b. Nystagmus or confusion Show Diplopia is a sign of phenytoin toxicity. The nurse should assess for other signs of toxicity, which include neurologic changes, such as nystagmus, ataxia, confusion, dizziness, or slurred speech. An aura, focal seizure, abdominal pain or cramping, irregular pulse, or palpitations are not associated with phenytoin toxicity.
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Terms in this set (32)Status epilepticus State of continuous seizure activity or a condition in which seizures recur in rapid succession without return to consciousness between seizures When admitted with status epilepticus, which long-acting antiseizure medications
would the nurse associate with the treatment of a patient's seizure disorder? Select all that apply. Phenytoin, lamotrigine, and phenobarbital (long half-life) For the older adult patient with impaired
liver functions who is suspected of sustaining a recent seizure, which antiseizure medications would the nurse anticipate administering? Select all that apply. Lamotrigine and gabapentin (newer antiseizure medications that have fewer interactions with other drugs; safe for older adults) NOT Which seizure activity would the nurse associate with a patient's jerky muscle movements of the extremities, as well as bowel and bladder incontinence during the event? Generalized seizures (patient may experience incontinence along with jerking, or tonic-clonic, movements of the entire body) NOT Huntington's disease Genetically transmitted, autosomal dominant disorder
("dominant" means that a single copy of the disease-associated mutation is enough to cause the disease) Multiple sclerosis A chronic progressive degenerative disorder of the CNS, not an
autosomal dominant disorder. Myasthenia gravis An autoimmune disease of the neuromuscular junction and is not an autosomal dominant disorder. Myasthenic crisis Acute exacerbation of MG. A life-threatening condition when the muscles that control breathing and swallowing become too weak to perform their functions. Parkinson's disease (PD) A chronic disease of the basal ganglia (center of the brain) characterized by increased muscle tone,
tremor at rest, gait changes, and slowness in the initiation and execution of movement. Which neurodegenerative disorder has the characteristics of rigidity and bradykinesia? 2. a chronic, progressive neurodegenerative disorder characterized by an increased muscle tone (known as rigidity), slowness in the initiation and execution of movement (known as bradykinesia), tremors, and gait
disturbances Which potential medications would the nurse anticipate administering to a patient with myasthenia gravis who reports difficulty with swallowing, chewing, eye movement, and facial
mobility? Select all that apply. 3. Use of corticosteroids (prednisone) suppress the immune responses that cause such symptoms Early symptoms of Parkinson's disease include Coarse resting tremors of the fingers and thumb, also known as pill-rolling movements. Which disease process includes Lhermitte's sign as a clinical manifestation? 1. Lhermitte's sign is a transient sensory symptom manifested in the patients with MS and is described as an electric shock radiating down the spine or into the limbs with flexion of the neck. Lou Gehrig's disease Or amyotrophic lateral sclerosis is a degenerative disorder of motor neurons in the brain and spinal cord. For patients with amyotrophic lateral sclerosis (ALS), which treatment goal focuses on preventing a common cause of death in patients with ALS? 2. can help to prevent respiratory infections that are a common cause of death from deteriorating muscle function Which medication overdose may lead to paradoxical intoxication in a patient with parkinsonism? 1. Paradoxical intoxication is the aggravation, rather than relief, of symptoms. This condition is mainly due to the excessive use of dopaminergic drugs such as levodopa Which diagnostic test would the nurse anticipate for a
patient with progressive weakness suspected of having multiple sclerosis? 4. An MRI of the brain and spinal cord can show plaques, inflammation, atrophy, and tissue breakdown consistent with multiple sclerosis. During an acute exacerbation of the patient's multiple sclerosis, which interventions would the nurse implement? Select all that apply. A
patient experiencing an acute exacerbation of MS may be immobile and confined to bed. 1ST interventions in this phase target the prevention of major complications associated with immobility. Which information would the nurse provide a patient with multiple sclerosis who begins treatment with β-interferon? Select all that apply. 5. drug may cause
photosensitivity For the patient with myasthenia gravis, which factors experienced in the patient's current life led to development of respiratory failure and a myasthenic crisis, requiring admission? Select all that apply A myasthenia crisis is an acute exacerbation of muscle weakness that often involves the respiratory muscles. Precipitation of exacerbations and crises occurs from many factors including
infection (patient's urinary tract infection), emotional stress (funeral of family member), reaction to medications (antibiotic prescribed for urinary tract infection), and inadequate anticholinesterase (Pyridostigmine)medications. A patient
