Chapter 25 Neurologic Function

Chapter 25  Neurologic Function

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse assesses a client with Parkinson’s disease. Which of the following symptoms are unexpected, requiring immediate follow-up?
A)
Drooling
B)
Hallucinations
C)
Hypoglycemia
D)
Tremors
Ans:
C

Feedback:

Hypoglycemia is not an expected symptom from either Parkinson’s disease or its treatment, and it would require immediate attention. The other symptoms relate to either Parkinson’s disease or its treatment and no immediate follow-up is necessary.

Origin:  Chapter 25- Neurologic Function, 2
Chapter:  25
Client Needs:  D1
Cognitive Level:  Application
Difficulty:  Moderate
Integrated Process:  Nursing process
Objective:  5
Page and Header:  352, Parkinson’s Disease
2.
The nurse plans the care for the hospice client with end-stage Parkinson’s disease. Which of the following symptoms should the nurse expect to incorporate into the nursing care plan?
A)
Bradykinesia
B)
Hemiparesis
C)
Hemiplegia
D)
Visual impairment
Ans:
A

Feedback:

Bradykinesia (slow movement) must be incorporated in a plan of care for the client with end-stage Parkinson’s disease. The others are not common findings with Parkinson’s disease.

Origin:  Chapter 25- Neurologic Function, 3
Chapter:  25
Client Needs:  D1
Cognitive Level:  Application
Difficulty:  Moderate
Integrated Process:  Nursing process
Objective:  7
Page and Header:  344, Preventing Injury
3.
The home care nurse plans the environment of the client with Parkinson’s disease. Which of the following should the environment include?
A)
Brightly colored throw rugs
B)
Electric adjustable bed with side rails
C)
Weight training bench and weights
D)
Shower with nonslip surface and rails
Ans:
D

Feedback:

Tub rails and nonslip tub surfaces are appropriate for clients with Parkinson’s disease. While an adjustable bed may be useful, mobility equipment should be individually decided with input from the occupational and physical therapists.

Origin:  Chapter 25- Neurologic Function, 4
Chapter:  25
Client Needs:  D3
Cognitive Level:  Application
Difficulty:  Moderate
Integrated Process:  Nursing process
Objective:  5
Page and Header:  353, Cerebrovascular Accidents
4.
The nurse monitors a group of older adults exercising at the wellness center. For which of the following new assessment findings should the nurse immediately call first responders?
A)
Inability to speak and imbalance
B)
Muscle spasms and pain
C)
Nausea and lethargy
D)
Tremor in the hands
Ans:
A

Feedback:

New onset of inability to speak and imbalance strongly suggests a cerebrovascular accident or transient ischemic attack. The other symptoms described are symptoms of Parkinson’s disease or diabetes that would not require a 911 call.

Origin:  Chapter 25- Neurologic Function, 5
Chapter:  25
Client Needs:  D4
Cognitive Level:  Application
Difficulty:  Moderate
Integrated Process:  Nursing process
Objective:  4
Page and Header:  350, Box 25-1
5.
The nurse assesses the members of a senior center. For which of the following new findings should the nurse require immediate follow-up by the primary care provider?
A)
Blood pressure of 96/62 mm Hg
B)
Numbness of hands
C)
Urinary incontinence
D)
Opaque sclera
Ans:
B

Feedback:

Numbness and tingling can be a subtle indication or neurologic problems. Blood pressure of 96/62 mm Hg is adequate for perfusion; the other findings can be followed up at a later date.