Tiêu đề EVAL EXAM - NEURO (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 2 | B. acetaminophen (Tylenol) C. ibuprofen (Motrin, Advil) D. diphenhydramine (Benadryl) 15. After receiving change-of-shift report on the following four patients, which patient should the nurse see first? A. A patient who has atrial fibrillation and a new order for warfarin (Coumadin) B. A patient who experienced a transient ischemic attack yesterday who has a dose of aspirin due C. A patient with a subarachnoid hemorrhage 2 days ago who has nimodipine (Nimotop) scheduled D. A patient with right-sided weakness who has an infusion of tPA prescribed 16. A patient has a tonic-clonic seizure while the nurse is in the patients room. Which action should the nurse take? A. Insert an oral airway during the seizure to maintain a patent airway. B. Restrain the patients arms and legs to prevent injury during the seizure. C. Avoid touching the patient to prevent further nervous system stimulation. D. Time and observe and record the details of the seizure and postictal state. 17. When assessing a patient with a possible stroke, the nurse finds that the patient's aphasia started 3.5 hours previously and the blood pressure is 170/92 mm Hg. Which of these orders by the health care provider should the nurse question? A. Titrate labetolol (Normodyne) drip to keep BP less than 140/90 mm Hg. B. Infuse normal saline at 75 mL/hr. C. Keep head of bed elevated at least 30 degrees. D. Administer tissue plasminogen activator (tPA) per protocol. 18. A patient with sudden-onset right-sided weakness has a CT scan and is diagnosed with an intracerebral hemorrhage. Which information about the patient is most important to communicate to the health care provider? A. The patients speech is difficult to understand. B. The patients blood pressure is 144/90 mm Hg. C. The patient takes a diuretic because of a history of hypertension. D. The patient has atrial fibrillation and takes warfarin (Coumadin). 19. The nurse is caring for a patient with carotid artery narrowing who has just returned after having left carotid artery angioplasty and stenting. Which assessment information is of most concern to the nurse? A. The pulse rate is 104 beats/min. B. The patient has difficulty talking. C. The blood pressure is 142/88 mm Hg. D. There are fine crackles at the lung bases. 20. A patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first? A. Check the respiratory rate. B. Monitor the blood pressure. C. Send the patient for a CT scan. D. Obtain the Glasgow Coma Scale score. 21. A patient with a stroke has progressive development of neurologic deficits with increasing weakness and decreased level of consciousness (LOC). Which nursing diagnosis has the highest priority for the patient? A. Impaired physical mobility related to weakness B. Disturbed sensory perception related to brain injury C. Risk for impaired skin integrity related to immobility D. Risk for aspiration related to inability to protect airway 22. After teaching a patient about management of migraine headaches, the nurse determines that the teaching has been effective when the patient says, A. I will take the (Topamax) as soon as any headaches start. B. I will try to lie down someplace dark and quiet when the headaches begin. C. I should avoid taking aspirin and sumatriptan (Imitrex) at the same time. D. A glass of wine might help me relax and prevent headaches from developing. 23. The nurse obtains all of the following information about a 65-year-old patient in the clinic. When developing a plan to decrease stroke risk, which risk factor is most important for the nurse to address? A. The patient has a daily glass of wine to relax. B. The patient is 25 pounds above the ideal weight. C. The patient works at a desk and relaxes by watching television. D. The patients blood pressure (BP) is usually about 180/90 mm Hg. 24. A patient found in a tonic-clonic seizure reports afterward that the seizure was preceded by numbness and tingling of the arm. The nurse knows that this finding indicates what type of seizure? A. Partial B. Absence C. Myoclonic D. Atonic 25. Following a thymectomy, a patient with myasthenia gravis receives the usual dose of pyridostigmine(Mestinon). An hour later, the patient complains of nausea and severe abdominal cramps. Which action should the nurse take first? A. Auscultate the patients bowel sounds. B. Notify the patients health care provider. C. Administer the prescribed PRN antiemetic drug. D. Give the scheduled dose of prednisone (Deltasone). 26. Which action will the nurse take when evaluating a patient who is taking phenytoin (Dilantin) for adverse effects of the medication? A. Listen to the lung sounds. B. Auscultate the bowel tones. C. Inspect the oral mucosa. D. Check pupil reaction to light. 27. Which information about a patient who is being treated with carbidopa/levodopa (Sinemet) for Parkinsons disease is most important for the nurse to report to the health care provider? A. Shuffling gait B. Uncontrolled head movement C. Tremor at rest D. Cogwheel rigidity of limbs 28. A patient tells the nurse about using acetaminophen (Tylenol) several times every day for recurrent bilateral headaches. Which action will the nurse plan to take first? A. Suggest the use of biofeedback for headache control. B. Teach the patient about magnetic resonance imaging (MRI). C. Discuss the need to stop taking the acetaminophen. D. Describe the use of botulism toxin (BOTOX) for headaches. 29. When caring for a patient with left-sided homonymous hemianopsia resulting from a stroke, which intervention should the nurse include in the plan of care during the acute period of the stroke? A. Apply an eye patch to the left eye. B. Approach the patient from the left side. C. Place objects needed for activities of daily living on the patients right side. D. Reassure the patient that the visual deficit will resolve as the stroke progresses.