suspected of having myasthenia gravis (MG) suffers injury and has related pain, infection, and inflammation. Which drugs must be used with caution? Select all that apply. 2. they can worsen the condition by creating hypokalemia, which exacerbates MG When establishing a diagnosis of multiple sclerosis (MS), which prescribed diagnostic studies would the nurse explain to the patient? Select all that apply. There is no definitive diagnostic test for MS. 5. CT scan, 2. evoked response testing
(measures the speed of nerve messages along sensory nerves to the brain), 3. CSF analysis, and MRI, along with the patient's history and physical examination, are used to establish a diagnosis for MS. Drug therapy for multiple sclerosis includes immunomodulators or corticosteroids and other drugs that help to reduce the symptoms Carbidopa and Levodopa Carbidopa a dopamine decarboxylase inhibitor. Levodopa is the dopamine precursor converted to dopamine in the basal ganglia. Carbidopa, when administered along with levodopa, increases the bioavailability of the drug in the brain. This prevents peripheral tissue breakdown of the drug by the enzyme dopa-decarboxylase β-interferon an immunomodulator prescribed in the initial treatment of multiple sclerosis and known to cause flu-like symptoms, depression, and suicidal ideations
Natalizumab treats patients with active and aggressive forms of multiple sclerosis, and this drug is not part of initial treatment. The major risk factor associated with this drug therapy is progressive multifocal leukoencephalopathy Mitoxantrone treats patients with active and aggressive forms of multiple sclerosis, not in the initial treatment. The risk factors associated with this drug are cardiotoxicity, leukemia, and infertility. Dalfampridine improves walking speed for patients with MS Teriflunomide For patients with an aggressive form of MS Apomorphine (Apokyn) dopamine agonist (PD) For the patient reporting difficulty with eye and eyelid movement, chewing,
swallowing, speaking, and breathing, which diagnostic findings would the nurse associate with myasthenia gravis? Select all that apply. 2. While the patient with Parkinson's disease, who is unresponsive to drug therapy, considers the surgical options presented by the health care provider, which procedures would the nurse anticipate providing as
additional resources? Select all that apply. 1. stereotactic ablation of areas in the thalamus, globus pallidus, and subthalamic nucleus Sets with similar termsadaptive quizzing chapter 12 central nervous system80 terms jessicarutan Chapter 23: Anti-seizure Agents PREPU50 terms sophie_witkes Chapter 18: Drugs Treating Seizure Disorders47 terms carly_searing NUR Pharmacology: chapter 23 Antiseizure agents33 terms Becca_Boo_03 Sets found in the same folderChronic Neurologic Disorders36 terms fiddy500 AQ: CAD27 terms Pedro_Perez_21 Shock EAQ24 terms mary_ngo5 Chapter 33 - Chronic Stable Angina & Acute Coronar…10 terms awiswell_MU Other sets by this creatorKids Toys & Activities10 terms Pedro_Perez_21 Assessment 12 terms Pedro_Perez_21 ATI Review Nursing Care of Children24 terms Pedro_Perez_21 ATI Review Leadership and Community Heal…29 terms Pedro_Perez_21 Other Quizlet setsMolecular Exam 3 (19 Mutations)45 terms koexmann TX Gov Final22 terms Thethanclark Theo Test 2125 terms brie6573 Developmental Psychology Exam One29 terms natalie_shea_braden Related questionsQUESTION What is the PNS made up of? 15 answers QUESTION What does the "heel-to-shin test" do? 6 answers QUESTION A patient with Parkinson disease is being discharged home with his wife. To ensure the success of the management plan, which discharge action is most effective? 9 answers QUESTION What is an atypical absence seizure? 15 answers Which diagnostic findings would the nurse associate with a patient's diagnosis of multiple sclerosis MS )?Vision problems — such as optic neuritis (blurriness and pain in one eye) — are often one of the first signs of multiple sclerosis.. Changes in gait.. Fatigue.. Loss of balance or coordination.. Muscle spasms.. Muscle weakness.. Tingling or numbness, especially in your legs or arms.. What happens when you get diagnosed with MS?Multiple sclerosis (MS) is a condition that can affect the brain and spinal cord, causing a wide range of potential symptoms, including problems with vision, arm or leg movement, sensation or balance. It's a lifelong condition that can sometimes cause serious disability, although it can occasionally be mild.
What is the main cause of multiple sclerosis?Multiple sclerosis is caused by your immune system mistakenly attacking the brain and nerves. It's not clear why this happens but it may be a combination of genetic and environmental factors.
When should you suspect multiple sclerosis?People should consider the diagnosis of MS if they have one or more of these symptoms: vision loss in one or both eyes. acute paralysis in the legs or along one side of the body. acute numbness and tingling in a limb.
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Which diagnostic findings would the nurse associate with a patients diagnosis of multiple sclerosis MS )?
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