Exam 55: Nursing Management: Chronic Neurological Problems

The home health registered nurse (RN)is planning care for a patient with a seizure disorder related to a recent head injury.Which nursing action can be delegated to a licensed practical/vocational nurse (LPN/LVN)?

Which information about a 72-year-old 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?

The nurse will assess a 67-year-old patient who is experiencing a cluster headache for

A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol)160 mg IV.The label on the vial reads: methylprednisolone 125 mg in 2 mL.How many mL will the nurse administer?

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

A 62-year-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 dose?

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?

Following a thymectomy,a 62-year-old male 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?

A 64-year-old patient who has amyotrophic lateral sclerosis (ALS)is hospitalized with pneumonia.Which nursing action will be included in the plan of care?

The nurse observes a patient ambulating in the hospital hall when the patient's arms and legs suddenly jerk and the patient falls to the floor.The nurse will first

A 31-year-old woman who has multiple sclerosis (MS)asks the nurse about risks associated with pregnancy.Which response by the nurse is accurate?

A patient with Parkinson's disease is admitted to the hospital for treatment of pneumonia.Which nursing interventions will be included in the plan of care (select all that apply)?

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

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

A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet)for Parkinson's disease.Which information is most important for the nurse to report to the health care provider?

A 27-year-old patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit.Which equipment should the nurse have available in the patient's assigned room (select all that apply)?