NSG 335 Exam 2 Review Spring 2021

A countrecoup injury occurs on the opposite side of impact.

An ER nurse is caring for a pt. w/benzodiazepine toxicity due to OD. What is the nurse's priority?

Before administering an opioid analgesic, which is the priority VS to assess?

What is almost always a manifestation of global brain injury?

Which is the most accurate description of the pathology behind the development of multiple sclerosis?

Cholinergic crises in Myasthenia Gravis are caused by inadequate medication.

Which clinical manifestation is unique to Multiple Sclerosis?

Among the treatments for MS, which medication will reduce the exacerbation of relapsing-remitting MS?

A positive Kernig sign will have severe neck stiffness that causes hips and knees to flex when the neck is flexed.

In contrast to the sympathetic nervous system, the functions of the parasympathetic nervous system include:

What should the schizophrenic pt. do to minimize the anticholinergic effects of fluphenazine?

A pt. has been given a transdermal patch for pain. What is important to teach the pt. about use of this drug?

A pt's recent Parkinson's diagnosis has prompted his PCP to begin pharmacologic therapy. The drug selected will alter:

The pt. w/a history of opioid abuse shouldn't receive an opioid partial agonist because they can cause

A pt. who takes an opiate analgesic for chronic pain needs higher doses for the same pain relief. This is an example of:

A pt. w/epilepsy has been taking an AED for a year & has been seizure free for 6 mos. What will the nurse tell the pt?

A pt. has been taking an AED for weeks, but reports little change in seizure frequency. What will the nurse do?

For an opioid overdose, what should the HCP have on hand to reverse the effects?

Myelin is produced by oligodendrocytes in the CNS.

A hematoma occurring between the dura mater and outer layer of the arachnoid membrane is known as a:

A nurse is discussing partial vs. generalized seizures w/nursing students. Which statement shows understanding?

Intracranial pressure normally ranges from ________ mm/Hg

High-dose methylprednisone is given to a pt. in acute relapse of MS. Which other condition is most adversely affected?

What is the first line drug treatment for status epilepticus?

A pt. is taking phenytoin. The pt. tells the nurse that she takes oral contraceptives, what will the nurse instruct?

Current drug therapy for Multiple Sclerosis is most effective if the pt. has primary progressive MS.

Pain signals are transmitted by _____ fibers that enter the spinal cord through the dorsal horn.

This phase of nociception describes tissue injury releasing prostaglandins throughout the body.

A child receiving valproic acid begins taking lamotrigine bc of increased seizures. The nurse will closely observe for

Which is a reason to withhold a newly prescribed fentanyl transdermal patch?

A pt. is experiencing an increase in intracranial pressure. This increase results in:

Multiple Sclerosis is more prevalent in women.

Dietary teaching that may help the "on-off" phenomenon of Parkinson's includes avoiding which foods?

MS causes myelin destruction in the CNS, but leaves myelin in the periphery undamaged.

Riluzole decreases levels of glutamate and can reverse nerve damage in pts. with ALS.

All of the following are cholinesterase inhibitors used in treatment of Alzheimer's except:

All of the following are associated w/secondary brain injuries EXCEPT:

Which type of seizure begins in a localized are of the brain but may progress rapidly to involve both hemispheres?

A sudden traumatic complete transection of the spinal cord results in what type of injury below the site?

Pick's disease generally has an earlier age of onset than Alzhemier's Disease.

A hospitalized pt. has gone into a myasthenic crisis. What is the priority in the client's immediate care?

This phase of seizure activity may have symptoms such as vision blurring, hallucinations, out-of-body sensations.

A person in the beginning stages of Alzheimer's disease may experience:

It is normal for an aging person to begin experiencing cognitive impairment.

A pt. is experiencing chest pain that radiates to the left arm and neck. The nurse would interpret this pain as:

Delirium is characterized by a quick onset.

A woman has been diagnosed w/M.S. Which physiologic process is most likely to be affected by this disease?

Edrophonium increases the breakdown of acetylcholine, causing a transient improvement in symptoms of Myasthenia Gravis

Anesthetics produce a loss of sensation.

Spinal shock is associated w/hemodynamic changes.

Viral meningitis is more severe than bacterial meningitis.

A focal injury affects only one area of the brain and is more deadly than brain injuries covering large areas.

An epileptic pt. has been taking phenobarbital & valproic acid. The nurse notes the pt. is very drowsy and will...

A pt. has LOC, jaw clenching, contraction & relaxation of muscles & periods of cyanosis. The nurse identifies this as

Nurse provides teaching to a pt. w/a new prescription for pramipexole. What adverse effect should the pt. monitor for?

Which describes the pathology of Parkinson's disease?

A pt. taking levodopa developed an asymmetric, irregular, darkly pigmented mole on his back. What should the nurse do?

A nurse counsels a pt. who is taking phenytoin for epilepsy. Which statement by the pt. indicates understanding?

Therapy for Parkinson's wants to activate dopamine receptors and block acetylcholine receptors to restore balance.

Chronic pain presents w/autonomic responses such as tachycardia and pupil dilation.

The _________ is the level of painful stimulation required to be perceived.

A nurse is teaching a pt. who has a new prescription for buspirone to treat anxiety. Which should the nurse include?

A pt. has memory loss of events that occurred before a head injury. What cognitive disorder does the nurse suspect?

All of the following brain injuries are associated w/arterial injuries except for:

What is the advantage of using Sinimet in pts. with Parkinson's disease? The addition of carbidopa to levodopa:

Which of the following processes is most likely to occur as a result of a spinal reflex?

The most important preventative measure for hemorrhagic stroke is:

Which statement by the pt. indicates understanding of teaching r/t new diagnosis of partial complex seizure disorder?

How do selegiline and rasagiline improve mild Parkinson's disease symptoms?