Nursing Management: Chronic Neurological Problems

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Questions and Answers

What should a client with migraine headaches do to effectively manage their condition?

Rest in a dark and quiet place at the start of headaches. (correct)
Drink a glass of wine to prevent headaches.
Avoid taking Aspirin and sumatriptan concurrently.
Take topiramate at the onset of headaches.

Which symptom is characteristic of cluster headaches that should be assessed by a nurse?

Projectile vomiting suggesting increased intracranial pressure.
Unilateral eyelid swelling associated with cluster headaches. (correct)
Throbbing, bilateral facial pain commonly found in migraine headaches.
Nuchal rigidity indicating meningeal irritation.

During a tonic-clonic seizure, which action should the nurse take?

Restrict the client's arms and legs to prevent injury.
Place the client on their side immediately. (correct)
Insert an oral airway to ensure an open airway.
Avoid physical contact to minimize nervous system stimulation.

Which of the following statements about the use of triptans in migraine management is true?

Triptans can be taken during the attack of a migraine. (D) Signup and view all the answers

In managing a client with chronic headache conditions, which dietary recommendation is most appropriate?

Avoid triggers such as chocolate and aged cheeses. (B) Signup and view all the answers

What is a common misconception regarding the side effects of migraine medications?

All anti-inflammatory medications are safe to combine with triptans. (C) Signup and view all the answers

What characterizes the pain experienced during a cluster headache?

It manifests as unilateral and sharp. (B) Signup and view all the answers

What is the significance of a client expressing the desire to take Aspirin with sumatriptan during a migraine?

It can lead to increased risk of adverse reactions. (C) Signup and view all the answers

Which therapeutic approach is likely ineffective for managing symptoms in clients with early Huntington’s disease?

Increased exercise to delay disease progression (A), Use of levodopa/carbidopa to alleviate symptoms (C), Prophylactic antibiotics to reduce pneumonia risk (D) Signup and view all the answers

What aspect of cognitive function is unaffected by amyotrophic lateral sclerosis (ALS)?

Understanding of medical procedures (B) Signup and view all the answers

What should the nurse communicate about muscle relaxants for a patient with ALS?

They can worsen respiratory depression. (B) Signup and view all the answers

In planning care for a patient exhibiting Parkinsonian symptoms such as a pill-rolling tremor, what medication should be prioritized?

Antiparkinsonian drugs (A) Signup and view all the answers

Why is antibiotic therapy not recommended for individuals with Huntington’s disease to prevent aspirational pneumonia?

It does not address the underlying swallowing issues. (A) Signup and view all the answers

What should be included in the educational plan for a family at risk for Huntington’s disease?

Availability of genetic testing for family members. (C) Signup and view all the answers

How does cognitive function typically present in clients diagnosed with ALS?

Normal cognitive abilities despite muscle issues (B) Signup and view all the answers

Which symptom is least likely to be associated with ALS during hospitalization?

Paranoia (C), Agitation (D) Signup and view all the answers

What is a common misconception regarding lifestyle changes for clients with Huntington’s disease?

Increased exercise can delay symptom onset. (A) Signup and view all the answers

What should be the nurse's approach regarding the client’s respiratory health in ALS?

Suggest regular pulmonary function testing. (A), Encourage increased mobility and deep breathing exercises. (B) Signup and view all the answers

What is the first action the nurse should take when a client exhibits symptoms suggesting a cholinergic crisis?

Notify the client’s health care provider. (A) Signup and view all the answers

In managing a client with cluster headache, which intervention should be prioritized for immediate relief?

Start the prescribed PRN oxygen at 8 L/min. (C) Signup and view all the answers

Which assessment should the nurse prioritize while caring for a client with respiratory insufficiency?

Evaluate the client's respiratory function. (C) Signup and view all the answers

What is a common misconception about the treatment of cluster headaches?

