Ati nur240 med surg quiz
Total Questions : 13
Showing 13 questions, Sign in for moreWhich of the following is a clinical manifestation of an absence seizure?
Explanation
A. Sudden loss of balance and falling are typically associated with atonic seizures rather than absence seizures.
B. Muscle jerking and convulsions are characteristic of tonic-clonic seizures, not absence seizures.
C. Involuntary movements and repetitive behaviors may occur in certain seizure types but are not typical of absence seizures.
D. Absence seizures are characterized by a brief loss of consciousness and blank staring, often lasting just a few seconds, which may go unnoticed by others.
The client presents to the emergency department via ambulance experiencing atropine toxicity. The nurse knows that which medication may be administered to treat this?
Explanation
A. Physostigmine is a reversible acetylcholinesterase inhibitor that can be administered to counteract the effects of atropine toxicity by increasing acetylcholine levels at the neuromuscular junction and reversing anticholinergic effects.
B. Protamine sulfate is used to reverse the effects of heparin and is not indicated for atropine toxicity.
C. Flumazenil is a benzodiazepine antagonist used for benzodiazepine overdose and is not effective for treating atropine toxicity.
D. Pyridostigmine is also an acetylcholinesterase inhibitor but is less commonly used in acute settings compared to physostigmine for treating anticholinergic toxicity.
Which of the following are clinical manifestations of a sympathetic response? Select all that apply.
Explanation
A. Dilated pupils are a classic sympathetic response, preparing the body for 'fight or flight' by allowing more light in and enhancing vision.
B. Increased heart rate is another key feature of the sympathetic response, aimed at supplying more oxygen and nutrients to muscles.
C. Decreased blood pressure is generally associated with a parasympathetic response rather than sympathetic activation.
D. Increased digestive activity is more aligned with parasympathetic responses, which promote rest and digestion.
E. Bronchial dilation occurs during sympathetic activation to facilitate increased airflow and oxygen delivery during stress or exertion.
Accurate diagnosis of seizure type is important for determining the correct medication to prevent future seizures. The nurse understands that focal seizures:
Explanation
A. While focal seizures can be brief, not all of them last less than 30 seconds, and some can be longer.
B. Focal seizures may not always be preceded by an aura; while many patients do experience an aura, it's not a universal feature.
C. Focal seizures do not necessarily involve a loss of consciousness; this distinguishes them from generalized seizures, which do include such a loss.
D. Focal seizures are indeed defined by abnormal electrical activity in a localized region of the brain, leading to specific symptoms depending on the area affected, making this the most accurate statement.
. A state in which seizures rapidly recur without cognitive recovery between seizures is known as
Explanation
A. Status epilepticus is defined as a condition where seizures occur continuously or rapidly in succession, lasting longer than five minutes, without a return to baseline cognitive function between episodes, which makes this the correct answer.
B. Epilepsy is a chronic neurological disorder characterized by a predisposition to generate epileptic seizures, but it does not specifically refer to the continuous nature of seizures without recovery.
C. Myoclonic seizures are a type of seizure characterized by sudden, brief muscle jerks, and they do not necessarily involve the prolonged state seen in status epilepticus.
D. Absence seizures involve brief lapses of consciousness and typically do not last long or recur in a rapid succession without cognitive recovery, differentiating them from status epilepticus.
What is the role of the parasympathetic nervous system after the sympathetic nervous system has been activated?
Explanation
A. The parasympathetic nervous system acts to counterbalance the sympathetic nervous system's "fight or flight" response by promoting a "rest and digest" state. After sympathetic activation, it helps to stimulate the release of hormones, such as acetylcholine, that can lead to negative feedback mechanisms, ultimately reducing stress responses.
B. This statement is incorrect because the parasympathetic nervous system does play a role in regulating bodily functions and hormonal balance, even if it doesn't directly invoke negative feedback itself.
C. The parasympathetic nervous system does not amplify the effects of negative feedback; rather, it serves to return the body to homeostasis after sympathetic activation, which is a form of regulation but not amplification.
D. This statement is misleading because the parasympathetic nervous system generally promotes recovery and restoration of normal function rather than inhibiting the release of hormones involved in negative feedback.
