Neurological Problems (exam Mode) By Rnpedia.com

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Neurological Problems (Exam Mode) By RNpedia.com
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1.  A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising? (Choose all that apply). 
A.
B.
C.
D.
2.  A patient recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. Which information obtained during his chart review and assessment will be of greatest concern? 
A.
B.
C.
D.
3.  The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately? 
A.
B.
C.
D.
4.  The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?   
A.
B.
C.
D.
5.  You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene? 
A.
B.
C.
D.
6.  A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoresis, and flushing of the face and neck. What action should you take first? 
A.
B.
C.
D.
7.  A nursing student is teaching a patient and family about epilepsy prior to the patient’s discharge. For which statement should you intervene?
A.
B.
C.
D.
8.  A patient with Parkinson disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene? 
A.
B.
C.
D.
9.  You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which collaborative intervention must be accomplished first? 
A.
B.
C.
D.
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