Oral pain medications are the first line of treatment. (A) Signup and view all the answers

When caring for a myasthenia gravis client post-thymectomy, which symptom is most concerning?

Nausea and severe abdominal cramps. (C) Signup and view all the answers

What is the rationale for not relying on hot packs for a client experiencing cluster headaches?

Hot packs are more beneficial for migraine pain relief. (A) Signup and view all the answers

Why is it crucial to assess respiratory function in clients with respiratory insufficiency?

Failure to monitor can lead to life-threatening conditions. (A) Signup and view all the answers

What is a key piece of information the nurse should teach a client starting treatment with glatiramer acetate?

Basic techniques for self-administration of the medication (C) Signup and view all the answers

Which laboratory result would most likely be observed in a client with epilepsy?

Increased creatinine levels (C) Signup and view all the answers

For a client with multiple sclerosis experiencing urinary retention due to a flaccid bladder, what should the nurse prioritize in their care plan?

Teaching the client self-catheterization techniques (C) Signup and view all the answers

What instruction should the nurse NOT provide to a client who is about to start glatiramer acetate?

Refrain from all physical activities during treatment (D) Signup and view all the answers

Which of the following is true regarding the effects of glatiramer acetate on daily living activities?

Clients should expect increased fatigue and avoid strenuous activities (B) Signup and view all the answers

What change in blood levels should the nurse inform a client with epilepsy to expect?

Increased creatinine as an effect of seizure medications (B) Signup and view all the answers

In advising a client with MS and urinary issues, which is the least effective strategy?

Reduce fluid intake to minimize urinary urgency (B) Signup and view all the answers

For patients using glatiramer acetate, which statement regarding contraceptive use is accurate?

Other contraceptive methods besides oral contraceptives can be appropriate (A) Signup and view all the answers

What is the most appropriate initial action for a nurse to take when a client reports recurrent headaches while frequently using acetaminophen?

Discuss the need to stop taking the acetaminophen. (C) Signup and view all the answers

What is an expected physiological change in clients with epilepsy during a seizure event?

Increased creatinine indicating potential renal implications (B) Signup and view all the answers

Which substance should be most concerning to report when considering the use of sumatriptan for managing a client's migraines?

The client has a history of a recent acute myocardial infarction. (C) Signup and view all the answers

How often should the nurse assist a client with MS to the commode to address urinary retention effectively?

Every 2 hours during the day (C) Signup and view all the answers

Which medication class is considered more appropriate than lorazepam for treating headaches that do not respond to nonopioid analgesics?

Morphine sulphate (A) Signup and view all the answers

Following a seizure where the client suddenly jerks their arms and legs and falls to the floor, what should the nurse prioritize?

Assess the client for a possible head injury. (A) Signup and view all the answers

When prescribing sumatriptan, which of the following factors is least likely to contraindicate its use?

Caffeine consumption of one to two cups daily. (B) Signup and view all the answers

What potential issue arises from regular use of acetaminophen for treating headaches?

Occurrence of medication overuse headaches. (C) Signup and view all the answers

When evaluating a patient's headaches, what is a critical aspect for nurses to assess?

Frequency of over-the-counter medication usage. (B) Signup and view all the answers

In which situation might butalbital be indicated for headache treatment?

After failure of nonopioid analgesics. (C) Signup and view all the answers

Which medication is traditionally not considered for initial treatment of migraines?

Lorazepam (A) Signup and view all the answers

What is the main reason for a nurse to educate a patient on MRI after recurrent headaches?

To identify any underlying structural problems. (A) Signup and view all the answers

Flashcards

Migraine Headache Management

Effective migraine management includes resting in a dark, quiet place when a headache starts.

Cluster Headache Symptoms

Cluster headaches are characterized by unilateral eye edema, tearing, and possible ptosis.

Tonic-Clonic Seizure Response

During a tonic-clonic seizure, avoid inserting an oral airway or restraining the patient; instead, protect the patient from injury by moving objects away.