Mr. Andrews experienced a brief onset of right-sided weakness, slurred speech, and confusion yesterday. The symptoms have resolved. What should the nurse practitioner do?
A. Assure the patient that he will not experience the symptoms again
B. Identify modifiable cardiovascular risk factors
C. Do a thorough medication review and a CT scan
D. Order a stat EEG and administer O2 by mask
Question 2You are evaluating an elderly patient's complaint of a new onset of hand shaking when he drinks from a cup. The patient is euthyroid and does not drink alcohol.
Which of the following signs indicate that this tremor is most likely an essential tremor rather than a Parkinson's tremor?
A. It is characteristic of pill rolling and occurs at rest
B. It is a moderate amplitude tremor that occurs only with movement/activity
C. The tremor is also associated with slowed movements
D. The tremor is accompanied by dyskinesia
Question 3The most common neurological cause of seizures in an older adult is
A. Alzheimer's disease
B. Multiple sclerosis
C. Stroke
D. Peripheral neuropathy
Question 4An elderly patient has had a CVA in the anterior cerebral circulatory system (frontal lobe). What symptoms are most likely expressed?
A. Neglect of body and difficulty organizing space
B. Wernicke's aphasia (difficulty understanding speech)
C. Disorders of behavior and cognition
D. Bilateral motor and sensory problem
Question 5A 78-year-old female presents with a seizure that occurred over the weekend. In selecting the most important diagnostics for this presentation, it is important to know that the least common site of seizures in the elderly is
A. Cerebellum
B. Frontal lobe
C. Temporal lobe
D. Parietal lobe
Question 6An elderly nursing home resident is maintained on phenytoin therapy for a history of a seizure disorder. In addition to periodic serum drug concentrations, which of the following are needed for annual evaluation?
A. Complete blood count, liver function tests, and renal function tests
B. Complete blood count, liver function tests, and platelet count
C. Renal function and calculated creatinine clearance
D. Serum albumin, liver function tests, and renal function tests
Quick Reply
