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Chapter 23: Care of Patients with Disorders of the Brain deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd EditionMULTIPLE CHOICE1. The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA). Family members ask the nurse why their father had a seizure. Which response is best for the nurse to make? a.“The seizure was most likely caused by brain cells being deprived of oxygen due to a blood clot in the brain.”b.“The stroke generated a toxin that excites the brain cells.”c.“The stroke causes an alteration in the cells adjacent to the blood clot.”d.“The stroke causes an increase in the depolarization of the brain cells due to the clot formation.”ANS: A Thrombi from a CVA can occlude vessels, cutting off oxygen supply to cells of the brain and causing a seizure.PTS: 1 DIF: Cognitive Level: Comprehension REF: 524 OBJ: 2 (theory) TOP: Seizure: Etiology KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. The nurse is providing teaching to a patient newly diagnosed with simple partial seizure disorder. Which statement by the nurse is most accurate? ”””PTS: 1 DIF: Cognitive Level: Application REF: 525 OBJ: 1 (theory) TOP: Simple Partial Seizures KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. The nurse is caring for an anxious 20-year-old college student who just suffered his first seizure in his dorm room. The patient asks the nurse if he is now an epileptic. What is the nurse’s best response?
”PTS: 1 DIF: Cognitive Level: Comprehension REF: 525 OBJ: 1 (clinical) TOP: Seizures vs. Epilepsy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort