Question 1

The nurse caring for an adult patient on the medical unit who has a seizure will document: (Select all that apply.)

Accepted Answer

A) length of time of seizure. 
B) location of initiation of seizure. 
C) whether movements are unilateral or bilateral. 
D) family's reaction during the seizure. 
E) presence of incontinence. 
A) length of time of seizure. 
B) location of initiation of seizure. 
C) whether movements are unilateral or bilateral. 
D) family's reaction during the seizure. 
E) presence of incontinence.

Question 2

The nurse is providing medication teaching to a patient with epilepsy who is taking an anticonvulsant medication.What should the nurse tell the patient to be sure to avoid?

Accepted Answer

A) Taking alternative herbal remedies 
B) Drinking alcohol 
C) Using over-the-counter cold remedies 
D) Taking diet pills with ephedra 
A) Taking alternative herbal remedies 
B) Drinking alcohol 
C) Using over-the-counter cold remedies 
D) Taking diet pills with ephedra

Question 3

The dysarthric patient seated in the dining room of the long-term care facility yells,"Poon! Poon! Poon!" with increasing frustration.What is the nurse's best response?

Accepted Answer

A) "Slow down, I can't understand what you are saying." 
B) "Are you asking for a spoon?" 
C) "Not being able to speak is frustrating." 
D) "If you tell me what you want, I will get it." 
A) "Slow down, I can't understand what you are saying." 
B) "Are you asking for a spoon?" 
C) "Not being able to speak is frustrating." 
D) "If you tell me what you want, I will get it."

Question 4

Following a craniotomy for the removal of a brain tumor,the patient exhibits nuchal rigidity,rash on the chest,headache,and a positive Brudzinski sign.What do these assessment findings indicate to the nurse?

Accepted Answer

A) Intracranial bleeding 
B) Encephalitis 
C) Increasing intracranial pressure 
D) Meningitis 
A) Intracranial bleeding 
B) Encephalitis 
C) Increasing intracranial pressure 
D) Meningitis

Question 5

The patient with a right-sided paralysis from a stroke becomes frustrated with attempting to self-feed.He throws the spoon at the nurse and begins to cry.What nursing actions would be best? (Select all that apply.)

Accepted Answer

A) Retrieve the spoon and sit quietly for a few seconds. 
B) Touch the patient and inquire if he would rather have a high-protein milkshake for his meal. 
C) Remind the patient that such behavior is not acceptable. 
D) Add an intervention to the NCP for increased support with self-feeding. 
E) Complete an incident report. 
A) Retrieve the spoon and sit quietly for a few seconds. 
B) Touch the patient and inquire if he would rather have a high-protein milkshake for his meal. 
C) Remind the patient that such behavior is not acceptable. 
D) Add an intervention to the NCP for increased support with self-feeding. 
E) Complete an incident report.

Question 6

The patient with brain tumor-related hydrocephalus is to have a ventriculoperitoneal (V-P)shunt.The nurse explains that this surgical intervention will:

Accepted Answer

A) redirect the cerebrospinal fluid from the ventricles to the peritoneum. 
B) stimulate ventricles to reabsorb excess cerebrospinal fluid. 
C) channel excess cerebrospinal fluid to the left atrium. 
D) provide a port from which excess cerebrospinal fluid can be aspirated. 
A) redirect the cerebrospinal fluid from the ventricles to the peritoneum. 
B) stimulate ventricles to reabsorb excess cerebrospinal fluid. 
C) channel excess cerebrospinal fluid to the left atrium. 
D) provide a port from which excess cerebrospinal fluid can be aspirated.

Question 7

The nurse is assessing a patient on IV phenytoin (Dilantin).Which assessment finding is the nurse concerned with?

Accepted Answer

A) BP 138/86 
B) Frequent hiccups 
C) Irregular apical pulse 
D) Nausea and vomiting 
A) BP 138/86 
B) Frequent hiccups 
C) Irregular apical pulse 
D) Nausea and vomiting

Exam 24: Care of Patients With Disorders of the Brain

The nurse caring for an adult patient on the medical unit who has a seizure will document: (Select all that apply.)

The nurse is providing medication teaching to a patient with epilepsy who is taking an anticonvulsant medication.What should the nurse tell the patient to be sure to avoid?

The dysarthric patient seated in the dining room of the long-term care facility yells,"Poon! Poon! Poon!" with increasing frustration.What is the nurse's best response?

Following a craniotomy for the removal of a brain tumor,the patient exhibits nuchal rigidity,rash on the chest,headache,and a positive Brudzinski sign.What do these assessment findings indicate to the nurse?

The patient with a right-sided paralysis from a stroke becomes frustrated with attempting to self-feed.He throws the spoon at the nurse and begins to cry.What nursing actions would be best? (Select all that apply.)

The patient with brain tumor-related hydrocephalus is to have a ventriculoperitoneal (V-P)shunt.The nurse explains that this surgical intervention will:

The nurse is assessing a patient on IV phenytoin (Dilantin).Which assessment finding is the nurse concerned with?

Caring for Medical surgical Patients

Critical Thinking and Nursing Process

Fluid, electrolytes, acid-base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Surgical Patients

Infection Prevention and Control

Care of Patients With Pain

Care of Patients With Cancer

Chronic Illness and Rehabilitation

the Immune and Lymphatic Systems

Care of Patient With Hiv/aids

Care of Patients With Immune and Lymphatic Disorders

the Respiratory System

Care of Patients With Disorders of the Upper Respiratory System

Care of Patients With Disorders of the Lower Respiratory System

the Hematologic System

Care of Patients With Hematologic Disorders

the Cardiovascular System

Care of Patients With Hypertension and Peripheral Vascular Disease

Care of Patients With Cardiac Disorders

Care of Patients With Coronary Artery Disease and Cardiac Surgery

the Neurologic System

Care of Patients With Head and Spinal Cord Injuries

Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders

the Sensory System: Eye and Ear

Care of Patients With Disorders of the Eyes and Ears

the Gastrointestinal System

Care of Patients With Disorders of the Upper Gastrointestinal System

Care of Patients With Disorders of the Lower Gastrointestinal System

Care of Patients With Disorders of the Gallbladder,liver,and Pancreas

the Musculoskeletal System

Care of Patients With Musculoskeletal and Connective Tissue Disorders

the Urinary System

Care of Patients With Disorders of the Urinary System

the Endocrine System

Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

Care of Patients With Diabetes and Hypoglycemia

Care of Women With Reproductive Disorders

Care of Men With Reproductive Disorders

Care of Patients With Sexually Transmitted Infections

the Integumentary System

Care of Patients With Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients With Trauma or Shock

Care of Patients With Anxiety, mood, and Eating Disorders

Care of Patients With Substance Abuse Disorders

Care of Patients With Cognitive Disorders

Care of Patients With Thought and Personality Disorders

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