NURSING > EXAM > A Retention 4- Sensory and Neuro-graded exam (All)

A Retention 4- Sensory and Neuro-graded exam

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A hospitalized patient complains of a moderate bilateral headache that radiates from the base of the skull. Which of the following medications ordered on a PRN basis for the patient should the nurse administer initially? A. Lorazepam (Ativan) B. Acetaminophen (Tylenol) C. Morphine sulfate (Roxanol) D. Butalbital and aspirin (Fiorinal) The health care provider is considering the use of sumatriptan (Imitrex) for a patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider? A. The patient has a history of a recent acute myocardial infarction. B. The patient has had migraine headaches for 30 years. C. The patient has been taking topiramate (Topamax) for 2 months. D. The patient has at least 1 to 2 cups of coffee daily. When teaching the patient with newly diagnosed multiple sclerosis (MS) about the disease, the nurse explains that A. MS is a congenitally acquired illness that causes progressive neurologic deterioration. B. impulses travel too fast over nerves that have lost their myelin coat and cause overstimulation of muscle fibers. C. autoimmune processes cause gradual destruction of the myelin sheath of nerves in the brain and spinal cord. D. antibodies are produced against acetylcholine receptors at the synapse and result in blocked muscle contraction. A 28-year-old woman has had multiple sclerosis (MS) for 3 years and wants to have children before her disease worsens. When she asks about the risks associated with pregnancy, the nurse explains that A. MS is associated with a slightly increased risk for congenital defects. B. symptoms of MS are likely to become worse during her pregnancy. C. women with MS frequently have premature labor. D. MS symptoms may be worse after the pregnancy. A patient with multiple sclerosis (MS) has a nursing diagnosis of urinary retention related to sensorimotor deficits. An appropriate nursing intervention for this problem is to A. decrease fluid intake in the evening. B. teach the patient how to use the Credé method. C. suggest the use of incontinence briefs for nighttime use only. D. assist the patient to the commode every 2 hours during the day. A patient who has been taking bromocriptine (Parlodel) and benztropine (Cogentin) for Parkinson's disease is experiencing a worsening of symptoms. The nurse will anticipate that patient may benefit from A. complete drug withdrawal for a few weeks. B. use of levodopa (L-dopa)-carbidopa (Sinemet). C. withdrawal of anticholinergic therapy. D. increasing the dose of bromocriptine. A patient with Parkinson's disease has decreased tongue mobility and an inability to move the facial muscles. The nurse recognizes that these impairments commonly contribute to the nursing diagnosis of A. disuse syndrome related to loss of muscle control. B. self-care deficit related to bradykinesia and rigidity. C. impaired verbal communication related to difficulty articulating. D. impaired oral mucous membranes related to inability to swallow. A patient has a new prescription for levodopa (L-dopa) to control symptoms of Parkinson's disease. Which assessment data obtained by the nurse may indicate a need for a decrease in the dose? CONTINUED.........

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