Quiz Chapter 53, Care of the Patient with a Neurologic Disorder
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
1. What is the ear- Change in level of consciousness (LOC)
liest sign of in-
creased intracra- A change in LOC is the earliest sign of increased intracranial pressure. This change
nial pressure? in LOC may include disorientation, restlessness, or lethargy. Widening pulse
pressure occurs because of an increased systolic blood pressure (resulting from
excitation of vasoconstrictor fibers from ischemia of the vasomotor center) coupled
with a stable diastolic blood pressure. This occurs later in the process of increased
intracranial pressure, when herniation is imminent. Ipsilateral pupil dilation will
occur as a result of compression of cranial nerve III (oculomotor) when the lesion
is in one hemisphere. This occurs later in the process of increased intracranial
pressure, when herniation is imminent. An ataxic breathing pattern is an irregular
and unpredictable breathing pattern with random, shallow, and deep breaths and
occasional pauses. This will occur very late in the process of increased intracranial
pressure.
2. When taking the The headache is usually unilateral.
history of a pa- The headache is preceded by an aura.
tient with a mi- The headache is usually triggered by foods, such as chocolate.
graine headache,
what features Migraine headaches are usually unilateral and are usually preceded by an aura,
of a migraine which can be a visual, sensory, or motor phenomenon. The headache can be
headache is the triggered by certain foods, including chocolate, cheese, tomatoes, onions, and
patient likely to oranges. Migraine headaches may last from 4 hours to 72 hours. The nature of
report? Select all the headache is not sharp and stabbing but rather steady and throbbing.
that apply.
3. A nurse is assess- Respiration
ing a patient us- Eye response
ing the Full Out- Motor response
line of UnRespon- Brainstem reflexes
siveness (FOUR)
score coma scale. The FOUR score coma scale uses respiration, eye response, motor response, and
actualstudy Page 1 of 31
, Quiz Chapter 53, Care of the Patient with a Neurologic Disorder
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
Which categories brainstem reflexes to measure the patient's level of consciousness and coma status.
will the nurse use Verbal response is a part of the Glasgow Coma Scale.
to evaluate the
patient's status?
Select all that ap-
ply.
4. What neurotrans- Dopamine.
mitter primari-
ly affects mo- The neurotransmitter that primarily affects motor function and is involved in gross
tor function and subconscious movements of the skeletal muscles is dopamine. Dopamine also
is involved in plays a role in emotional responses. In Parkinson disease, there is a deficiency of
gross subcon- dopamine and the patient develops tremors or involuntary trembling movements.
scious move- Acetylcholine plays a role in nerve impulse transmission; it spills into the synapse
ments of the area and speeds the transmission of the impulse. Norepinephrine has an impact
skeletal muscles? on maintaining arousal, dreaming, and regulation of mood. Serotonin induces
sleep, affects sensory perception, controls temperature, and has a role in the
control of mood.
5. A patient with a Take ergotamine before the flight takes off.
history of clus-
ter headaches is Cluster headache attacks may occur at high altitudes with low oxygen levels during
planning to trav- air travel. Ergotamine, taken before the plane takes off, may decrease the likelihood
el overseas by of these attacks. Patients with cluster headaches can travel by air with precautions
air. What advice to avoid the headaches. Consumption of food items including chocolate, cheese,
should the nurse or tomatoes is not related to cluster headaches, but it may trigger migraine
give to this pa- headaches. Massaging and applying moist hot packs to the neck and head can
tient to decrease help a patient with tension-type headaches, but it may not help relieve cluster
the likelihood of headaches.
such attacks dur-
ing air travel?
6.
actualstudy Page 2 of 31
, Quiz Chapter 53, Care of the Patient with a Neurologic Disorder
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
A patient with To prevent urinary tract infections.
multiple sclero- To prevent difficulty in defecation.
sis is prescribed
with a prophy- Patients with multiple sclerosis have frequent bladder and bowel problems due
lactic dose of to neuronal degeneration. An adequate amount of fluids (at least 2000 mL/day)
macrodantin (ni- should be taken to prevent difficulty in defecation. Patients with multiple sclerosis
trofurantoin) and are at a higher risk of developing urinary tract infections (UTI) and are therefore
is asked to drink prescribed with a prophylactic dose of macrodantin (nitrofurantoin) to prevent
at least 2000 mL the occurrence of UTIs. Patients who take medication for multiple sclerosis are
of fluids per day. at a higher risk for cardiac compromise. However, a prescription for macrodantin
What is the ratio- (nitrofurantoin) and the intake of fluids is unrelated to the prevention of cardiac
nale for this pre- problems. Patients with multiple sclerosis do not develop respiratory infections;
scription? Select therefore, the medication and fluid intake is completely unrelated to respiratory
all that apply. infection. Patients with multiple sclerosis do not develop liver disorders.
