral sclerosis (ALS)?
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In planning the post-op care after cranial surgery, the nurse should place the client in which of the following positions?
In planning the post-op care after cranial surgery, the nurse should place the client in which of the following positions?
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The nurse is preparing a plan of care for a client post-op following a craniotomy. The nurse formulates which of the following goals as the priority goal when caring for this client?
The nurse is preparing a plan of care for a client post-op following a craniotomy. The nurse formulates which of the following goals as the priority goal when caring for this client?
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Which of the following findings about cerebrospinal fluid analysis should the nurse report?
Which of the following findings about cerebrospinal fluid analysis should the nurse report?
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You will need what in assessing cranial nerve X?
You will need what in assessing cranial nerve X?
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A mother asks the nurse if the seizures her child is experiencing will last a lifetime. The appropriate response by the nurse would be which of the following?
A mother asks the nurse if the seizures her child is experiencing will last a lifetime. The appropriate response by the nurse would be which of the following?
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The nurse is caring for a client with increased intracranial pressure. Which of the following assessment findings should the nurse immediately report?
The nurse is caring for a client with increased intracranial pressure. Which of the following assessment findings should the nurse immediately report?
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Which of the following tasks may be appropriately delegated to unlicensed assistive personnel?
Which of the following tasks may be appropriately delegated to unlicensed assistive personnel?
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You should monitor a client receiving pyridostigmine (Mestinon) for?
You should monitor a client receiving pyridostigmine (Mestinon) for?
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The nurse should assess for which of the following after slowly administering lorazepam (Ativan) intravenously to a client who has been experiencing seizures in rapid succession?
The nurse should assess for which of the following after slowly administering lorazepam (Ativan) intravenously to a client who has been experiencing seizures in rapid succession?
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A client is taking phenytoin (Dilantin) 200 mg daily. The nurse monitors the client for which of the following adverse reactions?
A client is taking phenytoin (Dilantin) 200 mg daily. The nurse monitors the client for which of the following adverse reactions?
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The nurse infuses phenytoin (Dilantin) with which of the following solutions to control seizures?
The nurse infuses phenytoin (Dilantin) with which of the following solutions to control seizures?
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Phenytoin (Dilantin) has been prescribed for a client. Based on an understanding of medication, the nurse caring for the client should?
Phenytoin (Dilantin) has been prescribed for a client. Based on an understanding of medication, the nurse caring for the client should?
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Study Notes
Seizure Management in Children
- During a grand mal seizure in a hospitalised child, the nurse should put a padded tongue blade between the teeth, perform a jaw thrust, and give oxygen.
- Administering an IM benzodiazepine is also an appropriate action.
Myasthenia Gravis Diagnosis
- A history of muscle weakness that improves with rest is a strong indicator for myasthenia gravis.
Stroke Risk Factors
- The most important risk factor for stroke is hypertension.
Aphasia Care Plan
- When caring for a client with aphasia, attempt to use simple and clear phrases to communicate rather than speaking louder. This approach is more effective in helping them understand. Assume the client might misunderstand what is said, and don't assume that they are unable to communicate.
Spinal Cord Injury Headache Priority
- In a client with a spinal cord injury complaining of a headache, taking the blood pressure is the first priority action.
Parkinson's Disease Care
- Encourage clients with Parkinson's to use a comfortable, supportive chair without armrests.
Multiple Sclerosis and Pain
- When a person with multiple sclerosis asks whether they will experience pain, tell them to tell the nurse about pain fears, describe that pain is not a usual symptom, and suggest making a list of questions to ask the physician.
Guillain-Barré Syndrome Deterioration
- Signs of deteriorating Guillain-Barré Syndrome include petechiae and ecchymoses (skin bruising).
Meningitis
- Meningitis is a cerebrospinal infection.
Atrioventricular Malformation Surgery Priority
- The most important priority when caring for a patient with atrioventricular malformation scheduled for surgery is emotional support.
Spinal Cord Injury and Pneumonia Risk
- Patients with spinal cord injuries are at risk for pneumonia and respiratory arrest. Therefore, it is vital for the nursing plan to include measures to prevent aspiration, pneumonia, and respiratory arrest. Preventative strategies involve monitoring blood values, avoiding supine position, and encouraging deep breathing exercises.
Parkinson's Disease and Feeding
- Offer a client with Parkinson's disease a bed pan every 2 hours.
- Encourage the client to eat foods rich in calcium.
Seizures and Duration
- A nurse should not tell a parent that a child's seizures will last a lifetime. The most appropriate response is to explain that seizures can be controlled by antiepileptic medications, but the type, and whether seizures will last a lifetime is unpredictable and can differ between clients.
Intracranial Pressure Assessment
- Monitoring the absence or presence of a pupillary response, particularly its absence, is critically important in assessing increased intracranial pressure. This assessment should be done and reported immediately.
Ulncered Assistive Personnel (UAP) Tasks
- Unlicensed assistive personnel can typically monitor vital signs like temperature in patients. Additional tasks require medical training and supervision. Delegating tasks beyond their skills and training is not appropriate.
Phenytoin (Dilantin) Monitoring
- Monitor clients taking Phenytoin (Dilantin) for adverse reactions such as diarrhea, skin itching, sedation, and hypertension
- Maintain a Dilantin level within 30-50µg/mL
- Dilute IV Dilantin with 5% dextrose.
Lorazepam Administration
- Assess for respiratory depression after Lorazepam (Ativan) administration, considering the possibility of seizures in rapid succession. Monitor for tachycardia, hypertension, and tissue hypoxia.
Cerebrospinal Fluid Analysis Findings
- Report abnormal findings of cerebrospinal fluid during the analysis. Normal findings include clear, colorless fluid with a low white blood cell count and appropriate glucose and protein levels.
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Description
Test your knowledge on the management of various neurological conditions in children and adults. This quiz covers essential topics such as seizure management, myasthenia gravis diagnosis, stroke risk factors, aphasia care, and spinal cord injury priorities. Challenge yourself to improve your understanding of these critical nursing practices.
