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sulee sulee
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Posts: 321
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6 years ago
A patient is being treated for a common neurological disease that is characterized by abnormal cell firing in the brain. For what should the nurse assess in this patient?
 
  1. loss of consciousness
  2. seizures
  3. decerebrate posturing
  4. headache

Question 2

The nurse is conducting a seminar on Alzheimer disease (AD) with a group of community members. How should the nurse describe this health problem?
 
  Select all that apply.
  1. The incidence of AD increases with age.
  2. AD tends to run in families.
  3. AD is more common in men.
  4. AD is caused by a virus.
  5. AD is caused by environmental contaminants.

Question 3

A patient's family asks the nurse, What does damage to Broca's area mean? after the healthcare provider leaves the patient's room. Which is the best response by the nurse?
 
  1. The way you communicate will have to change.
  2. You'll have to speak very loudly when you talk.
  3. Make sure there are no obstacles in the room, because sight will be a problem.
  4. Perhaps you would like to learn how to provide range-of-motion exercises.

Question 4

A victim who was thrown 50 feet in a motor vehicle crash experiences transient consciousness en route to the emergency department. What neurological tests should the nurse expect to be prescribed for this patient?
 
  1. magnetic resonance imaging (MRI) and computed tomography (CT)
  2. computed tomography (CT) and positron emission tomography (PET)
  3. x-rays of the skull and spine and computed tomography (CT)
  4. computed tomography (CT)

Question 5

The nurse understands that age-related changes in the neurological system include a decreased number of brain cells, decreased cerebral blood flow, and decreased metabolism.
 
  How would these expectations affect the nurse's plan when caring for an older patient at home?
 
  Select all that apply.
  1. The older adult will be distracted after a few minutes on the task.
  2. The older adult will not be open to learning to perform his or her own dressing change.
  3. The older adult will be less reliable at completing self-care activities.
  4. When too many stimuli are present, the older adult cannot process and respond in a timely fashion.
  5. The older adult has an increased risk for falls.
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 2
Abnormal cell firing in the brain causes the recurring seizures characteristic of epilepsy. The symptoms of loss of consciousness and headache have multiple causes (trauma, medications, diet) but are not associated with abnormal cell firing. Decerebrate posturing is caused by serious brain injury, specifically to the cerebellum.

The answer to question 2

Correct Answer: 1,2
The incidence of Alzheimer disease does tend to increase with age, and AD is thought to have a familial link. AD is more common in females and its cause is unknown.

The answer to question 3

Correct Answer: 1
Broca's area in the cerebrum promotes the vocalization of words. Auditory stimuli are received and interpreted in the temporal lobe. The occipital lobe receives and interprets visual stimuli, and the postcentral gyrus in the somatosensory cortex registers body sensations such as temperature, touch, pressure, and pain.

The answer to question 4

Correct Answer: 3
It is always important to clear the cervical spine by taking x-rays with visualization of all seven cervical vertebrae. A skull x-ray combined with a CT scan to assess for the presence of blood or clots is also important in this case, because ejection from a vehicle usually causes head trauma. MRI and PET scans may be helpful but should be combined with x-ray of the skull and spine.

The answer to question 5

Correct Answer: 4, 5
The older adult may need additional time to process and respond to verbal stimuli. Age-related changes can cause slower reflexes, which increases the older adult's risk for falls. Older adults do better when learning is limited to 30 minutes at a time, but they can focus for longer than a few minutes. Older adults may have more readiness to learn when the topic is related to previously learned information. There is no proof that the older adult is less reliable, but ability and reliability need to be assessed for each individual.
sulee Author
wrote...
6 years ago
Thank you so much for the answer
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