Deck 36: Coordinating Care for Patients With Brain Disorders

Question 1

The nurse is preparing material for a community health fair. What should the nurse identify as being the most common type of headache in adults?
1)Mixed
2)Cluster
3)Tension
4)Migraine

Answer 1

3

Question 2

The nurse monitors for which clinical manifestations in the patient diagnosed with a left temporal node brain tumor?
1)Sensory loss
2)Motor weakness
3)Expressive speech difficulty
4)Comprehensive speech difficulty

Answer 2

4

Question 3

It is believed that a patient's migraine headaches are caused by vascular constriction. The nurse correlates the action of which medication is indicated for this patient?
1)Citalopram (Celexa)
2)Imipramine (Tofranil)
3)Amlodipine (Norvasc)
4)Lamotrigine (Lamictal)

Answer 3

3

Question 4

A patient is diagnosed with a continuous headache syndrome. The nurse recognizes which treatment is indicated for this patient?
1)Antibiotics
2)Diuretic therapy
3)Intravenous fluids
4)Sodium restriction

Question 5

A patient with a seizure disorder asks the purpose of staying awake all night before having an electroencephalogram (EEG) in the morning. What should the nurse explain to this patient?
1)"You will be expected to sleep during the test."
2)"Most people with seizure disorders receive too much sleep."
3)"This is the only way to confirm that you really have a seizure disorder."
4)"Sleep deprivation can cause a seizure, which will be helpful during the test."

Question 6

In providing care to a patient with encephalitis, the nurse recognizes that which medication is indicated to treat this disorder?
1)Antiviral
2)Antibiotic
3)Antiemetic
4)Antiseizure

Question 7

A patient returns to the community clinic after being diagnosed with Parkinson's disease. What should the nurse expect to see documented in the patient's medical record to support this diagnosis?
1)Rigidity with ambulation
2)Unremarkable electroencephalogram
3)Results of basic metabolic panel and complete blood count (CBC)
4)Integrity of cerebral vessels after a cerebral angiogram

Question 8

The nurse is planning care for a patient with meningitis. What teaching material does the nurse prepare to explain prescribed treatments for this disorder?
1)Long-term glucocorticoid therapy
2)Diuretic therapy
3)Over-the-counter analgesics
4)Long-term antibiotic therapy

Question 9

The nurse is preparing medications for a client with encephalitis. Which medication does the nurse question before administering?
1)Furosemide (Lasix)
2)Phenytoin (Dilantin)
3)Docusate sodium (Colace)
4)Prochlorperazine (Compazine)

Question 10

A patient with Parkinson's disease is prescribed carbidopa/levodopa (Sinemet). Which clinical manifestation should the nurse expect to be most affected with this medication?
1)Tremors
2)Mood instability
3)Impaired balance
4)Behavioral changes

Question 11

A patient with meningitis is prescribed a cooling blanket. Which explanation does the nurse provide to the patient regarding this treatment?
1)Relieves pain
2)Increases cerebral venous outflow
3)Decreases oxygen demand in the brain
4)Reduces the transmission of the infection

Question 12

The nurse monitors for which clinical manifestations in the patient diagnosed with Parkinson's disease?
1)Photophobia
2)Nuchal rigidity
3)Bradykinesia
4)Decreased level of consciousness

Question 13

The nurse teaches a patient who is prescribed carbamazepine (Tegretol) for the treatment of seizure activity. Which patient statement indicates a need for additional teaching?
1)"I will have blood drawn to monitor my liver function."
2)"I can crush the pill and eat it in applesauce because it is so big."
3)"I might experience blurred vision because of this medication."
4)"I will get up slowly if I experience dizziness while on this medication."

Question 14

The nurse is admitting a patient experiencing photophobia and nuchal rigidity secondary to potential meningitis. The nurse correlates that findings from which diagnostic test will best confirm this diagnosis?
1)Lumbar puncture
2)Evoked potentials
3)Computed tomography (CT) scan with contrast
4)Electroencephalogram

Question 15

The nurse is planning discharge instructions for a patient recovering from surgery to debulk a brain tumor. What is the rationale for teaching the patient about self-monitoring of capillary blood glucose level?
1)Taking steroid medication
2)Risk for increased serum glucose as a result of radiation therapy
3)Interruption of glucose regulation in the brain
4)Alteration in oral intake from chemotherapy

Question 16

During a home visit the nurse considers physical therapy for a patient recovering from encephalitis. What would be the best explanation for this referral?
1)Rehabilitation from hemiparesis
2)Deconditioning from extended bedrest
3)Improve use of limbs because of paresthesias
4)Improve balance because of cerebellum dysfunction

Question 17

During morning care a patient with a seizure disorder asks why the room has suddenly turned green. What should the nurse do?
1)Ask the patient to explain.
2)Prepare for a seizure to begin.
3)Turn on the overhead room lights.
4)Document visual hallucinations.