7. A patient comes Alert and oriented × 2 (person and place).
to the clinic for
a yearly examina- The patient is alert and oriented (A&O) to person and place. The person oriented
tion. The nurse to person, place, and time, or A&O × 3, would be able to answer with the correct
asks the patient name, year, and location. The person who is A&O × 0 would not be able to answer
her name, the with the correct name, date, or year.
year, and the lo-
cation. The pa-
tient's respons-
es are signifi-
cant for the cor-
rect name, in-
correct year, and
correct location.
How should the
nurse document
actualstudy Page 3 of 31
, Quiz Chapter 53, Care of the Patient with a Neurologic Disorder
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
the patient's re-
sponses?
8. The nurse is car- Cut food into bite-size pieces.
ing for a patient Serve hot foods on a warmed plate.
with Parkinson Include whole grains and fruits in the diet.
disease. What ad-
justments should Patients with Parkinson disease are predisposed to malnutrition and constipation,
the nurse make owing to inadequate food intake caused by difficulty in chewing and swallowing.
in the dietary To promote adequate nutrition, the nurse should include whole grains and fruits
habits of the pa- in the diet, which will prevent constipation. The food should be cut into bite size
tient to prevent pieces so that chewing and swallowing is easy. Serving hot foods on a warmed
malnutrition and plate makes the food more appealing. Food items high in protein should be limited
constipation? Se- in the diet, because they can interfere with the absorption of carbidopa-levodopa
lect all that apply. (Sinemet), the most common drug used in the treatment of Parkinson disease.
Six small meals, rather than three large meals, would be less exhausting for the
patients.
9. A patient is ad- Do not stop the drug abruptly.
vised to use Avoid driving while on the drug.
diazepam (Vali- Avoid taking alcohol with the drug.
um) for multiple
sclerosis. What Diazepam (Valium) is used as a muscle relaxant. Patients on diazepam should avoid
patient teaching driving and any such activities requiring the patient to be alert, because of the
is important for sedative effects of the drug. They should not stop the drug abruptly without con-
those taking this sulting the health care provider. The drug should not be taken along with alcohol,
drug? Select all because alcohol can potentiate the drug's effect. Monitoring blood pressure is a
that apply. general healthcare measure and is not specific to diazepam. As the drug has no
effect on the immune system, avoiding crowds is not necessary.
10. The caregivers of Loosen constrictive clothes.
a patient with Ease the patient to the floor.
acute seizures Protect the patient from any injury.
actualstudy Page 4 of 31
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
1. What is the ear- Change in level of consciousness (LOC)
liest sign of in-
creased intracra- A change in LOC is the earliest sign of increased intracranial pressure. This change
nial pressure? in LOC may include disorientation, restlessness, or lethargy. Widening pulse
pressure occurs because of an increased systolic blood pressure (resulting from
excitation of vasoconstrictor fibers from ischemia of the vasomotor center) coupled
with a stable diastolic blood pressure. This occurs later in the process of increased
intracranial pressure, when herniation is imminent. Ipsilateral pupil dilation will
occur as a result of compression of cranial nerve III (oculomotor) when the lesion
is in one hemisphere. This occurs later in the process of increased intracranial
pressure, when herniation is imminent. An ataxic breathing pattern is an irregular
and unpredictable breathing pattern with random, shallow, and deep breaths and
occasional pauses. This will occur very late in the process of increased intracranial
pressure.
2. When taking the The headache is usually unilateral.
history of a pa- The headache is preceded by an aura.
tient with a mi- The headache is usually triggered by foods, such as chocolate.
graine headache,
what features Migraine headaches are usually unilateral and are usually preceded by an aura,
of a migraine which can be a visual, sensory, or motor phenomenon. The headache can be
headache is the triggered by certain foods, including chocolate, cheese, tomatoes, onions, and
patient likely to oranges. Migraine headaches may last from 4 hours to 72 hours. The nature of
report? Select all the headache is not sharp and stabbing but rather steady and throbbing.
that apply.
3. A nurse is assess- Respiration
ing a patient us- Eye response
ing the Full Out- Motor response
line of UnRespon- Brainstem reflexes
siveness (FOUR)
score coma scale. The FOUR score coma scale uses respiration, eye response, motor response, and
actualstudy Page 1 of 31
, Quiz Chapter 53, Care of the Patient with a Neurologic Disorder
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
Which categories brainstem reflexes to measure the patient's level of consciousness and coma status.
will the nurse use Verbal response is a part of the Glasgow Coma Scale.
to evaluate the
patient's status?
Select all that ap-
ply.
4. What neurotrans- Dopamine.
mitter primari-
ly affects mo- The neurotransmitter that primarily affects motor function and is involved in gross
tor function and subconscious movements of the skeletal muscles is dopamine. Dopamine also
is involved in plays a role in emotional responses. In Parkinson disease, there is a deficiency of
gross subcon- dopamine and the patient develops tremors or involuntary trembling movements.
scious move- Acetylcholine plays a role in nerve impulse transmission; it spills into the synapse
ments of the area and speeds the transmission of the impulse. Norepinephrine has an impact
skeletal muscles? on maintaining arousal, dreaming, and regulation of mood. Serotonin induces
sleep, affects sensory perception, controls temperature, and has a role in the
control of mood.
