The nurse witnesses a patient’s seizure involving generalized contraction of the body followed by jerkiness of the arms and legs. The nurse reports this as which type of seizure?

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Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions

Question 1 of 5

The nurse witnesses a patient’s seizure involving generalized contraction of the body followed by jerkiness of the arms and legs. The nurse reports this as which type of seizure?

Correct Answer: C

Rationale: The correct answer is C: Tonic-clonic seizure. This type of seizure involves both tonic (muscle stiffness) and clonic (jerking movements) phases, which align with the patient's presentation of generalized body contractions followed by jerkiness of the arms and legs. Myoclonic seizures (A) involve brief, sudden muscle contractions. Absence seizures (B) are characterized by brief lapses in consciousness without convulsions. Psychomotor seizures (D) involve complex motor behaviors and altered consciousness, which do not match the patient's symptoms. Therefore, based on the description provided, the most fitting type of seizure is a tonic-clonic seizure.

Question 2 of 5

The nurse has initiated teaching for a family member of a patient with Alzheimer disease. The nurse realizes more teaching is needed if the family member makes which statement?

Correct Answer: D

Rationale: The correct answer is D because Alzheimer's disease currently has no cure. Step 1: Alzheimer's is a progressive neurodegenerative disease that worsens over time, leading to memory loss (A). Step 2: The exact cause is unknown, with various theories proposed (B). Step 3: Behavioral symptoms like personality changes, wandering, and aggression are common (C). Step 4: There is no cure for Alzheimer's; current treatments aim to manage symptoms and slow progression, not cure the disease (D). The other options are accurate statements related to Alzheimer's disease, making them incorrect choices in this context.

Question 3 of 5

What would the nurse teach a patient who is taking anticholinergic therapy for Parkinson disease? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because alcohol can enhance the side effects of anticholinergic therapy, such as dizziness and drowsiness. Alcohol can also worsen symptoms of Parkinson's disease. Choices B and C are incorrect because there is no direct interaction between cigarettes, caffeine, and anticholinergic therapy. Choice D is incorrect because while it may help relieve dry mouth, it is not specifically related to the use of anticholinergic therapy for Parkinson's disease.

Question 4 of 5

A patient with multiple sclerosis is having muscle spasticity. The nurse anticipates which drug will be prescribed to treat the patient’s spasticity?

Correct Answer: C

Rationale: The correct answer is C: Cyclobenzaprine. Cyclobenzaprine is a centrally acting muscle relaxant commonly used to treat muscle spasticity in conditions like multiple sclerosis. It works by inhibiting nerve impulses to reduce muscle spasms. Neostigmine (A) is a cholinesterase inhibitor used for myasthenia gravis, not spasticity. Ropinirole (B) is a dopamine agonist used for Parkinson's disease and restless legs syndrome, not spasticity. Pyridostigmine (D) is also a cholinesterase inhibitor used for myasthenia gravis, not spasticity.

Question 5 of 5

Which instructions will the nurse include in the teaching plan for a patient who is taking pyridostigmine? (Select all that apply.)

Correct Answer: C

Rationale: Step 1: Pyridostigmine is a medication used to treat myasthenia gravis by improving muscle strength. Step 2: Underdosing of pyridostigmine can lead to myasthenic crisis, a life-threatening condition characterized by severe muscle weakness. Step 3: Therefore, it is crucial for the nurse to include in the teaching plan that underdosing can result in myasthenic crisis to emphasize the importance of taking the medication as prescribed. Step 4: Taking pyridostigmine on time (Choice A) is important for maintaining therapeutic levels but not specifically related to the risk of myasthenic crisis. Step 5: Taking the prescribed dose every other week (Choice B) is incorrect as pyridostigmine is typically taken daily or as directed by the healthcare provider. Step 6: Overdosing of pyridostigmine can result in cholinergic crisis (Choice D), which is a complication but not

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