スライド（32）
1 -
You're caring for a patient with Parkinson's Disease that has tremors. Select the option that is INCORRECT about tremors experienced in this disease:
1. A common term used to describe the tremors in the hands and fingers is called "pill-rolling".
2. Tremors are one of the most common signs and symptoms in Parkinson's Disease.
3. Tremors in this disease can occur in the hands, fingers, arms, legs and even the lips and tongue.
4. The tremors are most likely to occur with purposeful movements.
2 -
3 -
While assessing a patient with Parkinson's Disease, you note the patient's arms slightly jerk as you passively move them toward the patient's body. This is known as:
1. Cogwheel Rigidity
2. Flexor Rigidity
3. Pronate Rigidity
4. Lead Pipe Rigidity
4 -
5 -
A patient with Parkinson's Disease has slow movements that affects their swallowing, facial expressions, and ability to coordinate movements. As the nurse you will document the patient has:
1. . Pill-rolling
2. "Freeze up" tremors
3. Akinesia
4. Bradykinesia
6 -
7 -
You're providing free education to a local community group about the signs and symptoms of Parkinson's Disease. Select all the signs and symptoms a patient could experience with this disease: Select 3
1. Coordination issues
2. Increased Salivation
3. Loss of smell
4。便秘
5. Tremors with purposeful movement
6. Shuffling of gait
7. Freezing of extremities
8 -
9 -
As the nurse you know that Parkinson's Disease tends to affect the _____________ of the midbrain, which leads to the depletion of the neurotransmitter ________________.
1. substantia nigra, dopamine
2. red nucleus, acetylcholine
3. leminisci, norepinephrine
4. tectum nigra, dopamine
10 -
11 -
What disorder is directly affecting the parenchyma and can be caused by virus, bacteria, parasites? or fungi
1. Bells Palsy
2. Meningitis
3. Encephalitis
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13 -
Select all the TRUE statements about the pathophysiology of multiple sclerosis:
1. This disease affects the insulating structure found on the neuron in the central nervous system.
2. The dopaminergic neurons in the part of the brain called substantia nigra have started to die."
3. The dendrites on the neuron are overstimulated leading to the destruction of the axon."
4. The myelin sheath is damaged along the axon.
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15 -
A patient is suspected of having multiple sclerosis. The neurologist orders various test. The patient's MRI results are back and show lesions on the cerebellum and optic nerve. What signs and symptoms below would correlate with this MRI finding in a patient with multiple sclerosis?
1. Pill rolling" of fingers and hands
2. Ptosis
3. Dark spots in vision
4. Heat intolerance
5. Balance and coordination issues
6. Dysarthria
7. Pain when moving eyes
8. Blurry vision
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17 -
Your patient is scheduled for a lumbar puncture to help diagnose multiple sclerosis. The patient wants clarification about what will be found in the cerebrospinal fluid during the lumbar puncture to confirm the diagnosis of MS. You explain that ____________ will be present in the fluid ?
1. low amounts of WBC
2. high amounts of IgM
3. oligoclonal bands
4. oblong red blood cells and glucose
18 -
19 -
A patient is receiving Interferon Beta for treatment of multiple sclerosis. As the nurse you will stress the importance of?
1. Physical exercise to improve fatigue
2. Hand hygiene and avoiding infection
3. Reporting ideation of suicide
4. Low fat diet
20 -
21 -
The nurse is caring for a client with suspected fibromyalgia. Which diagnostic tool does the nurse anticipate will be used to properly diagnose this client?
1. Blood tests for neurotransmitter levels
2. A widespread pain index
3. 11 Tender points out of 18
4. Abnormalities on a thyroid panel
22 -
23 -
A healthcare provider prescribes duloxetine (Cymbalta) for a client diagnosed with fibromyalgia. The client asks the nurse why this medication is being prescribed. The nurse will base the response on which rationale?
1. To decrease joint pain and swelling
2. To reduce neuropathic pain
3. To increase levels of dopamine and serotonin
4. To relax the client and promote sleep
24 -
25 -
Which element is included in the focused physical examination portion of the nursing assessment of the client with fibromyalgia?
1. Palpation of tenderness points
2. Duration of pain
3. Symptom severity scale
4. Pattern of fatigue
26 -
27 -
Myasthenia gravis occurs when antibodies attack the __________ receptors at the neuromuscular junction leading to ____________.
1. metabotropic; muscle weakness
2. nicotinic acetylcholine; muscle weakness
3. dopaminergic adrenergic; muscle contraction
4. nicotinic adrenergic; muscle contraction
28 -
29 -
You're providing teaching to a group of patients with myasthenia gravis. Which of the following is not a treatment option for this condition?
1. Plasmapheresis
2. Corticosteroids
3. Thymectomy
4. Cholinesterase medications
30 -
31 -
A patient with myasthenia gravis will be eating lunch at 1200. It is now 1000 and the patient is scheduled to take Pyridostigmine. At what time should you administer this medication so the patient will have the maximum benefit of this medication?
1. 1 hour after the patient has eaten (at 1300)
2. As soon as possible
3. at 1200 right before the patient eats
4. 1 hour before the patient eats (at 1100)
32 -
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