Questions Fully Solved.
An elderly patient is maintained on phenytoin therapy for a history of a seizure disorder. In
addition to periodic serum drug concentrations, which of the following are needed for annual
evaluation? - Answer Complete blood count, liver function tests, and platelet count
An elderly patient has had a CVA in the anterior cerebral circulatory system (frontal lobe). What
symptoms are most likely expressed? - Answer Disorders of behavior and cognition
When assessing a patient who complains of a tremor, the nurse practitioner must differentiate
essential tremor from the tremor of Parkinson's disease. Which of the following findings are
consistent with essential tremor? - Answer The tremor occurs with purposeful movements
An older adult client with a history of a seizure disorder comes into the clinic for a routine
check-up. Although seizure free, the client continues on long-term phenytoin treatment. The
nurse practitioner would assess for which of the following long-term effects? - Answer Gingival
hyperplasia and nystagmus
The most common neurological cause of seizures in an older adult is: - Answer Stroke
Mr. Andrews experienced a brief onset of right-sided weakness, slurred speech, and confusion
yesterday. The symptoms have resolved. What should the nurse practitioner do? - Answer Do
a thorough medication review and a CT scan
An older male patient is experiencing acute onset of right-sided weakness, slurred speech, and
confusion. What should the nurse practitioner do promptly? - Answer Evaluate for stroke and
arrange transport to the hospital right away
When assessing an elderly client who reports a tremor, which assessment findings would be
most reliable in identifying Parkinson's disease? - Answer Resting tremor, slow unsteady gait,
and cogwheel resistance
A middle-aged patient has been diagnosed with Parkinson's disease. What influences the nurse
practitioner's decision to begin pharmacological treatment for this patient? - Answer
Symptoms interfering with functional ability