Chronic Neurologic Problems NCLEX Lewis Chapter 59 Study Guide, Practice Questions, Answers & Exam Review
Chronic neuro 2 NCLEX, Lewis Ch 59 Chronic Neurologic Problems NCLEX,
Lewis Chapter 59 - Chronic Neurologic Problems (Pre-test, Bridge NCLEX,
NCLEX Review), neurological disorders nclex
Study online at https://quizlet.com/_2izdcr
1. The nurse identifies the nursing diagno- Correct Answer: B
sis of impaired physical mobility related to Rationale: Rocking the body from side to
bradykinesia for a patient with Parkinson's side stimulates balance and improves mo-
disease. To assist the patient to ambulate bility. The patient should initially be ambu-
safely, the nurse should lated with assistance but might not require
a. continual assistance with ambulation. The
allow the patient to ambulate only with as- patient should maintain a wide base of
sistance. support to help with balance. The patient
b. should lift the feet and avoid a shuffling
instruct the patient to rock from side to side gait.
to initiate leg movement.
c. Cognitive Level: Application Text Refer-
have the patient take small steps in a ence: p. 1554
straight line directly in front of the feet. Nursing Process: Implementation NCLEX:
d. Physiological Integrity
teach the patient to keep the feet in contact
with the floor and slide them forward.
2. A patient who has been taking bromocrip- Correct Answer: B
tine (Parlodel) and benztropine (Cogentin) Rationale: After the dopamine receptor
for Parkinson's disease is experiencing a agonists begin to fail to relieve symptoms,
worsening of symptoms. The nurse will an- the addition of L-dopa with carbidopa
ticipate that patient may benefit from can be added to the regimen. Complete
a. drug withdrawal will result in worsening of
complete drug withdrawal for a few weeks. symptoms. Anticholinergic therapy should
b. be continued to help maintain the bal-
use of levodopa (L-dopa)-carbidopa ance between the actions of dopamine
(Sinemet). and acetylcholine. Increasing the dose of
c. bromocriptine will increase the risk for
withdrawal of anticholinergic therapy. toxic effects.
actualstudy Page 1
, Chronic Neurologic Problems NCLEX Lewis Chapter 59 Study Guide, Practice Questions, Answers & Exam Review
Chronic neuro 2 NCLEX, Lewis Ch 59 Chronic Neurologic Problems NCLEX,
Lewis Chapter 59 - Chronic Neurologic Problems (Pre-test, Bridge NCLEX,
NCLEX Review), neurological disorders nclex
Study online at https://quizlet.com/_2izdcr
d.
increasing the dose of bromocriptine. Cognitive Level: Comprehension Text Ref-
erence: p. 1551
Nursing Process: Planning NCLEX: Physio-
logical Integrity
3. 21. A patient with Parkinson's disease has Correct Answer: C
decreased tongue mobility and an inability Rationale: The inability to use the tongue
to move the facial muscles. The nurse rec- and facial muscles decreases the patient's
ognizes that these impairments commonly ability to socialize or communicate needs.
contribute to the nursing diagnosis of Disuse syndrome is not an appropriate
a. nursing diagnosis because the patient is
disuse syndrome related to loss of muscle continuing to use the muscles as much
control. as possible. There is no indication in the
b. stem that the patient has a self-care deficit,
self-care deficit related to bradykinesia and bradykinesia, or rigidity. The oral mucous
rigidity. membranes will continue to be moist and
c. should not be impaired by the patient's
impaired verbal communication related to difficulty swallowing.
difficulty articulating.
