NEUROLOGY
NEUROLOGY
The client comes to the emergency department status post fall. The client
is squinting both eyes and reports sudden blurry vision. The nurse is
aware that this deficit reflects injury to which area of the brain? Left-
clicking the mouse will put an X to show the answer before
submitting the question.
|Page1
, NEUROLOGY
The occipital lobe of the brain registers visual images.
Injury to the occipital lobe could result in a deficit with vision.
The nurse should notify the health care provider immediately and
document the finding.
The frontal lobe controls higher-order processing, such as executive
function and personality. Injury to the frontal lobe often results
in behavioral changes.
The temporal lobe integrates visual and auditory input and past
experiences.
The parietal lobe integrates somatic and sensory input.
Educational objective:
The occipital lobe receives visual images.
The frontal lobe controls executive function and personality.
The temporal lobe receives auditory input.
The parietal lobe receives sensory input.
The nurse is caring for a female client newly diagnosed with epilepsy
who has been prescribed phenytoin. Which of the following should the
nurse include in client teaching? Select all that apply.
"Avoid drinking alcoholic beverages."
1.
"Do not abruptly stop taking your phenytoin."
2.
"Go to the emergency department every time a seizure occurs."
3.
"Wear an epilepsy medical identification bracelet."
4.
"You may need to start using a nonhormonal birth control method."
|Page2
, NEUROLOGY
5.
Epilepsy is characterized by chronic seizure activity.
Clients typically require lifelong anticonvulsant medication.
The nurse should provide education about identifying and
avoiding seizure triggers, such as excessive alcohol intake, sleep
deprivation, and stress (Option 1).
Practicing relaxation techniques (eg, biofeedback) may help reduce the
number of episodes.
The client should also be encouraged to wear an epilepsy medical
identification bracelet in case of emergency (Option 4).
Phenytoin (Dilantin), a hydantoin anticonvulsant, may decrease the
effectiveness of some medications (eg, oral contraceptives, warfarin)
due to stimulation of hepatic metabolism.
An alternate, nonhormonal birth control method (eg, condoms, copper
intrauterine device) should be used in addition to or instead of oral
contraceptives (Option 5).
Clients should discuss pregnancy plans with their health care provider, as
phenytoin can cause fetal abnormalities (eg, cleft palate, heart
malformations, bleeding disorders).
Clients taking phenytoin should also receive education about practicing
good oral hygiene as gingival hyperplasia is a potential complication.
Anticonvulsants should not be stopped abruptly, as this increases the
risk of seizure (Option 2).
(Option 3) For a client with epilepsy, it is not necessary to go to an
emergency department after a seizure, unless status epilepticus (ie,
prolonged, repeated seizures) occurs or the client is injured.
Educational objective:
Clients prescribed phenytoin should receive education about the potential
need for nonhormonal birth control as well as the importance of good oral
hygiene and not abruptly stopping anticonvulsants.
Other teaching for epilepsy includes avoiding seizure triggers and
wearing a medical identification bracelet.
|Page3
, NEUROLOGY
Assessment of a client with a history of stroke reveals that the client
understands and follows commands but answers questions with incorrect
word choices. The nurse documents the presence of which
communication deficit?
Aphasia [49%]
1.
Apraxia [23%]
2.
Dysarthria [22%]
3.
Dysphagia [4%]
4.
|Page4
NEUROLOGY
The client comes to the emergency department status post fall. The client
is squinting both eyes and reports sudden blurry vision. The nurse is
aware that this deficit reflects injury to which area of the brain? Left-
clicking the mouse will put an X to show the answer before
submitting the question.
|Page1
, NEUROLOGY
The occipital lobe of the brain registers visual images.
Injury to the occipital lobe could result in a deficit with vision.
The nurse should notify the health care provider immediately and
document the finding.
The frontal lobe controls higher-order processing, such as executive
function and personality. Injury to the frontal lobe often results
in behavioral changes.
The temporal lobe integrates visual and auditory input and past
experiences.
The parietal lobe integrates somatic and sensory input.
Educational objective:
The occipital lobe receives visual images.
The frontal lobe controls executive function and personality.
The temporal lobe receives auditory input.
The parietal lobe receives sensory input.
The nurse is caring for a female client newly diagnosed with epilepsy
who has been prescribed phenytoin. Which of the following should the
nurse include in client teaching? Select all that apply.
"Avoid drinking alcoholic beverages."
1.
"Do not abruptly stop taking your phenytoin."
2.
"Go to the emergency department every time a seizure occurs."
3.
"Wear an epilepsy medical identification bracelet."
4.
"You may need to start using a nonhormonal birth control method."
|Page2
, NEUROLOGY
5.
Epilepsy is characterized by chronic seizure activity.
Clients typically require lifelong anticonvulsant medication.
The nurse should provide education about identifying and
avoiding seizure triggers, such as excessive alcohol intake, sleep
deprivation, and stress (Option 1).
Practicing relaxation techniques (eg, biofeedback) may help reduce the
number of episodes.
The client should also be encouraged to wear an epilepsy medical
identification bracelet in case of emergency (Option 4).
Phenytoin (Dilantin), a hydantoin anticonvulsant, may decrease the
effectiveness of some medications (eg, oral contraceptives, warfarin)
due to stimulation of hepatic metabolism.
An alternate, nonhormonal birth control method (eg, condoms, copper
intrauterine device) should be used in addition to or instead of oral
contraceptives (Option 5).
Clients should discuss pregnancy plans with their health care provider, as
phenytoin can cause fetal abnormalities (eg, cleft palate, heart
malformations, bleeding disorders).
Clients taking phenytoin should also receive education about practicing
good oral hygiene as gingival hyperplasia is a potential complication.
Anticonvulsants should not be stopped abruptly, as this increases the
risk of seizure (Option 2).
(Option 3) For a client with epilepsy, it is not necessary to go to an
emergency department after a seizure, unless status epilepticus (ie,
prolonged, repeated seizures) occurs or the client is injured.
Educational objective:
Clients prescribed phenytoin should receive education about the potential
need for nonhormonal birth control as well as the importance of good oral
hygiene and not abruptly stopping anticonvulsants.
Other teaching for epilepsy includes avoiding seizure triggers and
wearing a medical identification bracelet.
|Page3
, NEUROLOGY
Assessment of a client with a history of stroke reveals that the client
understands and follows commands but answers questions with incorrect
word choices. The nurse documents the presence of which
communication deficit?
Aphasia [49%]
1.
Apraxia [23%]
2.
Dysarthria [22%]
3.
Dysphagia [4%]
4.
|Page4
