MDC 4 Exam 1 Rasmussen University Questions and Answers 100 Solved Exam with correct Answers
Rasmussen University MDC 4 Exam 1 Solved Exam Questions | Verified A-Grade Answers Which Migraine medications cannot be used in a patient with cardiac diseases and why? - answer - Triptans and Ergotamine preparations- they will cause additional vasoconstriction of the head blood vessels What does abortive therapy do for migraines? - answer - alleviate pain after the headache starts What does preventative therapy do for migraines? - answer - prevent a headache is it occurs more than twice a week or is severe. A patient is taking beta blocker and calcium channel blockers to prevent a migraine. What education should the nurse give to the patient regarding these medications? - answer - Do not stop the medications What are some trigger foods for migraines? - answer - aged cheeses, smoked meats, fermented deli meats, pickles, beer, wine, nuts (think tyramine) A patient is trying to see what things trigger their migraines. What education can the nurse provide? - answer - Keep a food diary and determine what foods may make the migraine occur. A patient tells the nurse that they see flashing lights before their headache starts. What is this called? - answer - Aura A aura may happen with _______ and ________. - answer - Migraines, Seizures S/S of Migraines - answer - Photophobia, N,V,head pain, phonophobia A patient tells their spouse who is a nurse they are having a migraine. What would the nurse tell them to do? - answer - Go into a cool dark room and rest while sitting up. A nurse is setting up a room for a patient coming in for a seizure. What things should be included in the room? - answer - Working suction and o2, padded bed side rails, placement of an IV when patient arrives. What should you never place in a patients mouth when they are having a seizure? - answer - Tongue blade What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min period? - answer - Status Epilepticus What can you give to stop a seizure? - answer - IV benzo A patient states to the nurse before leaving the doctors office his provider will place him on phenytoin. What education should the nurse give? - answer - Do not stop the medication- if so a seizure may occur. A patient with a seizure disorder suddenly freezes up and drops without twitching. What type of seizure is this called? - answer - Tonic A patient with a seizure disorder suddenly freezes up for a few seconds and starts to vigorously twitch. What type of seizure is the patient having? - answer - Tonic Clonic A person starts to have brief twitches of their left arm while in line to check out at the store. What type of seizure is this? - answer - Myoclonic A patient suddenly looses muscle tone and drops to the floor. What type of seizure is this? - answer - Atonic A nurse starts to see the patient in a room starting to have a seizure. What is her next move? - answer - Place patient on left side, lower bed, support head, no restraining them, timing the episode and calling for help. After a seizure is done, what actions should the nurse take? - answer - Assess vitals, reorient patient, clean them up if they peed or pooped, call provider. A teen with a seizure disorder is cleared by the provider to take his drivers license test. What must her report to the DMV? - answer - That he has a seizure disorder A female patient was recently diagnosed with a seizure disorder and is taking a oral contraceptive. What education must the nurse give? - answer - She should switch off the pill as seizure prevention medications can cause the pill to not work. S/S of Parkinsons include: - answer - bradykinesia, muscle rigidity, mask like face, postal instability, resting tremors, cogwheel rigidity, lead pipe rigidity, shuffling gait What are some concerns regarding Parkinsons disease? - answer - Safety- fall precautions needed Aspiration- may need assistance or observation while eating Who is at risk for developing MS? - answer - Females ages 20-40 S/S of MS: - ans
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