NSG2340 Exam 2 Content Review

A patient with Parkinson’s disease is prescribed levodopa/carbidopa. The nurse should instruct the patient to:

• Avoid high-protein meals

• Take the medication at bedtime only

• Stop the drug if tremors worsen

• Increase fluid intake to 4 liters/day

A patient presents with signs of Cushing’s syndrome. Which finding supports this diagnosis?

• Weight loss

• Hypotension

• Moon face and truncal obesity

• Hyperpigmentation

During care of a patient with myasthenia gravis, which medication should the nurse anticipate administering to improve muscle strength?

• Pyridostigmine

• Atropine

• Lorazepam

• Phenytoin

The nurse recognizes that a lumbar puncture is contraindicated in which situation?

• Suspected increased intracranial pressure

• Suspected meningitis

• Severe headache

• Spinal deformity

The priority nursing intervention for a patient experiencing a tonic-clonic seizure is:

• Insert an oral airway

• Restrain the patient’s arms and legs

• Turn the patient to the side

• Record the patient’s temperature

A patient is admitted with a stroke. The nurse notes slurred speech and right facial droop. The priority is to:

• Obtain a CT scan of the head

• Administer aspirin 325 mg

• Begin IV fluids

• Insert an indwelling catheter

A nurse is caring for a patient after a thyroidectomy. Which finding requires immediate intervention?

• Hoarseness when talking

• Respiratory distress and stridor

• Mild pain at the incision site

• Tingling in the fingers

Which assessment is most important for a patient with a cervical spinal cord injury?

• Bowel sounds

• Lung sounds and respiratory effort

• Urine output

• Skin turgor

The nurse is educating a patient with Addison’s disease about medication management. The patient should:

• Increase corticosteroid dosage during stress

• Discontinue medication once feeling well

• Avoid salty foods

• Expect fluid retention

Which diagnostic finding confirms a diagnosis of hypothyroidism?

• Elevated TSH, low T3 and T4

• Low TSH, high T3 and T4

• Elevated cortisol

• Elevated growth hormone