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.

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

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."

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

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.

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.

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

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?