Neurology QUIZ - L. 11B

c) Resting, "pill-rolling" tremor 

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chose (c)

Which of the following should the nurse recognize as the first presenting motor feature in the majority of people with Parkinson Disease?

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a) Fatigue

b) Dementia

c) Resting, "pill-rolling" tremor 

d) Cogwheeling 

a) All our children will inherit the gene for Huntington Disease.

c) 50% of our children will inherit the gene for Huntington Disease

d) Only our male children will inherit the gene mutation.

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chose (c) and (d)

* I didn’t know there was **a chance** 1 child CANNOT HAVE it

The nurse is providing education to a couple. The husband was found to have the gene for Huntington Disease, but the wife was not. Which statement made by the wife requires follow-up by the nurse? Select all that apply. 

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a) All our children will inherit the gene for Huntington Disease.

b) Each of our children will have a 50% chance of inheriting the gene mutation. 

c) 50% of our children will inherit the gene for Huntington Disease

d) Only our male children will inherit the gene mutation.

d) Ineffective breathing 

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chose (d)

Explanation: Required at least after 1 minute

The nurse is developing a care plan for a patient with amyotrophic lateral sclerosis (ALS). Which of the following should be given the highest priority? 

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a) Altered nutrition

b) Impaired mobility 

c) Self-care deficits

d) Ineffective breathing 

a) Rest in an air-conditioned room.

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previously chose (c)

Explanation: drinking water doesn’t necessarily mean it will be cool. Could be warm

\n Which of the following should the nurse include when teaching a patient with Multiple Sclerosis about ways to avoid fatigue on hot humid days? 

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a) Rest in an air-conditioned room.

b) Take a hot bath or shower.

c) Drink plenty of fluids.

d) Exercise regularly

a) Athetosis refers to twisting and writhing movements.

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previously chose w/ sister (b)

The nurse educator is teaching a family about athetosis movements with clients with Huntington Disease. Which statement by the family member indicates understanding?

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a) Athetosis refers to twisting and writhing movements.

b) Athetosis refers to brief, irregular, dancing like movements.

c) When athetosis is severe, there are thrashing motions referred to as ballismus. 

d) Antipsychotic medications are symptomatically beneficial to treat athetosis.

d) Amyotrophic Lateral Sclerosis

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chose (b)

Unsure explanation: ALS is when you are locked inside your statue body. Stopping sudden/”exciting” movements will prevent spasms, cramps?

While reviewing the medication prescribed for a client, the nurse finds the client is on a therapy to decrease the release of the excitatory neurotransmitter glutamate. Which disorder does the nurse recognize in the client? 

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a) Myasthenia gravis

b) Huntington's Disease

c) Guillain-Barre syndrome

d) Amyotrophic Lateral Sclerosis

b) Immune-modulating therapy

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chose (b) based on previous “game”

The nurse is providing care for a client with Multiple Sclerosis. Which treatment modality does the nurse expect to be prescribed for this client? 

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a) Long-term corticosteroid therapy

b) Immune-modulating therapy

c) Physical and occupational therapy

d) Pain management therapy

c) Your body created antibodies that are attacking the covering of nerve cells.

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chose (c)

The nurse is counseling a client newly diagnosed with Multiple Sclerosis. Which explanation does the nurse provide if the client asks, "Why all of a sudden do I have this disease?" 

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a) Your brain has scar tissue called gliotic plaques from infection.

b) At some time you had an infection and did not seek medical care.

c) Your body created antibodies that are attacking the covering of nerve cells. 

d) This is an inherited disease for which you have no responsibility.

a) Watch out for side effects such as dry mouth and double vision after taking the medication.

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chose (a)

Which instruction does the nurse provide to a client who is prescribed an anticholinergic drug for symptomatic relief of Parkinson Disease? 

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a) Watch out for side effects such as dry mouth and double vision after taking the medication.

b) You will be able to perform daily activities at a normal pace after taking the medication.

c) It is dangerous to participate in exercise therapy during the course of the medication.

d) Remember the medication may precipitate tremors during the initiation of therapy.

b) A client with myasthenia gravis

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chose (b)

After a theoretical session about edrophonium (Tensilon) testing, the nurse educator asks the nurse to select a client from a group with different neurologic disorders on which to perform the test. Which client is the nurse expected to select?

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a) A client with multiple sclerosis

b) A client with myasthenia gravis

c) A client with Huntington Disease

d) A client with Parkinson Disease