An older adult client with a history of a seizure disorder comes into the clinic for a routine check-up. Although seizure free, the client continues on long-term phenytoin treatment.
The nurse practitioner would assess for which of the following long-term effects?
A. Lid lag and nystagmus
B. Gingival hyperplasia and nystagmus
C. Nystagmus and microcytic anemia
D. Gingival hyperplasia and iron deficiency anemia
Question 2When assessing a patient who complains of a tremor, the nurse practitioner must differentiate essential tremor from the tremor of Parkinson's disease. Which of the following findings are consistent with essential tremor?
A. The handwriting is not affected by the tremor
B. The tremor occurs with purposeful movements
C. The tremor occurs at rest
D. The tremor gets worse with alcohol ingestion
Question 3Which of the following assessments are commonly noted in a client with Parkinson's disease?
A. Macrographia and bradycardia
B. Micrographia and bradykinesia
C. Exaggeration of rapid successive movements
D. Increased arm swing
Question 4An older adult patient is being evaluated following a stroke, which affected the anterior cerebral circulatory system. Which of the following signs/symptoms would be positive in the assessment of this patient?
A. Bilateral vision disturbance and/or diplopia
B. Dysarthria and speech difficulties
C. Disorders in behavior and in cognition
D. Motor and sensory problems on both sides of the body
Question 5When examining the spine of an older adult you notice a curvature with a sharp angle. This is referred to as a
A. Gibbus
B. Scoliosis
C. Kyphosis
D. Lordosis
Question 6The nurse practitioner is examining the hands of a 55-year-old woman with rheumatoid arthritis and notes bilateral spindle shaped deformities on the middle interphalangeal joints. These are known as
A. Haygarth's nodes
B. Heberden's nodes
C. Bouchard's nodes
D. Benediction hands
Question 7In considering the specificity of laboratory data, the most reliable diagnostic test listed below would be
A. Elevated erythrocyte sedimentation rate (ESR) to rule out inflammation
B. CBC to rule out infection
C. Antinuclear Antibody (ANA) test to rule out a collagen disease
D. Synovial fluid analysis to differentiate between an infectious versus an inflammatory infusion
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