5. A patient with a Take ergotamine before the flight takes off.
history of clus-
ter headaches is Cluster headache attacks may occur at high altitudes with low oxygen levels during
planning to trav- air travel. Ergotamine, taken before the plane takes off, may decrease the likelihood
el overseas by of these attacks. Patients with cluster headaches can travel by air with precautions
air. What advice to avoid the headaches. Consumption of food items including chocolate, cheese,
should the nurse or tomatoes is not related to cluster headaches, but it may trigger migraine
give to this pa- headaches. Massaging and applying moist hot packs to the neck and head can
tient to decrease help a patient with tension-type headaches, but it may not help relieve cluster
the likelihood of headaches.
such attacks dur-
ing air travel?
6.
actualstudy Page 2 of 31
, Quiz Chapter 53, Care of the Patient with a Neurologic Disorder
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
A patient with To prevent urinary tract infections.
multiple sclero- To prevent difficulty in defecation.
sis is prescribed
with a prophy- Patients with multiple sclerosis have frequent bladder and bowel problems due
lactic dose of to neuronal degeneration. An adequate amount of fluids (at least 2000 mL/day)
macrodantin (ni- should be taken to prevent difficulty in defecation. Patients with multiple sclerosis
trofurantoin) and are at a higher risk of developing urinary tract infections (UTI) and are therefore
is asked to drink prescribed with a prophylactic dose of macrodantin (nitrofurantoin) to prevent
at least 2000 mL the occurrence of UTIs. Patients who take medication for multiple sclerosis are
of fluids per day. at a higher risk for cardiac compromise. However, a prescription for macrodantin
What is the ratio- (nitrofurantoin) and the intake of fluids is unrelated to the prevention of cardiac
nale for this pre- problems. Patients with multiple sclerosis do not develop respiratory infections;
scription? Select therefore, the medication and fluid intake is completely unrelated to respiratory
all that apply. infection. Patients with multiple sclerosis do not develop liver disorders.
7. A patient comes Alert and oriented × 2 (person and place).
to the clinic for
a yearly examina- The patient is alert and oriented (A&O) to person and place. The person oriented
tion. The nurse to person, place, and time, or A&O × 3, would be able to answer with the correct
asks the patient name, year, and location. The person who is A&O × 0 would not be able to answer
her name, the with the correct name, date, or year.
year, and the lo-
cation. The pa-
tient's respons-
es are signifi-
cant for the cor-
rect name, in-
correct year, and
correct location.
How should the
nurse document
actualstudy Page 3 of 31
, Quiz Chapter 53, Care of the Patient with a Neurologic Disorder
Quiz: Chapter 53, Care of the Patient with a Neurologic Disorder
Study online at https://quizlet.com/_6u8zbv
the patient's re-
sponses?
8. The nurse is car- Cut food into bite-size pieces.
ing for a patient Serve hot foods on a warmed plate.
with Parkinson Include whole grains and fruits in the diet.
disease. What ad-
justments should Patients with Parkinson disease are predisposed to malnutrition and constipation,
the nurse make owing to inadequate food intake caused by difficulty in chewing and swallowing.
in the dietary To promote adequate nutrition, the nurse should include whole grains and fruits
habits of the pa- in the diet, which will prevent constipation. The food should be cut into bite size
tient to prevent pieces so that chewing and swallowing is easy. Serving hot foods on a warmed
malnutrition and plate makes the food more appealing. Food items high in protein should be limited
constipation? Se- in the diet, because they can interfere with the absorption of carbidopa-levodopa
lect all that apply. (Sinemet), the most common drug used in the treatment of Parkinson disease.
Six small meals, rather than three large meals, would be less exhausting for the
patients.
9. A patient is ad- Do not stop the drug abruptly.
vised to use Avoid driving while on the drug.
diazepam (Vali- Avoid taking alcohol with the drug.
um) for multiple
sclerosis. What Diazepam (Valium) is used as a muscle relaxant. Patients on diazepam should avoid
patient teaching driving and any such activities requiring the patient to be alert, because of the
is important for sedative effects of the drug. They should not stop the drug abruptly without con-
those taking this sulting the health care provider. The drug should not be taken along with alcohol,
drug? Select all because alcohol can potentiate the drug's effect. Monitoring blood pressure is a
that apply. general healthcare measure and is not specific to diazepam. As the drug has no
effect on the immune system, avoiding crowds is not necessary.
10. The caregivers of Loosen constrictive clothes.
a patient with Ease the patient to the floor.
acute seizures Protect the patient from any injury.
actualstudy Page 4 of 31
