MDC 4 FINAL EXAM QUESTIONS AND ANSWERS ALREADY PASSED

MDC 4 FINAL EXAM QUESTIONS AND ANSWERS ALREADY PASSED You witness a patient with stiffening and/or rigidity of muscles, especially arms and legs, with immediate loss of consciousness. What type of seizure? Tonic You witness a patient with rhythmic jerking/relaxing of all extremities. What type of seizure? Clonic You witness a patient with a sudden loss of muscle tone lasting a few seconds, the patient dropped to the floor. What type of seizure? Atonic A patient is in recovery after a seizure, they are a bit confused and their brain is recovering. May last minutes to hours. What phase of seizure? Postictal A 25-year-old female is prescribed Phenytoin Sodium (seizure medication). What is an example of patient education for this specific population of patients? Use alternative form of birth control Bradykinesia, muscle rigidity, and masklike face are clinical manifestations of: Parkinsons Disease The initial concern for a patient with Parkinson's disease is safety due to: Risk for falls A 30-year-old woman is experiencing double vision, trigeminal neuralgia, ataxia, and spasms. What do you suspect? Multiple Sclerosis What medication is often used to treat spasms in a patient with multiple sclerosis? Baclofen A patient arrives in the ER with ascending paralysis. What do you suspect? Guillain-Barre Syndrome A patient arrives in the ER with a diagnosis of Guillain-Barre Syndrome. As the nurse, you monitor for which complication due to ascending paralysis? Respiratory problems What time of illness is believed to contribute to developing Guillain-Barre Syndrome? Ebstein-Barr virus A patient is experiencing a seizure that lasts longer than 5 minutes. What is this called and what type of medication do you expect to give? Status Epilepticus; Benzodiazepine A patient with a history of seizures is prescribed Dilantin. What is important patient teaching about this medication? Make regular dental checkups, causes gum overgrowth. A patient is taking seizure medications for 6 months and states "I have not had a seizure since starting this medication." Important patient education: Do not stop the medication. What is the normal phenytoin level? 10-20 A patient is scheduled for an EEG tomorrow morning. The nurse should advise them: No caffeine the night before. A patient with parkinson's disease is prescribed a MAO B inhibitor. Important nursing education: Avoid tyramine: Cured Smoked Pickled Fermented foods Processed meats A patient with Parkinson's disease is experiencing bradykinesia. We can assist them with getting up from a chair by: Encourage rocking back and forth A patient comes into the ER with a T6 injury. As the nurse, you know they are at risk for autonomic dysreflexia which can be caused by: Bladder distention, full bowel, wrinkled sheets A nurse can prevent autonomic dysreflexia by: Frequent catheterization