Exam 58: Chronic Neurologic Problems

A hospitalized patient complains of a bilateral headache (4/10 on the pain scale)that radiates from the base of the skull. Which prescribed PRN medications should the nurse administer initially?

A patient has been taking phenytoin (Dilantin)for 2 years. Which action will the nurse take when evaluating for adverse effects of the medication?

A patient with Parkinson's disease has bradykinesia. Which action will the nurse include in the plan of care?

A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse,"I cannot teach any more. It will be too upsetting if I have a seizure at work." Which response by the nurse specifically addresses the patient's concern?

A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol)150 mg IV. The label on the vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse administer?

Which information about a patient who has a new prescription for phenytoin (Dilantin)indicates that the nurse should consult with the health care provider before administration of the medication?

Which information about a 60-yr-old patient with multiple sclerosis indicates that the nurse should consult with the health care provider before giving the prescribed dose of dalfampridine (Ampyra)?

The health care provider is considering the use of sumatriptan (Imitrex)for a 54-yr-old male patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider?

A 62-yr-old patient who has Parkinson's disease is taking bromocriptine (Parlodel). Which information obtained by the nurse may indicate a need for a decrease in the dosage?

A patient tells the nurse about using acetaminophen (Tylenol)several times every day for recurrent bilateral headaches. Which action will the nurse plan to take first?

Which nursing diagnosis is of highest priority for a patient with Parkinson's disease who is unable to move the facial muscles?

The nurse determines that teaching about management of migraine headaches has been effective when the patient says which of the following?

Which intervention will the nurse include in the plan of care for a patient with primary restless legs syndrome (RLS)who is having difficulty sleeping?

When obtaining a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS),the nurse should

After a thymectomy,a patient with myasthenia gravis receives the usual dose of pyridostigmine (Mestinon). An hour later,the patient complains of nausea and severe abdominal cramps. Which action should the nurse take first?

Which action will the nurse plan to take for a patient with multiple sclerosis who has urinary retention caused by a flaccid bladder?

A patient who has amyotrophic lateral sclerosis (ALS)is hospitalized with pneumonia. Which nursing action will be included in the plan of care?

Which prescribed intervention will the nurse implement first for a patient in the emergency department who is experiencing continuous tonic-clonic seizures?

A 22-yr-old patient seen at the health clinic with a severe migraine headache tells the nurse about having similar headaches recently. Which initial action should the nurse take?

A hospitalized patient with a history of cluster headache awakens during the night with a severe stabbing headache. Which action should the nurse take first?