Question 1

The home health nurse assesses the patient with Parkinson's disease who has just been placed on carbidopa-levodopa.What side effects should the nurse be alert for when assessing this patient? (Select all that apply.)

Accepted Answer

A)  Urinary retention
B)  Rash
C)  Increased diaphoresis
D)  Orthostatic hypotension
E)  Hematuria A,B,C,D

Question 2

The nurse is preparing a care plan for a person with late-stage Parkinson's disease.What complications should the nurse plan interventions to address? (Select all that apply.)

Accepted Answer

A)  Dysphagia
B)  Hallucinations
C)  Immobility
D)  Insomnia
E)  Urinary incontinence A,C,D,E

Question 3

Two viruses that are especially associated with the etiology of Guillain-Barré syndrome (GBS)are ___________ and ___________.

Accepted Answer

cytomegalovirus,Epstein-Barr virus
Epstein-Barr virus,cytomegalovirus
Cytomegalovirus and Epstein-Barr virus are especially associated with the development of GBS.

Question 4

The nurse is caring for a patient with Huntington's chorea.Which symptoms typically would be seen in the patient with this disease? (Select all that apply.)

Accepted Answer

A)  Fidgeting
B)  Restlessness
C)  Constant movement
D)  Dementia
E)  Difficulty swallowing

Question 5

The caregiver of a patient with Parkinson's disease is concerned with the patient's recent weight loss.What suggestion by the home health nurse will be most helpful to the caregiver in enhancing the patient's nutrition?

Accepted Answer

A)  Provide six mini-meals throughout the day.
B)  Be sure to include milk and cheese daily in the diet.
C)  Limit the fluid intake in order to increase the appetite.
D)  Prepare larger meals of fibrous foods.

Question 6

The nurse explains that multiple sclerosis (MS)is most likely caused by:

Accepted Answer

A)  environmental factors and genetic predisposition.
B)  allergic response to antiviral medications.
C)  autoimmune reaction attacking the myelin.
D)  bacterial infection of the myelin.

Question 7

The nurse is aware that the signs and symptoms of Guillain-Barré syndrome (GBS)occur following a virus infection at about _____ days postinfection.

Accepted Answer

A)  2 to 3
B)  7
C)  10 to 21
D)  30

Question 8

The home health nurse caring for a patient with multiple sclerosis (MS)is planning an exercise program with the patient.Which is the best type of exercise for this patient?

Accepted Answer

A)  Swimming
B)  Progressive walking
C)  Weight training
D)  Isometric exercises

Question 9

The nurse is caring for a patient with Guillain-Barré syndrome.What will be the focus of nursing care? (Select all that apply.)

Accepted Answer

A)  Assessment of advancing paralysis
B)  Provision for ventilation support
C)  Maintenance of adequate nutrition
D)  Prevention of complications of immobility
E)  Assessment of hypertension

Question 10

The nurse encourages the patient with multiple sclerosis (MS)that his disease appears to be the most common type,which is:

Accepted Answer

A)  secondary progressive.
B)  primary progressive.
C)  relapsing-remitting.
D)  relapsing-progressive.

Question 11

The test for the diagnosis of myasthenia gravis in which muscle strength is increased within 1 minute of the injection is the __________ test.

Accepted Answer

The answer of The test for the diagnosis of myasthenia...

Question 12

The nurse is assessing a patient diagnosed with myasthenia gravis.Which symptom would the nurse expect to assess?

Accepted Answer

A)  Ptosis
B)  Tremors of the hands during voluntary movement
C)  Dizziness on sudden movement of the head
D)  Postural hypotension

Question 13

The nurse is educating the family of a patient in the late stages of amyotrophic lateral sclerosis (ALS).What teaching point is most important for the nurse to include?

Accepted Answer

A)  The patient's ability to move the upper limbs may be affected.
B)  The patient's cognitive and mental capacity will most likely remain intact throughout the disease progression.
C)  The patient's breathing should not be affected by the disease.
D)  The patient's ability to swallow will remain intact.

Question 14

The patient with myasthenia gravis asks the nurse if she will be able to use the computer for her job.Which symptom will most affect the patient's ability to use the computer?

Accepted Answer

A)  Ptosis
B)  Diplopia
C)  Dysphagia
D)  Aphasia

Question 15

The nurse is planning care for a patient with Parkinson's disease.Which nursing diagnosis is most appropriate for the patient experiencing bradykinesia?

Accepted Answer

A)  Risk for falls
B)  Impaired swallowing
C)  Acute confusion
D)  Risk for suicide

Question 16

The home care nurse is visiting a patient in the late stages of amyotrophic lateral sclerosis (ALS).Which statement by the patient indicates the acceptance of grief from the condition and prognosis?

Accepted Answer

A)  The patient often cries about his incapacity.
B)  The patient makes jokes about this approaching death.
C)  The patient talks with his family about his desires for his funeral.
D)  The patient begins to sleep for longer periods of time during the day.

Question 17

The nurse outlines nutritional needs for the patient with multiple sclerosis (MS).What interventions should be emphasized for inclusion in the dietary intake? (Select all that apply.)

Accepted Answer

A)  Intake of at least 1500 mL of fluid daily
B)  Inclusion of high-fiber foods
C)  A high carbohydrate level in the diet
D)  Adding calcium and vitamin D
E)  Ensuring a high fat content

Question 18

The student nurse is researching relapsing progressive forms of multiple sclerosis.What characteristics would the student discover as typical of this form of the disease? (Select all that apply.)

Accepted Answer

A)  Steady worsening
B)  Partial remissions
C)  Clear acute relapses
D)  Temporary minor improvements
E)  Long plateau periods

Question 19

The nurse is assessing a patient with Parkinson's disease.What does the nurse anticipate to assess in regard to tremors?

Accepted Answer

A)  Occurring 100% of the time
B)  Decreasing when there is voluntary movement
C)  Being absent when the body is at rest
D)  Characterized by a tonic and clonic muscle activity

Question 20

The technical or vocational nurse agrees that an appropriate nursing diagnosis for a person with Parkinson's disease would be:

Accepted Answer

A)  Risk for falls related to unsteady gait.
B)  Ineffective airway clearance related to drooling.
C)  Risk for impaired skin integrity related to tremor.
D)  Nutrition: less than body requirements related to nausea.

Exam 25: Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders

The home health nurse assesses the patient with Parkinson's disease who has just been placed on carbidopa-levodopa.What side effects should the nurse be alert for when assessing this patient? (Select all that apply.)

The nurse is preparing a care plan for a person with late-stage Parkinson's disease.What complications should the nurse plan interventions to address? (Select all that apply.)

Two viruses that are especially associated with the etiology of Guillain-Barré syndrome (GBS)are _ and _.

The nurse is caring for a patient with Huntington's chorea.Which symptoms typically would be seen in the patient with this disease? (Select all that apply.)

The caregiver of a patient with Parkinson's disease is concerned with the patient's recent weight loss.What suggestion by the home health nurse will be most helpful to the caregiver in enhancing the patient's nutrition?

The nurse explains that multiple sclerosis (MS) is most likely caused by:

The nurse is aware that the signs and symptoms of Guillain-Barré syndrome (GBS) occur following a virus infection at about _____ days postinfection.

The home health nurse caring for a patient with multiple sclerosis (MS) is planning an exercise program with the patient.Which is the best type of exercise for this patient?

The nurse is caring for a patient with Guillain-Barré syndrome.What will be the focus of nursing care? (Select all that apply.)

The nurse encourages the patient with multiple sclerosis (MS) that his disease appears to be the most common type,which is: