A patient is diagnosed with amyotrophic lateral sclerosis (ALS). What should the nurse identify as being the priority nursing activity for this patient?
1. Support the patient and family to meet physical and psychosocial needs.
2. Monitor for infection.
3. Assist the patient to avoid complications.
4. Assist the patient to adapt to the disease.
Question 2The nurse is having a conversation with an older adult with Parkinson disease. What speech patterns would this patient most likely exhibit during conversation with the nurse?
Select all that apply.
1. a low-pitched monotone voice
2. bubbly, spirited discussion
3. jumbled words that do not make sense
4. angry, loud talk
5. slurring and poor articulation of words
Question 3An adult patient with Bell palsy asks if the facial paralysis and distortion will go away. How should the nurse response to this patient?
1. Most people recover completely within a few weeks to a few months.
2. Everyone recovers from Bell palsy in three to five weeks.
3. Most people have permanent facial paralysis on both sides of the face.
4. Most people have permanent facial paralysis on one side of the face.
Question 4A patient with Parkinson disease is demonstrating bradykinesia. The nurse will likely observe which action in this patient?
1. slowed or delayed movements
2. increased spontaneous movements
3. active exercise and high energy
4. very slow talk
Question 5The nurse notes that a patient with Parkinson disease is experiencing tremors and muscle rigidity. Which medication should the nurse expect to be prescribed for these manifestations?
1. propranolol (Inderal)
2. acetaminophen (Tylenol)
3. meperidine (Demerol)
4. nitroglycerin (Nitro-bid)
Question 6The nurse is reviewing medication orders for a patient with Alzheimer disease. Which medication should the nurse expect to be prescribed for this patient?
1. rivastigmine tartrate (Exelon)
2. adrenocorticotropic hormone (ACTH)
3. meperidine (Demerol)
4. acetaminophen (Tylenol)
Question 7The nurse is preparing to care for a patient with Alzheimer disease. What should the nurse identify as common signs of this disorder?
Select all that apply.
1. poor or decreased judgment
2. declining job skills
3. inability to be comfortable in social situations
4. obsession with organization
5. focused on abstract thoughts
Question 8A patient with a chronic sinus infection is diagnosed with a brain abscess. What medications should the nurse expect to provide to this patient?
Select all that apply.
1. morphine sulfate
2. digitalis (Digoxin)
3. phenytoin (Dilantin)
4. acetaminophen (Tylenol)
5. broad-spectrum antibiotic
Question 9A college student is admitted for treatment of viral meningitis. What should the nurse expect to assess in this patient?
Select all that apply.
1. lethargy
2. confusion
3. photophobia
4. neck stiffness
5. positive Kernig sign
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