MDC 4 FINAL EXAM Complete Questions with 100% Correct Answers

MDC 4 FINAL EXAM Complete Questions with 100% Correct Answers 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 A patient with a spinal cord injury is fitted for a halo device. Important patient teaching: No driving A patient with a spinal cord injury is fitted for a halo device. Important nursing interventions: Assess pins for infection & skin breakdown A patient arrives in the ER with a suspected spinal cord injury due to a motor vehicle accident. Priority nursing intervention: Airway & C-spine control The family of a patient with Alzheimer's disease expresses concerns and feelings of anxiety. Important family education: Redirect & Distract Adult day care Dementia care options What are the 3 components of the glasgow coma scale? Motor, Verbal, Eye What is the range of the glasgow coma scale? 3-15 What type of postering is extended supination with dorsiflexion? Decerebrate What type of postering is flexion with plantar flexion? Decorticate What is the priority assessment question after a thrombolytic stroke? How long ago was the patient last seen normal? (Time) A patient arrives in the ER with a suspected stroke. Important nursing assessment for first 24 hours: Pupil checks A patient arrives to the ER after having a stroke. What are safe feeding interventions? Tuck the chin Sit up for meals Place food on unaffected side A patient arrives to the ER with complaints of the "worst headache they have ever experienced." What type of stroke would you suspect? Hemmorhagic Hemianopsia mealtime nursing interventions: Rotate plate into their field of vision. Nursing intervention to decrease ICP while repositioning patient: HOB elevated A patient with a head injury arrives to the ER with clear drainage from nose/ears. You suspect it is cerebral spinal fluid. What are the common CSF Characteristics: Glucose Yellow halo Following a traumatic brain injury, what is the goal for the patient with rehab? Have the patient participate in the rehab process. Myasthenia Gravis: medication patient education: Eat after medications Adhere to strict medication schedule In addition to viruses, a contributing factor to Guillain-Barre Syndrome is: