MULTIDIMENSIONAL CARE MDC 4

MULTIDIMENSIONAL CARE MDC 4

EXAM 1 RASMUSSEN UNIVERSITY

ACTUAL EXAM QUESTIONS AND

CORRECT ANSWERS ALREADY

GRADED A+ LATEST (BRAND

NEW!!)

A patient is taking beta blocker and calcium channel blockers to prevent a migraine. What education should the nurse give to the patient regarding these medications? - ANSWER✔✔Do not stop the medications What are some trigger foods for migraines? - ANSWER✔✔aged cheeses, smoked meats, fermented deli meats, pickles, beer, wine, nuts (think tyramine) A patient is trying to see what things trigger their migraines. What education can the nurse provide? - ANSWER✔✔Keep a food diary and determine what foods may make the migraine occur.A patient tells the nurse that they see flashing lights before their headache starts. What is this called? - ANSWER✔✔Aura A aura may happen with _______ and ________. - ANSWER✔✔Migraines, Seizures S/S of Migraines - ANSWER✔✔Photophobia, N,V,head pain, phonophobia A patient tells their spouse who is a nurse they are having a migraine. What would the nurse tell them to do? - ANSWER✔✔Go into a cool dark room and rest while sitting up.A nurse is setting up a room for a patient coming in for a seizure. What things should be included in the room? - ANSWER✔✔Working suction and o2, padded bed side rails, placement of an IV when patient arrives.What should you never place in a patients mouth when they are having a seizure? - ANSWER✔✔Tongue blade What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min period? - ANSWER✔✔Status Epilepticus What can you give to stop a seizure? - ANSWER✔✔IV benzo A patient states to the nurse before leaving the doctors office his provider will place him on phenytoin.What education should the nurse give? - ANSWER✔✔Do not stop the medication- if so a seizure may occur. 1 / 2

A patient with a seizure disorder suddenly freezes up and drops without twitching. What type of seizure is this called? - ANSWER✔✔Tonic A patient with a seizure disorder suddenly freezes up for a few seconds and starts to vigorously twitch.What type of seizure is the patient having? - ANSWER✔✔Tonic Clonic A person starts to have brief twitches of their left arm while in line to check out at the store. What type of seizure is this? - ANSWER✔✔Myoclonic A patient suddenly looses muscle tone and drops to the floor. What type of seizure is this? - ANSWER✔✔Atonic A nurse starts to see the patient in a room starting to have a seizure. What is her next move? - ANSWER✔✔Place patient on left side, lower bed, support head, no restraining them, timing the episode and calling for help.After a seizure is done, what actions should the nurse take? - ANSWER✔✔Assess vitals, reorient patient, clean them up if they peed or pooped, call provider.A teen with a seizure disorder is cleared by the provider to take his drivers license test. What must her report to the DMV? - ANSWER✔✔That he has a seizure disorder A female patient was recently diagnosed with a seizure disorder and is taking a oral contraceptive. What education must the nurse give? - ANSWER✔✔She should switch off the pill as seizure prevention medications can cause the pill to not work.S/S of Parkinsons include: - ANSWER✔✔bradykinesia, muscle rigidity, mask like face, postal instability, resting tremors, cogwheel rigidity, lead pipe rigidity, shuffling gait What are some concerns regarding Parkinsons disease? - ANSWER✔✔Safety- fall precautions needed Aspiration- may need assistance or observation while eating Who is at risk for developing MS? - ANSWER✔✔Females ages 20-40 S/S of MS: - ANSWER✔✔based on area affected, fatigue, double vision, HA, trigeminal neuralgia, dysarthria, ataxia, incontinence, nystagmus.MS treatment - ANSWER✔✔steroids and the S/S What is a hallmark manifestation of guillan barre? - ANSWER✔✔Ascending paralysis What is a concern we can have with guillan barre? - ANSWER✔✔Will eventually reach its way to diaphragm and cause respiratory compromise and need for mechanical ventilation When can one get Gillian barre? - ANSWER✔✔After a virus or vaccine What is trigeminal neuralgia? - ANSWER✔✔Pain of the CN 5, causes pain in the face.What is one medication we can give to a patient experiencing spasms of the face from trigeminal neuralgia? - ANSWER✔✔Baclofen

• / 2