What are anticholinergic agents?
Explanation
A. This statement is incorrect; anticholinergic agents do not stimulate the production of acetylcholine but rather inhibit its effects on target organs.
B. Anticholinergic agents do not increase the breakdown of acetylcholine; instead, they inhibit its action by blocking the receptors that acetylcholine binds to.
C. These agents do not enhance the release of acetylcholine; they work by blocking its receptors, thus reducing its overall activity in the body.
D. Anticholinergic agents specifically work by blocking the action of acetylcholine at muscarinic receptors, which can help treat various conditions, such as overactive bladder and certain types of motion sickness.
. Which of the following is a characteristic clinical presentation of Parkinson's disease?
Explanation
A. Excessive involuntary movements are typically associated with other conditions, such as Huntington's disease or tardive dyskinesia, rather than Parkinson's disease.
B. While some cognitive changes may occur in Parkinson's disease, memory loss and confusion are not primary features; rather, they can develop in later stages or in conjunction with dementia.
C. Muscle stiffness and rigidity are indeed symptoms of Parkinson's disease, but they are not as defining as the characteristic tremors that occur at rest.
D. Tremors at rest are a hallmark sign of Parkinson's disease, particularly characterized by a "resting tremor" that is most noticeable when the muscles are relaxed.
A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?
Explanation
A. Phenytoin can be taken with food, and it is not necessary for the child to have not eaten within the hour prior to administration.
B. Phenytoin suspension needs to be mixed thoroughly before administration to ensure even distribution of the medication; therefore, shaking the container is the correct action.
C. Checking the child's blood pressure is not a routine requirement prior to administering phenytoin, unless there are specific concerns related to the child's condition.
D. While performing mouth care is generally a good practice, it is not a specific requirement related to the administration of phenytoin suspension.
What is an important consideration when using anticholinergic agents in pediatric patients?
Explanation
A. Anticholinergic agents may actually increase the risk of urinary retention rather than decrease it due to their effects on bladder function.
B. Anticholinergic agents can impair the body's ability to regulate temperature, leading to an increased risk of hyperthermia, particularly in children who may not adequately compensate for heat.
C. Anticholinergic agents can cause sedation, so the idea that there is no potential for sedation is incorrect; many anticholinergics can have sedative effects.
D. Anticholinergic agents can lead to constipation rather than a decreased risk of it, as they reduce gastrointestinal motility.
A nursing mother is being prepared for an eye condition which requires a prescription for atropine. What nursing intervention should the nurse implement to assure safe and effective atropine therapy?
Explanation
A. Discussing an alternative feeding method is not necessary; instead, ensuring the timing of medication and feeding is more critical.
B. While warming breast milk is a good practice, the primary concern is the timing of administration related to the medication's effects.
C. Feeding the baby prior to taking atropine allows for the mother to minimize the risk of atropine passing into breast milk during its peak effect, thus ensuring the baby is not exposed to the medication during critical periods.
D. Hydration is important for overall health but does not significantly impact the concentration of atropine in breast milk to warrant concern.
Which of the following is a clinical manifestation of a tonic-clonic seizure?
Explanation
A. Sudden jerking movements of the limbs are characteristic of myoclonic seizures rather than tonic-clonic seizures.
B. Tonic-clonic seizures, previously known as grand mal seizures, typically involve loss of consciousness and can result in falling to the ground due to the body experiencing generalized tonic (stiffening) and clonic (jerking) phases.
C. Brief staring spells and temporary confusion are more indicative of absence seizures.
D. Sudden loss of muscle tone and falling to the ground is associated with atonic seizures rather than tonic-clonic seizures.
Which of the following is important for patient teaching regarding the use of the anticholinergic drug atropine?
Explanation
A. Taking atropine on an empty stomach is not a standard recommendation and is not specifically related to the effectiveness of the medication.
B. While avoiding excessive sun exposure may be important for some medications, it is not a primary concern for atropine specifically.
C. Patients should not discontinue atropine without consulting their healthcare provider, as some side effects may be manageable or expected.
D. Increasing fluid intake is important because anticholinergic drugs like atropine can cause dry mouth and dehydration due to reduced secretions, making it crucial for patients to stay well-hydrated.
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