Chapter 37 Degenerative Neurological Dysfunction: Nursing Management

Chapter 37  Degenerative Neurological Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client is diagnosed with a headache from a secondary cause. The nurse realizes this type of headache can be caused by:
1.
a tumor.
2.
tension.
3.
a migraine.
4.
cluster

ANS: 1
Primary headaches are identified when no organic cause can be found. A tumor headache is caused by a tumor and is classified as a secondary headache.

PTS: 1 DIF: Analyze REF: Headache

2. The nurse should instruct a client diagnosed with migraine headaches to be careful not to overdose on acetaminophen (Tylenol). Which drug should the nurse tell the patient to avoid?
1.
Aleve
2.
Aspirin
3.
Ibuprofen
4.
Vicodin

ANS: 4
Vicodin, although a narcotic analgesic, also contains acetaminophen (Tylenol). It is very easy to overdose on the acetaminophen (Tylenol) component, which can lead to kidney damage. Aleve does not contain acetaminophen (Tylenol). Aspirin and ibuprofen do not contain acetaminophen (Tylenol).

PTS: 1 DIF: Apply REF: Headache: Pharmacology

3. A client is diagnosed with seizures occurring because of hepatic encephalopathy. The nurse realizes that the cause for this client’s seizures would be:
1.
physiological.
2.
iatrogenic.
3.
idiopathic.
4.
psychokinetic.

ANS: 1
The three major causes for seizures are physiological, iatrogenic, and idiopathic. Physiological seizures include those that occur with an acquired metabolic disorder such as hepatic encephalopathy. Iatrogenic causes include new medications or drug or alcohol use. Idiopathic causes include fevers, fatigue, or strong emotions. Psychokinetic is not a cause for seizures.

PTS: 1 DIF: Analyze REF: Table 37-4 Seizure Causes

4. A client tells the nurse that he sees flashing lights that occur prior to the onset of a seizure. Which of the following phases of a seizure is this client describing to the nurse?
1.
Prodromal phase
2.
Aural phase
3.
Ictal phase
4.
Postictal phase

ANS: 2
In the aural phase a sensation or warning occurs, which the patient often remembers. This warning can be visual, auditory, gustatory, or visceral in nature. The prodromal phase of a seizure includes the signs or activity before the seizure such as a headache or feeling depressed. The ictal phase of a seizure is the actual seizure. The postictal phase is the period immediately following the seizure.

PTS: 1 DIF: Analyze REF: Seizures: Assessment with Clinical Manifestations