This type of HA may be accompanied by nausea, vomiting and irritability
a. Cluster
b. Migraine
c. Tension-type
d. Hammering - b. Migraine
While the nurse ambulated the client to the bathroom, the client begins to have a seizure. Which of the following actions should the nurse take first?
a....
This type of HA may be accompanied by nausea, vomiting and irritability
a. Cluster
b. Migraine
c. Tension-type
d. Hammering - b. Migraine
While the nurse ambulated the client to the bathroom, the client begins to have a
seizure. Which of the following actions should the nurse take first?
a. Note the time the seizure began
b. Carry the patient to the nearest bed
c. Call for a wheelchair
d. Ease the patient to the floor - d. Ease the patient to the floor
A client with an onset of Bell's palsy is very upset and crying about the change in facial
appearance. The nurse plans to emotionally support the client by telling the client that:
a. This is similar to a stroke, but all symptoms will reverse without treatment
b. This is not a stroke and many clients recover in 3-5 weeks
This caused by a small tumor, which can be easily c. removed
d. This is a temporary problem, with treatment similar to that for migraine headaches -
b. This is not a stroke and many clients recover in 3-5 weeks
- Clts w/ Bell's palsy should be reassured that they have not experience a stroke & that
sx often disappear spontaneously 3-5 weeks.
- This clt is given supportive tx for sx
- Not usually caused by a tumor, & the tx is not similar to that for migraine HA
Following a generalized tonic-clonic seizure, the patient is tired and sleepy. The nurse
should
a. Suction the patient before allowing him to rest
b. Allow the patient to sleep as long as he feels sleepy
c. Stimulate the patient to increase his level of consciousness
d. Check the patients level of consciousness every 15 minutes for an hour - b. Allow the
patient to sleep as long as he feels sleepy
- In the postictal phase of generalized tonic-clonic seizures, patients are usually very
tired and may sleep for several hours and the nurse should allow the patient to sleep as
long as needed.
The most important technique for diagnosing headaches is______________
a. Cerebral blood flow studies
b. CT scan
c. A thorough history of the headaches
d. EMG - c. A thorough history of the headaches
A nurse is planning care for a client with a neurogenic bladder due to MS. Which of the
following plans for fluid administration of at least 2000mL/day would be most helpful to
this client?
a. 400-500mL with each meal, additional fluids in the morning but not after mid-day
b. 400-500mL with each meal, 500-600mL in the evening prior to bedtime
c. 400-500mL with each meal, 200-250mL at midmorning, midafternoon, and late
afternoon
d. 400-500mL with each meal, with all extra fluid concentrated in the afternoon and
evening - c. 400 to 500 mL with each meal and 200 to 250 mL at midmorning,
midafternoon, and late afternoon
- Spacing fluid intake over the day helps the client with a neurogenic bladder to
establish regular times for successful voiding. Omitting intake after the evening meal
minimizes incontinence or the need to empty the bladder during the night.
A nurse has given instructions to a client with Parkinson's disease about maintaining
mobility. The would evaluate that the client understood the directions if the client states
he or she should:
a. Exercise in the evening to combat fatigue
b. Rock back and forth to start movement with bradykinesia
c. Sit in soft, deep chairs
d. Buy clothes with many buttons to maintain finger dexterity - b. Rock back and forth to
start movement with bradykinesia
- Clt w/ Parkinson's disease should exercise in the morning when energy lvls are
highest.
- Clt should avoid sitting in soft, deep, chairs, bc they are difficult to get up from
- Clt can rock back & forth to initiate movement.
- Clt should buy clothes w/ Velcro fasteners & slide-locking buckles to support the ability
to dress
A client with myasthenia gravis has nursing diagnosis of "Risk for Ineffective Airway
Clearance and Risk for Ineffective Breathing Pattern. The nurse would keep which of
the following available at the client's bedside?
a. Incentive spirometer and cough pillow
b. Oxygen and metered dose inhaler
c. Pulse oximeter and a cardiac monitor
d. Ambu bag and suction equipment - d. Ambu bag and suction equipment
- Clt w/ MG may experience episodes of respiratory distress if excessively fatigued, or if
the clt develops myasthenic crisis or cholinergic crisis. For this reason, an ambu bag,
intubation tray & suction equipment should be available at the bedside
When obtaining a health history and physical assessment for a patient with possible
multiple sclerosis (MS), the nurse should
a. assess for the presence of chest pain.
b. inquire about any urinary tract problems.
c. inspect the skin for rashes or discoloration.
d. question the patient about any increase in libido. - b. inquire about any urinary tract
problems.
In observing a client with a suspected diagnosis of Parkinson's Disease the nurse would
expect the following clinical manifestations
a. Flaccidity, bradykinesia, visual disturbances
b. Patchy blindness, ptosis, tremors
c. Tremor, rigidity, bradykinesia
d. Ataxia, restless legs, cogwheeling - c. Tremor, rigidity, bradykinesia
The nurse determines that teaching about the management of osteoarthritis of the feet
and hands has been effective when the patient says,
a. "I will be careful to avoid crowds and people with infections."
b. "I can use heat to relieve the stiffness when I wake up in the morning."
c. "I should exercise my hands every day, especially if they are painful and inflamed."
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PossibleA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
