Slides (32)
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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. Tremors in this disease can occur in the hands, fingers, arms, legs and even the lips and tongue.
2. A common term used to describe the tremors in the hands and fingers is called "pill-rolling".
3. The tremors are most likely to occur with purposeful movements.
4. Tremors are one of the most common signs and symptoms in Parkinson's Disease.
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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. Lead Pipe Rigidity
4. Pronate Rigidity
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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. "Freeze up" tremors
2. . Pill-rolling
3. Bradykinesia
4. Akinesia
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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. Loss of smell
2. Shuffling of gait
3. Freezing of extremities
4. Coordination issues
5. Constipation
6. Tremors with purposeful movement
7. Increased Salivation
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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. tectum nigra, dopamine
3. leminisci, norepinephrine
4. red nucleus, acetylcholine
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What disorder is directly affecting the parenchyma and can be caused by virus, bacteria, parasites? or fungi
1. Encephalitis
2. Meningitis
3. Bells Palsy
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Select all the TRUE statements about the pathophysiology of multiple sclerosis:
1. The dopaminergic neurons in the part of the brain called substantia nigra have started to die."
2. The myelin sheath is damaged along the axon.
3. The dendrites on the neuron are overstimulated leading to the destruction of the axon."
4. This disease affects the insulating structure found on the neuron in the central nervous system.
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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. Pain when moving eyes
2. Dysarthria
3. Ptosis
4. Dark spots in vision
5. Heat intolerance
6. Pill rolling" of fingers and hands
7. Balance and coordination issues
8. Blurry vision
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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. high amounts of IgM
2. oblong red blood cells and glucose
3. low amounts of WBC
4. oligoclonal bands
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A patient is receiving Interferon Beta for treatment of multiple sclerosis. As the nurse you will stress the importance of?
1. Hand hygiene and avoiding infection
2. Physical exercise to improve fatigue
3. Reporting ideation of suicide
4. Low fat diet
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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. 11 Tender points out of 18
2. A widespread pain index CWP assessment
3. Abnormalities on a thyroid panel
4. Blood tests for neurotransmitter levels
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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 increase levels of dopamine and serotonin
2. To reduce neuropathic pain
3. To relax the client and promote sleep
4. To decrease joint pain and swelling
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Which element is included in the focused physical examination portion of the nursing assessment of the client with fibromyalgia?
1. Pattern of fatigue
2. Duration of pain
3. Palpation of tenderness points
4. Symptom severity scale
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Myasthenia gravis occurs when antibodies attack the __________ receptors at the neuromuscular junction leading to ____________.
1. nicotinic adrenergic; muscle contraction
2. metabotropic; muscle weakness
3. nicotinic acetylcholine; muscle weakness
4. dopaminergic adrenergic; muscle contraction
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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. Corticosteroids
2. Plasmapheresis
3. Thymectomy
4. Cholinesterase medications
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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. 1 hour before the patient eats (at 1100)
3. at 1200 right before the patient eats
4. As soon as possible
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