Chapter 66: Management of Patients with Neurologic Dysfunction - Nurselytic

Questions 40

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Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)

Chapter 66 : Management of Patients with Neurologic Dysfunction Questions

Question 1 of 5

A neurologic nurse is reviewing seizures with a group of staff nurses. How should this nurse best describe the cause of a seizure?

Correct Answer: C

Rationale: Seizures result from a dysrhythmia in a specific brain region's nerve cells. Electrolyte changes, peripheral nervous system issues, or blood flow disruptions are not primary causes.

Question 2 of 5

The nurse is caring for a patient who has undergone supratentorial removal of a pituitary mass. What medication would the nurse expect to administer prophylactically to prevent seizures in this patient?

Correct Answer: D

Rationale: Phenytoin is used prophylactically post-supratentorial surgery to prevent seizures. Prednisone and dexamethasone are steroids, and Cafergot treats migraines.

Question 3 of 5

A hospital patient has experienced a seizure. In the immediate recovery period, what action best protects the patients safety?

Correct Answer: B

Rationale: A side-lying position prevents aspiration of secretions post-seizure. Padding rails, antianxiety drugs, or reassurance are secondary to airway safety.

Question 4 of 5

A nurse is caring for a patient who experiences debilitating cluster headaches. The patient should be taught to take appropriate medications at what point in the course of a new headache?

Correct Answer: B

Rationale: Early administration of medication at symptom onset aborts cluster headaches effectively. Delaying treatment prolongs pain unnecessarily.

Question 5 of 5

A nurse is collaborating with the interdisciplinary team to help manage a patients recurrent headaches. What aspect of the patients health history should the nurse identify as a potential contributor to the patients headaches?

Correct Answer: C

Rationale: Vasodilators are known to trigger headaches. Sedentary lifestyle, supplements, or weight fluctuations are not directly linked to recurrent headaches.

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