NSG 6420 week 9 Questions with Verified
Correct Answers
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?
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?
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?
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?
Gingival hyperplasia and nystagmus
The most common neurological cause of seizures in an older adult is:
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?
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?
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?
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?
Symptoms interfering with functional ability
A female patient presents to the clinic with complaints of a severe, throbbing, unilateral
headache. She complains of seeing flashes of light prior to the headache. She complains
of sound and light sensitivity as well as nausea. The clinician should recognize these as
symptoms of:
Migraine headache
Which of the following is a common trigger of migraine headache?
All of the above
A 65-year-old woman is accompanied by her daughter for a physical examination. She
has mild heart failure and takes digitalis and an ACE inhibitor. As you examine the
Correct Answers
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?
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?
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?
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?
Gingival hyperplasia and nystagmus
The most common neurological cause of seizures in an older adult is:
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?
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?
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?
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?
Symptoms interfering with functional ability
A female patient presents to the clinic with complaints of a severe, throbbing, unilateral
headache. She complains of seeing flashes of light prior to the headache. She complains
of sound and light sensitivity as well as nausea. The clinician should recognize these as
symptoms of:
Migraine headache
Which of the following is a common trigger of migraine headache?
All of the above
A 65-year-old woman is accompanied by her daughter for a physical examination. She
has mild heart failure and takes digitalis and an ACE inhibitor. As you examine the
