NR 304 EXAM 7 ALL QUESTIONS WITH CORRECT
ANSWERS
A patient who has been taking bromocriptine (Parlodel) and benztropine
(Cogentin) for Parkinson's disease is experiencing a worsening of symptoms.
The nurse will anticipate that patient may benefit from
Use of levodopa (L-dopa)-carbidopa (Sinemet).
Rationale: After the dopamine receptor agonists begin to fail to relieve symptoms,
the addition of L-dopa with carbidopa can be added to the regimen
The client is eating a soft diet while recovering from a stroke. The client
reports food accumulating in the cheek of the affected side. What is the
nurse's best response?
"Let's see if the speech-language pathologist can help."
Which are risk factors for stroke? Select all that apply.
a. High blood pressure
b. Previous stroke or transient ischemic attack (TIA)
c. Smoking
d. Use of oral contraceptives
e. Female gender
a. High blood pressure
b. Previous stroke or transient ischemic attack (TIA)
c. Smoking
d. Use of oral contraceptives
The client has been admitted with a diagnosis of cerebrovascular incident. The
nurse suspects that the client has had a right hemisphere stroke because the
client exhibits which symptoms?
a. Aphasia and cautiousness
b. Impulsiveness and smiling
c. Inability to discriminate words
d. Quick anger and frustration
, b. Impulsiveness and smiling
Which statement indicates that the family has a good understanding of the
changes in motor movement associated with Parkinson's disease?
"I can offer smaller meals with bite-size portions and a liquid supplement."
For which side effects in the client with Parkinson's disease who has been
taking a combination carbidopa-levodopa drug (Sinemet) for 3 years will the
nurse monitor?
Abnormal movements
Following 3 or more years of treatment, about one third of clients develop involuntary
movements that are thought to be treatment-related.
Which teaching intervention is most appropriate for the client with Parkinson's
disease?
Fall precautions
Rigidity in movement increases the risk of falls.
Which nursing intervention will assist in preventing respiratory complications
in the client with Parkinson's disease?
Elevation of the back rest will help prevent aspiration.
Maintaining the back rest elevation at greater than 30 degrees
In planning discharge for the client with Parkinson's disease, the nurse
collaborates with the physical therapist for which outcome?
Maintaining physical strength and mobility
The nurse correlates which pathophysiologic process to the client with a
diagnosis of multiple sclerosis (MS)?
Damage to the myelin sheath causes an inflammatory response.
Which clinical manifestations would serve to alert the nurse to the early onset
of MS?
Nystagmus and ataxia
Early signs and symptoms of MS include changes in motor skills, vision, and
sensation.
ANSWERS
A patient who has been taking bromocriptine (Parlodel) and benztropine
(Cogentin) for Parkinson's disease is experiencing a worsening of symptoms.
The nurse will anticipate that patient may benefit from
Use of levodopa (L-dopa)-carbidopa (Sinemet).
Rationale: After the dopamine receptor agonists begin to fail to relieve symptoms,
the addition of L-dopa with carbidopa can be added to the regimen
The client is eating a soft diet while recovering from a stroke. The client
reports food accumulating in the cheek of the affected side. What is the
nurse's best response?
"Let's see if the speech-language pathologist can help."
Which are risk factors for stroke? Select all that apply.
a. High blood pressure
b. Previous stroke or transient ischemic attack (TIA)
c. Smoking
d. Use of oral contraceptives
e. Female gender
a. High blood pressure
b. Previous stroke or transient ischemic attack (TIA)
c. Smoking
d. Use of oral contraceptives
The client has been admitted with a diagnosis of cerebrovascular incident. The
nurse suspects that the client has had a right hemisphere stroke because the
client exhibits which symptoms?
a. Aphasia and cautiousness
b. Impulsiveness and smiling
c. Inability to discriminate words
d. Quick anger and frustration
, b. Impulsiveness and smiling
Which statement indicates that the family has a good understanding of the
changes in motor movement associated with Parkinson's disease?
"I can offer smaller meals with bite-size portions and a liquid supplement."
For which side effects in the client with Parkinson's disease who has been
taking a combination carbidopa-levodopa drug (Sinemet) for 3 years will the
nurse monitor?
Abnormal movements
Following 3 or more years of treatment, about one third of clients develop involuntary
movements that are thought to be treatment-related.
Which teaching intervention is most appropriate for the client with Parkinson's
disease?
Fall precautions
Rigidity in movement increases the risk of falls.
Which nursing intervention will assist in preventing respiratory complications
in the client with Parkinson's disease?
Elevation of the back rest will help prevent aspiration.
Maintaining the back rest elevation at greater than 30 degrees
In planning discharge for the client with Parkinson's disease, the nurse
collaborates with the physical therapist for which outcome?
Maintaining physical strength and mobility
The nurse correlates which pathophysiologic process to the client with a
diagnosis of multiple sclerosis (MS)?
Damage to the myelin sheath causes an inflammatory response.
Which clinical manifestations would serve to alert the nurse to the early onset
of MS?
Nystagmus and ataxia
Early signs and symptoms of MS include changes in motor skills, vision, and
sensation.
