*NURSING > EXAM > Chapter 23: Care of Patients with Disorders of the Brain deWit: Medical-Surgical Nursing: Concepts & (All)
Chapter 23: Care of Patients with Disorders of the Brain deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition MULTIPLE CHOICE 1. The nurse is caring for a patient who recently s... uffered a cerebrovascular accident (CVA). Family members ask the nurse why their father had a seizure. Which response is best for the nurse to make? 2. The nurse is providing teaching to a patient newly diagnosed with simple partial seizure disorder. Which statement by the nurse is most accurate? 3. The nurse is caring for an anxious 20-year-old college student who just suffered his first seizure in his dorm room. The patient asks the nurse if he is now an epileptic. What is the nurse’s best response? 4. The nurse instructs a person taking phenytoin (Dilantin) that periodic blood tests will be necessary. The nurse explains that the laboratory checks will monitor for which potential medication-induced change? 5. The nurse is assessing a patient on intravenous (IV) phenytoin (Dilantin). Which assessment finding is most concerning to the nurse? 6. The nurse is providing medication teaching to a patient with epilepsy who is taking phenytoin (Dilantin). Which statement best indicates that the nurse’s teaching has been successful? 7. The nurse reinforces the information given by the physician that endarterectomy as an intervention for stroke prevention is reserved for people who have carotid obstruction of greater than what percentage? 8. 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? 9. The nurse is assisting a patient with agnosia after a CVA. Which intervention is most appropriate? 10. Which nursing intervention best encourages self-feeding in a patient with right-sided paralysis after a CVA? 11. Which symptom is a key sign of a brain tumor? 12. The nurse is caring for a patient with brain tumor–related hydrocephalus who is scheduled to undergo placement of a ventriculoperitoneal (V-P) shunt. Which information is most important for the nurse to include when explaining the purpose of the procedure? 13. 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? 14. The nurse is caring for a patient with bacterial meningitis. What interventions should the nurse include in the plan of care? 15. The patient reports intense intermittent headaches over the last 6 months that are preceded by specific symptoms. What symptom is the patient most likely experiencing? 16. A patient was recently diagnosed as having Bell palsy. Which nursing intervention is most important for the nurse to include in the patient’s care plan? 17. The nurse is writing the care plan for a cerebrovascular accident (CVA) patient who has partial left-sided paralysis and is experiencing ataxia. Which intervention is most beneficial for this patient? 18. The nurse is caring for a stroke patient who is experiencing homonymous hemianopsia. The patient asks if he is going to have any limitations when discharged from the hospital. The nurse anticipates the patient [Show More]
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