Question 18

A patient has been experiencing a tonic-clonic seizure for 5 minutes. What should the nurse do first?
1)Assess carotid pulse.
2)Prepare to insert an airway.
3)Provide rescue breathing.
4)Insert an intravenous access line.

Question 19

Which statement by the patient recently diagnosed with a meningioma indicates understanding of the diagnosis?
1)"This is the worst type of brain tumor, and surgery is not an option."
2)"My tumor can be removed, but I can still have damage because of pressure in my brain."
3)"Even after the surgery, I will need chemotherapy to decrease the spread of the tumor."
4)"Radiation is never used on brain tumors because of possible nerve damage."

Question 20

The nurse correlates which data as placing a patient at risk for experiencing a metabolic seizure?
1)Serum magnesium 3.2 mg/dL
2)Serum calcium 14 mg/dL
3)Serum potassium 3.2 mEq/L
4)Serum sodium 115 mEq/L

Question 21

A patient comes to the community clinic complaining of having a fever. Which clinical manifestations does the nurse correlate with a possible diagnosis of meningitis? Select all that apply.
1)Eye tearing
2)Photophobia
3)Opisthotonos
4)Nuchal rigidity
5)Auditory hallucinations

Question 22

A patient is suspected of having Alzheimer's disease. The nurse correlates the results from which diagnostic evaluation to a presumptive diagnosis of this disorder?
1)Echocardiogram
2)Cerebral angiogram
3)Serum medication levels
4)History and physical examination

Question 23

The nurse suspects that a patient is in the premonitory phase of a migraine headache. What findings did the nurse use to make this clinical decision? Select all that apply.
1)Yawning
2)Confusion
3)Food cravings
4)Flashing lights
5)Increased urine output

Question 24

The nurse monitors for which clinical manifestation as indication that a patient's Alzheimer's disease is progressing?
1)Inability to recall the word for "car"
2)Misplacement of health insurance cards
3)Unable to find sweater in the waiting room
4)Leaving the practitioner's office without taking prescriptions

Question 25

A patient with a seizure disorder is prescribed a 1,900-calorie ketogenic diet of which 80% should be consumed as fat. How many calories should the patient consume as fat? Record your answer as a whole number. _____

Question 26

The staff development trainer is preparing orientation materials for new staff hired to care for patients with seizure disorders. Which data are included in this presentation? Select all that apply.
1)Absence seizures usually last 1 to 3 hours.
2)Atonic seizures are loss of motor tone after a few seconds of clonic activity.
3)Myoclonic seizures involve sudden brief, involuntary contractions.
4)Tonic seizures are sustained muscle contractions lasting a few seconds to minutes.
5)Tonic-clonic seizures include rigidity followed by jerking movements.

Question 27

In monitoring a patient recovering from a craniotomy for treatment of a brain tumor, which assessment findings require the nurse to notify the surgeon? Select all that apply.
1)Heart rate 52 bpm
2)Temperature 99.2°F
3)Respiratory rate 10 and irregular
4)Urine output 200 mL over 4 hours
5)Systolic blood pressure 198 mm Hg

Question 28

During morning rounds, the nurse notes that the unlicensed assistive personnel is assisting a patient with Parkinson's disease with breakfast. Which observation requires an immediate intervention?
1)Patient sitting out of bed in a chair
2)Head of the bed raised to 30 degrees
3)Thickener added to liquid menu items
4)Oral suction catheter equipment turned on

Question 29

The nurse provides care to a patient who is diagnosed with Parkinson's disease (PD). Which patient data support the implementation of fall precautions in the plan of care? Select all that apply.
1)Rigidity
2)Tremors
3)Mask-like face
4)Difficulty swallowing
5)Orthostatic hypotension

Question 30

The nurse monitors for which clinical manifestations of increased intracranial pressure in the patient diagnosed with a brain tumor? Select all that apply.
1)Ataxia
2)Papilledema
3)Diarrhea
4)Vomiting
5)Headache

Question 31

During a home visit the nurse is concerned that the patient with Alzheimer's disease is deteriorating. What patient observation caused the nurse to have this concern?
1)Sitting in a chair watching a television program
2)Staying away from the door leading to the backyard
3)No recognition of bowel incontinence during the visit
4)Eating cheese and crackers placed on a table near the living room chair