Ch. 36: The Brain Flashcards
The nurse is providing health teaching about risk factors for Alzheimer’s disease. Which risk factors would the nurse include in the teaching?
a. spinal core injury
b. atrial fibrillation
c. peptic ulcer disease
d. traumatic brain injury
d. traumatic brain injury
The nurse is caring for a client with early-stage Alzheimer’s disease. What nursing action is most appropriate when caring for this client?
a. use vasodilation therapy
b. provide a structured environment
c. give a cholinesterase inhibitor
d. refer the client to the social worker
b. provide a structured environment
The nurse is teaching a client, newly diagnosed with migraines, about trigger control. What statement made by the client indicates understanding of the teaching?
a. I can still eat Chinese food
b. It is okay to drink a few wine coolers
c. I should not miss any meals
d. I need to use artificial sweeteners in my coffee.
c. I should not miss any meals
A client with Parkinson’s disease reports having auditory hallucinations. What drug would the nurse anticipate may be prescribed to client?
a. phenytoin
b. levodopa
c. ubrogepant
d. pimavanserin
d. pimavanserin
The nurse is teaching a family caregiver how to promote communication with a client who has Alzheimer’s disease. Which statement by the caregiver indicates a need for further teaching?
a. I will ask simple, direct questions that require yes or no answers
b. I will use hand and facial gestures to help with understanding what is said
c. I will assume the client cannot understand any communication
d. I will limit choices for the client to prevent frustration
c. I will assume that the client cannot understand any communication
The nurse is planning health teaching for a client who has Parkinson’s disease and family about rasagiline. Which instruction is a priority before the client begins this drug?
a. avoid foods, drinks, and drugs that contain thymine such as cheese
b. be aware that the client may experience cognitive impairment
c. long term use of this drug may cause psychotic behaviors
d. your provider may also prescribe levodopa for you
a. avoid foods, drinks, and drugs that contain tyramine such as cheese
A client with newly diagnosed migraines is being discharged with the prescription for sumatriptan. Which statement by the client indicates an understanding of the nurses discharge instructions?
a. birth control is not needed while taking sumatriptan
b. i will report any chest pain right away
c. st. john’s wort can also be taken to help my symptoms
d. sumatriptan can be taken as a last resort
b. i will report any chest pain right away
The nurse is admitting a client with the history of seizures when the client suddenly begins to seize. What would the nurse do next?
a. document the length and time of the seizure
b. place a tongue blade in the mouth
c. position the client on the side
d. restrain the client
c. position the client on the side
A client is admitted with bacterial meningitis. Which nursing and intervention is the priority for this client?
a. assess neurologic status at least every 2 to 4 hours
b. decrease environmental stimuli
c. manage pain through drug and non drug methods
d. monitor hourly intake and output
a. assess neurologic status at least every 2 to 4 hours
A client is receiving propranolol as preventive therapy for migraine headaches is experiencing side effects after taking this drug. Which side effect is of greatest concern to the nurse?
a. dry mouth
b. slow heart rate
c. tingling feelings
d. warm sensation
b. slow heart rate
The nurse is caring for a client diagnosed with vascular dementia. The nurse recognizes that which health problems is associated with this type of dementia?
a. epilepsy
b. meningitis
c. stroke
d. migraines
c. stroke
A client has been admitted with new-onset status epileptics. Which seizure precautions would the nurse implement?
a. padded tongue blade at the bedside
b. intravenous access
c. moderate sedation
d. suction equipment at the bedside
e. side rails raised
b, d, e
The nurse is caring a client who is diagnosed with middle stage Alzheimer’s disease. What assessment findings would the nurse expect? Select all that apply.
a. wandering
b. mild impaired cognition
c. sleeping problems
d. psychoses
e. seizures
f. agnosia
a.c,d,e,f
The nurse is teaching a family caregiver about the need for self-care. Which health teaching statement would the nurse include? Select all that apply.
a. take each day one at a time
b. try to find the positive aspects of each incidents or situation
c. use humor with the person for whom you are caring
d. set aside time each day for rest or recreation away from client, if possible
e. seek respite care periodically for longer periods of time
f. use relaxation techniques including meditation and massage
all of the above
