Deck 43: Nursing Care of People With Neurologic Disorders

Question 1

A person with Guillain-Barré syndrome asks if they will get better. What is the nurse's best response?

A)'Recovery will be slow, but your chance of getting better is good.'
B)'Full recovery is not likely.'
C)'The disease usually progresses rapidly.'
D)'It takes many years to get over the disease.'

Answer 1

'Recovery will be slow, but your chance of getting better is good.'

Question 2

Huntington's disease has no cure and causes progressive chorea, speech problems, and dementia. When teaching the newly-diagnosed person about the disease, the person asks the nurse whether it can be passed on to future children. What is the nurse's best response?

A)'Your sons have a 50% chance of inheriting the gene.'
B)'There may be genetic concerns that should be discussed with the doctor.'
C)'The disease is passed on genetically in 75% of offspring.'
D)'Your children will not be affected by the disease.'

Answer 2

'There may be genetic concerns that should be discussed with the doctor.'

Question 3

A test that is used to diagnose myasthenia gravis (MG)is ordered by the doctor. Because the test involves the injection of a drug that makes muscle strength improve for about five minutes, the nurse realises that this test likely is:

A)an analysis of antiacetylcholine receptor antibodies.
B)a nerve stimulation study.
C)a magnetic resonance imaging (MRI)of the legs.
D)a Tensilon test.

Answer 3

a Tensilon test.

Question 4

A person who was diagnosed with Parkinson's disease is demonstrating akinesia. What action is the nurse most likely to observe with this person?

A)Slowed or delayed movement.
B)Hyperactive speech.
C)Decreased sweating.
D)Increased eye movements.

Question 5

The nurse is having a conversation with an older adult with Parkinson's disease. Which of the following would this person most likely exhibit during a conversation with the nurse?

A)Bubbly, spirited discussion.
B)Difficulty in maintaining a coherent conversation.
C)Angry, loud talk.
D)A low-pitched, monotone voice.

Question 6

A 30-year-old nurse who works on a busy medical-surgical unit has been diagnosed with multiple sclerosis (MS). What is the priority for this person?

A)Leave employment as a nurse due to the need for complete bed rest.
B)Negotiate a regular schedule of working 8-hour dayshifts and consider applying for nursing positions that are less stressful and demanding.
C)Continue to work as scheduled without making changes for as long as possible.
D)Work as hard as possible to slow down progression of the condition.

Question 7

A person is admitted to the hospital with a suspected case of botulism. The nurse realises that the botulism infection was likely caused by which of the following scenarios? The person:

A)had a dirty wound that developed this toxin.
B)caught the disease from close contact with an infected person.
C)ate food contaminated with the toxin.
D)contracted the disease through contaminated needle sharing.

Question 8

Which medication is likely to be prescribed as part of the treatment for multiple sclerosis (MS)?

A)Rivastigmine tartrate (Exelon).
B)Sodium valproate (Epilim).
C)Azathioprine (Imuran).
D)MAO inhibitors.

Question 9

An adult woman comes to the clinic complaining about repetitive episodes of sudden severe pain on the right side of the face. The nurse expects that the diagnosis will be ________ and the medication treatment will be ________.

A)Trigeminal neuralgia; gabapentin (Neurontin).
B)Guillain-Barré syndrome; penicillin.
C)Parkinson's disease; propranolol (Inderal).
D)Motor neurone disease; paracetamol (Panadol).

Question 10

A surgical option for persons younger than 60 with myasthenia gravis (MG)is thymectomy. Approximately what percentage of persons obtain remission with the surgery?

A)10%.
B)40%.
C)75%.
D)100%.

Question 11

The nurse is assessing a person who was just admitted with the diagnosis Guillain-Barré syndrome. What does the nurse anticipate that the person will exhibit?

A)Inability to change facial expressions.
B)Gastric irritation.
C)Heat intolerance.
D)Confusion.

Question 12

What is the medication used to treat the person with mild to moderate Alzheimer's disease (AD)manifestations?

A)Propranolol (Inderal).
B)Sodium valproate (Epilim).
C)Adrenocorticotropic hormone (ACTH).
D)Rivastigmine tartrate (Exelon).

Question 13

The nurse is caring for an older adult newly diagnosed with Parkinson's disease. What medication does the nurse expect to administer?

A)Glyceryl trinitrate (Anginine).
B)Paracetamol (Panadol).
C)Sodium valproate (Epilim).
D)Levodopa (Leradopa).

Question 14

How is tetanus completely preventable?

A)Passive immunisation.
B)Complete cleansing of all contaminated skin wounds.
C)Administering antibiotics immediately after a dog bite.
D)Active immunisation.

Question 15

An adult has been diagnosed with Bell's palsy. The person asks if the facial paralysis and distortion will go away. What should the nurse answer?

A)'About 80% of people recover completely within a few weeks to a few months, but there can be lasting effects.'
B)'Virtually everyone recovers from Bell's palsy in three to five weeks.'
C)'Most people have intermittent facial paralysis on both sides of the face.'
D)'Most people have permanent facial paralysis on one side of the face.'

Question 16

The nurse is assessing a person with myasthenia gravis. Which of the following is characteristic of this disease?

A)Routine exercise provides an improvement in muscle strength.
B)Great improvement occurs in muscle strength with physical therapy.
C)Diplopia is an early symptom.
D)No improvement occurs in muscle strength with any treatment.

Question 17

The nurse is caring for a person with amyotrophic lateral sclerosis (ALS). What is the prognosis?

A)Excellent. The disease will progress slowly and can be controlled by medication.
B)Good. The disease progresses rapidly, but can be halted by radiotherapy.
C)Poor. The disease progresses rapidly and is fatal.
D)Good. The disease will progress slowly over many years, but the quality of life will be good.

Question 18

Once motor neurone disease is diagnosed, what is the priority nursing activity?

A)Support the person and family to meet physical and psychosocial needs.
B)Assist the person to avoid cardiac complications.
C)Assist the person to adapt to the disease.
D)Monitor for early signs of infection.

Question 19

Postpoliomyelitis syndrome is seen in about 50% of persons who had the poliomyelitis virus many years ago. While the pathophysiology is not understood, what does the nurse anticipate?

A)A new outbreak of polio with the need for a new immunisation program.
B)Working with persons who have polio again.
C)Caring for persons with cold intolerance, joint weakness, pain, urinary incontinence, and sleep disorders.
D)Caring for persons with respiratory complications who must be quarantined.

Question 20

In order to care for adults with Alzheimer's disease (AD), the nurse recognises which of the following as common signs? (Select all that apply.)

A)Obsession with organisation.
B)Problems with language.
C)Inability to be comfortable in social situations.
D)Misplacing things.