Neurological Review of Systems Questions

Neurological Review of Systems Questions Related

Review Neurological Review of Systems Questions related questions and content

The nurse practitioner is reviewing the chart of a patient who is scheduled to receive their first dose of sumatriptan (Imitrex) in the clinic today. Past medical history is positive for only migraines. Which of the following requires further evaluation before the medication is administered?

  • A. Recent naproxen (Naprosyn) use
  • B. Current blood pressure 142/90 mmHg
  • C. Resting pulse rate of 61 bpm
  • D. Adverse reaction to ubrogepant (Ubrelvy)
Correct Answer: B

Rationale: The correct answer is B: Current blood pressure 142/90 mmHg. Before administering sumatriptan, the nurse practitioner should further evaluate the patient's elevated blood pressure to ensure it is not contraindicated for the medication. Sumatriptan can potentially increase blood pressure, so it is crucial to monitor and address any hypertension before giving the medication.

Choice A: Recent naproxen use is not a direct contraindication for sumatriptan. Both medications are commonly used together for migraine treatment.

Choice C: A resting pulse rate of 61 bpm is within the normal range and does not require further evaluation before administering sumatriptan.

Choice D: Adverse reaction to ubrogepant is not relevant for evaluating the safety of sumatriptan. Each medication has its own set of potential side effects and interactions.

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When testing the patient's cranial nerves, the nurse should:

  • A. Perform specific tests for each nerve, such as asking the patient to smile or follow an object with their eyes.
  • B. Measure the patient's blood glucose levels.
  • C. Inspect the patient's joints for swelling.
  • D. Check the patient's peripheral pulses.
Correct Answer: A

Rationale: Testing cranial nerves involves specific assessments for each nerve, such as facial movements (cranial nerve VII) or eye movements (cranial nerves III, IV, and VI). Blood glucose levels, joint swelling, and peripheral pulses are unrelated to cranial nerve testing.

When caring for a patient in the severe stage of AD, what diversion or distraction activities would be appropriate?

  • A. Watching TV
  • B. Playing games
  • C. Books to read
  • D. Mobiles or dangling ribbons
Correct Answer: D

Rationale: In severe AD, simpler sensory stimulation like mobiles or dangling ribbons may be more appropriate.

Nerve impulses are carried to another part of the body by a neuron's (nerve cell):

  • A. dendrites
  • B. axon
  • C. neuron cell body
  • D. synapse
Correct Answer: B

Rationale: The axon is the part of a neuron responsible for carrying nerve impulses away from the cell body to other neurons, muscles, or glands. It is a long, slender projection that conducts electrical signals, known as action potentials, to the axon terminals. At the terminals, the signal triggers the release of neurotransmitters into the synapse, facilitating communication with the next neuron or target cell. The axon is essential for transmitting information across the nervous system.

Which medication is the precursor for dopamine?

  • A. retrodopa
  • B. levodopa
  • C. monoamine oxidase
  • D. carbidopa
Correct Answer: B

Rationale: Levodopa is a precursor to dopamine and is the most effective medication for managing the motor symptoms of Parkinson's disease. It crosses the blood-brain barrier and is converted into dopamine in the brain.

When performing a neurologic assessment, the nurse should prioritize:

  • A. Observing for any sudden changes in mental status or physical function.
  • B. Measuring the patient's body temperature.
  • C. Checking the patient's blood pressure.
  • D. Assessing the patient's respiratory rate.
Correct Answer: A

Rationale: Sudden changes in mental status or physical function are critical in neurologic assessments. Temperature, blood pressure, and respiratory rate are secondary considerations.

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