Exam 22: The Neurologic System

An older client is demonstrating signs of a brain attack. What will the nurse do to assess the degree of cerebral infarct?

Which assessment finding places an older patient at the greatest risk factor for the development of Alzheimer's disease?

An older client with moderate stage dementia frequently cannot remember which room he is assigned in a long-term care facility. Which nursing intervention would help this client?

An older client is being evaluated for frontotemporal dementia. Of the following, which manifestation would be present to make this diagnosis?

The nurse is preparing an educational session on vascular dementia for a group of senior citizens. He wants to include information on factors that can potentially reduce the risk of this type of dementia. What information would be important for the nurse to provide to these participants? Select all that apply.

An older client with mild Alzheimer's disease abruptly stops taking the prescribed medication donepezil (Aricept). When assessing the patient for withdrawal symptoms of the the sudden discontinuation of the medication, on which area should the nurse focus?

An older patient begins to experience status epilepticus. Which action will the nurse take to help this patient?

An older patient is diagnosed with early-mild Alzheimer's disease. Which should be done at the time of diagnosis?

The nurse suspects an older client is having a grand mal seizure. What is the nurse's highest priority?

The nurse is preparing an educational session on stroke prevention for a group of senior citizens. What information would be important for the nurse to provide to these participants? Select all that apply.

A care conference is being held with the family of an older patient in the late stages of Alzheimer's disease. The family wants to know if a feeding tube should be placed. How should this question be answered?

The nurse suspects that an older client is experiencing Parkinson's disease. What did the nurse observe in this patient? Select all that apply.

An older client is being evaluated for delirium. Of the following, which is not a manifestation typically used to make a diagnosis of this disorder?

An older patient with Alzheimer's disease has a feeding tube. The family wants to know if the patient will ever be able to eat solid food again. What information should the nurse include when responding to this family's question?

An older client with Alzheimer's disease has wandered away from the home several times. What can the nurse suggest that the spouse do to reduce the client's risk for wandering? Select all that apply.

After a neurologic assessment, the nurse determines that an older patient is exhibiting normal signs of aging. What did the nurse assess in this patient? Select all that apply.

An older patient is being evaluated for dementia. What manifestations need to be present to diagnose this disorder? Select all that apply.

An older client with advanced Alzheimer's disease is being treated for pneumonia. The daughter is not sure if resuscitation efforts should be a part of the plan of care. What information should the nurse provide to the daughter?

What should the nurse teach the family of an older patient with Alzheimer's disease to help with spatial disorientation? Select all that apply.

An older client is prescribed gabapentin (Neurontin) for a seizure disorder. When instructing the client on this medication, which common side effects should the nurse include? Select all that apply.