d. Cognitive Level: Application Text Refer-
impaired oral mucous membranes related ence: p. 1554
to inability to swallow. Nursing Process: Diagnosis NCLEX: Physi-
ological Integrity
4. A patient has a new prescription for lev- Correct Answer: D
odopa (L-dopa) to control symptoms of Rationale: Hypotension is an adverse ef-
Parkinson's disease. Which assessment data fect of L-dopa, and the nurse should
obtained by the nurse may indicate a need check with the health care provider before
for a decrease in the dose? giving the medication. Diarrhea, cough,
a. and deep vein thrombosis are not associ-
actualstudy Page 2
, Chronic Neurologic Problems NCLEX Lewis Chapter 59 Study Guide, Practice Questions, Answers & Exam Review
Chronic neuro 2 NCLEX, Lewis Ch 59 Chronic Neurologic Problems NCLEX,
Lewis Chapter 59 - Chronic Neurologic Problems (Pre-test, Bridge NCLEX,
NCLEX Review), neurological disorders nclex
Study online at https://quizlet.com/_2izdcr
The patient has a chronic dry cough. ated with L-dopa use.
b.
The patient has 4 loose stools in a day. Cognitive Level: Application Text Refer-
c. ence: p. 1552
The patient develops a deep vein thrombo- Nursing Process: Evaluation NCLEX: Phys-
sis. iological Integrity
d.
The patient's blood pressure is 90/46 mm
Hg.
5. A patient is seen in the health clinic with Correct Answer: C
symptoms of a stooped posture, shuffling Rationale: The diagnosis of Parkinson's is
gait, and pill rolling-type tremor. The nurse made when two of the three characteristic
will anticipate teaching the patient about signs of tremor, rigidity, and bradykinesia
a. are present. The confirmation of the di-
preparation for an MRI. agnosis is made on the basis of improve-
b. ment when antiparkinsonian drugs are
purpose of EEG testing. administered. This patient has symptoms
c. of tremor and bradykinesia; the next an-
antiparkinsonian drugs. ticipated step will be treatment with med-
d. ications. MRI and EEG are not useful in
oral corticosteroids. diagnosing Parkinson's disease, and cor-
ticosteroid therapy is not used to treat it.
Cognitive Level: Application Text Refer-
ence: p. 1550
Nursing Process: Planning NCLEX: Physio-
logical Integrity
6.
actualstudy Page 3
Chronic neuro 2 NCLEX, Lewis Ch 59 Chronic Neurologic Problems NCLEX,
Lewis Chapter 59 - Chronic Neurologic Problems (Pre-test, Bridge NCLEX,
NCLEX Review), neurological disorders nclex
Study online at https://quizlet.com/_2izdcr
1. The nurse identifies the nursing diagno- Correct Answer: B
sis of impaired physical mobility related to Rationale: Rocking the body from side to
bradykinesia for a patient with Parkinson's side stimulates balance and improves mo-
disease. To assist the patient to ambulate bility. The patient should initially be ambu-
safely, the nurse should lated with assistance but might not require
a. continual assistance with ambulation. The
allow the patient to ambulate only with as- patient should maintain a wide base of
sistance. support to help with balance. The patient
b. should lift the feet and avoid a shuffling
instruct the patient to rock from side to side gait.
to initiate leg movement.
c. Cognitive Level: Application Text Refer-
have the patient take small steps in a ence: p. 1554
straight line directly in front of the feet. Nursing Process: Implementation NCLEX:
d. Physiological Integrity
teach the patient to keep the feet in contact
with the floor and slide them forward.
2. A patient who has been taking bromocrip- Correct Answer: B
tine (Parlodel) and benztropine (Cogentin) Rationale: After the dopamine receptor
for Parkinson's disease is experiencing a agonists begin to fail to relieve symptoms,
worsening of symptoms. The nurse will an- the addition of L-dopa with carbidopa
ticipate that patient may benefit from can be added to the regimen. Complete
a. drug withdrawal will result in worsening of
complete drug withdrawal for a few weeks. symptoms. Anticholinergic therapy should
b. be continued to help maintain the bal-
use of levodopa (L-dopa)-carbidopa ance between the actions of dopamine
(Sinemet). and acetylcholine. Increasing the dose of
c. bromocriptine will increase the risk for
withdrawal of anticholinergic therapy. toxic effects.
actualstudy Page 1
, Chronic Neurologic Problems NCLEX Lewis Chapter 59 Study Guide, Practice Questions, Answers & Exam Review
Chronic neuro 2 NCLEX, Lewis Ch 59 Chronic Neurologic Problems NCLEX,
Lewis Chapter 59 - Chronic Neurologic Problems (Pre-test, Bridge NCLEX,
NCLEX Review), neurological disorders nclex
Study online at https://quizlet.com/_2izdcr
d.
increasing the dose of bromocriptine. Cognitive Level: Comprehension Text Ref-
erence: p. 1551
Nursing Process: Planning NCLEX: Physio-
logical Integrity
3. 21. A patient with Parkinson's disease has Correct Answer: C
decreased tongue mobility and an inability Rationale: The inability to use the tongue
to move the facial muscles. The nurse rec- and facial muscles decreases the patient's
ognizes that these impairments commonly ability to socialize or communicate needs.
contribute to the nursing diagnosis of Disuse syndrome is not an appropriate
a. nursing diagnosis because the patient is
disuse syndrome related to loss of muscle continuing to use the muscles as much
control. as possible. There is no indication in the
b. stem that the patient has a self-care deficit,
self-care deficit related to bradykinesia and bradykinesia, or rigidity. The oral mucous
rigidity. membranes will continue to be moist and
c. should not be impaired by the patient's
impaired verbal communication related to difficulty swallowing.
difficulty articulating.
d. Cognitive Level: Application Text Refer-
impaired oral mucous membranes related ence: p. 1554
to inability to swallow. Nursing Process: Diagnosis NCLEX: Physi-
ological Integrity
4. A patient has a new prescription for lev- Correct Answer: D
odopa (L-dopa) to control symptoms of Rationale: Hypotension is an adverse ef-
Parkinson's disease. Which assessment data fect of L-dopa, and the nurse should
obtained by the nurse may indicate a need check with the health care provider before
for a decrease in the dose? giving the medication. Diarrhea, cough,
a. and deep vein thrombosis are not associ-
actualstudy Page 2
, Chronic Neurologic Problems NCLEX Lewis Chapter 59 Study Guide, Practice Questions, Answers & Exam Review
Chronic neuro 2 NCLEX, Lewis Ch 59 Chronic Neurologic Problems NCLEX,
Lewis Chapter 59 - Chronic Neurologic Problems (Pre-test, Bridge NCLEX,
NCLEX Review), neurological disorders nclex
Study online at https://quizlet.com/_2izdcr
The patient has a chronic dry cough. ated with L-dopa use.
b.
The patient has 4 loose stools in a day. Cognitive Level: Application Text Refer-
c. ence: p. 1552
The patient develops a deep vein thrombo- Nursing Process: Evaluation NCLEX: Phys-
sis. iological Integrity
d.
The patient's blood pressure is 90/46 mm
Hg.
5. A patient is seen in the health clinic with Correct Answer: C
symptoms of a stooped posture, shuffling Rationale: The diagnosis of Parkinson's is
gait, and pill rolling-type tremor. The nurse made when two of the three characteristic
will anticipate teaching the patient about signs of tremor, rigidity, and bradykinesia
a. are present. The confirmation of the di-
preparation for an MRI. agnosis is made on the basis of improve-
b. ment when antiparkinsonian drugs are
purpose of EEG testing. administered. This patient has symptoms
c. of tremor and bradykinesia; the next an-
antiparkinsonian drugs. ticipated step will be treatment with med-
d. ications. MRI and EEG are not useful in
oral corticosteroids. diagnosing Parkinson's disease, and cor-
ticosteroid therapy is not used to treat it.
Cognitive Level: Application Text Refer-
ence: p. 1550
Nursing Process: Planning NCLEX: Physio-
logical Integrity
6.
actualstudy Page 3
