Chapter 23 Escape Room

Chapter 23 Escape Room

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Lesson 04

Lesson 05

Lesson 06

Lesson 03

Lesson 02

Lesson 01

Education Escape

Question 01

The patient will be free from any injuries associated with the seizure

The caregiver will stay with the patient during the episodes

Everyone will stay calm during the episodes

You determine that the appropriate problem statement for a patient with status epilepticus is "Potential for injury due to seizure activities. An appropriate expected outcome would be:

Lesson 01

01

"I am less likely to have seizures during menstruation."

"Alcohol can lower seizure threshold"

"I need to avoid situations that could potentially trigger a seizure."

Which patient teaching indicates a need for further teaching on the prevention of seizures?

Question 02

01

The patient should take the medication with juice containing vitamin C.

The patient should regulate the dosage according to need.

The patient should have periodic drug levels drawn.

A patient who has epilepsy is to take phenytoin (Dilantin). What is an important teaching point that the LPN should include regarding this medication?

Question 03

01

1, 2, 4, 5

1, 4, 5

1, 2, 3, 4, 5

Which are true regarding a stroke? (select all that apply) 1. Timing of treatment is important. 2. A fibrinolytic drug will be given. 3. Clinical signs and symptoms determine if the stroke is ischemic or hemorrhagic. 4. A CT scan should be done and read within 45 minutes of arrival to the hospital. 5. It may occur as a complication of atrial fibrillation.

Question 04

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Lesson 04

Lesson 05

Lesson 06

Lesson 03

Lesson 02

Lesson 01

Education Escape

Question 01

Which statement is true?

Lesson 02

02

Question 02

Which statement is true?

Question 03

02

Which statement is true?

Question 04

Which statement is true?

Lesson 02

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Lesson 04

Lesson 05

Lesson 06

Lesson 03

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Lesson 01

Education Escape

Question 01

False

True

The nurse reinforces the information given by the physician that endarterectomy as an intervention for stroke prevention is reserved for people who have carotid obstruction of greater than 60%,

Lesson 03

“Not being able to speak is frustrating.”

"Are you asking for a fork?"

The dysarthric patient seated in the dining room of the long-term care facility yells, “Ork! Ork! Ork!” with increasing frustration. What is the nurse’s best response?

03

Question 02

Show the patient a spoon while calling it by name and describe its purpose.

Moving the patient’s hand with a toothbrush in repetitive motion to brush teeth

The nurse is assisting a patient with agnosia after a CVA. Which intervention is most appropriate?

03

Question 03

Place food all over the plate

Place food on the right side of the plate

Which nursing intervention best encourages self-feeding in a patient with left-sided paralysis after a CVA?

03

Question 04

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Education Escape

The patient’s wife is careful to not mix food of different textures together.

The patient sits in his chair for 45 minutes after each meal.

The patient tilts his head back when trying to swallow solid foods.

The patient sips from a cup rather than using a straw.

Question 01

A patient is admitted to a rehabilitation facility following a brain injury that has resulted in dysphagia. While observing the patient and his wife, the nurse determines further instruction is necessary if which activity is performed?

Lesson 04

Drinking very cold or hot liquids is frequently a trigger, so you should avoid both.”

“Surgery is the only form of treatment that will prevent this condition from recurring.”

“It is best if you speak with your physician about this condition.”

“Unfortunately, there is little you can do to prevent future episodes of pain.”

04

Question 02

The patient with trigeminal neuralgia asks the nurse if there is anything she can do to prevent future episodes of the disorder. Which response by the nurse is correct?

Atherosclerosis of the arteries in the head and neck

Meningococcal meningitis

Cerebral thrombosis

Cerebral encephalitis

04

Question 03

The nurse is providing teaching to a group of nursing students regarding CVA (stroke). The students demonstrate an understanding of the teaching when listing all of the following factors as being the possible cause of a stroke except:

The V-P shunt redirects CSF from the ventricles to the peritoneum

The V-P shunt stimulates the ventricles to reabsorb CSF

The V-P shunt prevents the production of CSF.

The V-P shunt provides a port through which excess CSF can be aspirated.

04

Question 04

The nurse is caring for a patient with brain tumor–related hydrocephalus who is scheduled to undergo placement of a ventriculoperitoneal (V-P) shunt. Which information is most important for the nurse to include when explaining the purpose of the procedure?

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Education Escape

What the patient was doing prior to the seizure?

What the patient had eaten prior to the seizure?

Whether body movements are unilateral and symmetrical?

What time the seizure began and how long it lasted?

Question 01

The LPN is talking with a patient, who has epilepsy, when he begins having a tonic-clonic seizure. The nurse should make all of the following assessments except:

Lesson 05

Long-term memory loss and paralysis

Severe headache that wakes patient and visual problems

Grand mal seizure activity and facial paralysis

Loss of muscle strength and paresthesia

05

Question 02

A patient has been diagnosed with a cerebral neoplasm. What are the symptoms of a cerebral neoplasm?

Epistaxis

Abdominal distention

Hyperactivity

Nausea

05

Question 03

The nurse obtaining an admission history for a patient recovering from a CVA finds a medication history including aspirin (Ecotrin). What should alert the nurse to a possible adverse effect of this drug?

Administer pain medications as needed

Administed acyclovir and artifical tears

Implement aspiration precautions

Offer a small fan for patient to cool face

05

Question 04

A patient was recently diagnosed as having Bell palsy. Which nursing intervention is most important for the nurse to include in the patient’s care plan?

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Lesson 04

Lesson 05

Lesson 06

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Lesson 01

Education Escape

P-Q-R-S-T

B-E-F-A-S-T

Question 01

What is the acronym for warning signs of stroke?

Lesson 06

Ears - Check for hearing disturbances

Eyes - Check for vision distubrances

06

Question 02

What does the "E" in BEFAST stand for?

Aclonic seizure

Myoclonic seizure

Absence seizure

Tonic clonic seizure

06

Question 03

A 7-year-old male patient is being evaluated for seizures. While in the child’s room talking with the child’s parents, you notice that the child appears to be daydreaming. You time this event to be 10 seconds. After 10 seconds, the child appropriately responds and doesn’t recall the event. This is known as what type of seizure?

Continue assisting the patient to the restroom and let them sit down.

Initiate the emergency response system.

Assess the patient’s medication history.

Lay the patient down on their side with a pillow underneath the head.

06

Question 04

Your patient has a history of epilepsy. While helping the patient to the restroom, the patient reports having this feeling of déjà vu and seeing spots in their visual field. Your next nursing action is to?

Continue to monitor the patient

Initiate the emergency response system.

Restrain the patient to prevent further injury

Suction the patient

06

Question 05

Keeping the previous question in mind, the patient is now experiencing characteristics of a tonic-clonic seizure. The seizure started at 1402 and it is now 1408, and the patient is still experiencing a seizure. The nurse should?

Crying and anxiety

Immediate return to baseline behavior

Sleepy, headache, and soreness

Unconsciousness

06

Question 06

Your patient has entered the post ictus stage for seizures. The patient’s seizure presented with an aura followed by body stiffening and then recurrent jerking. The patient had incontinence and bleeding in the mouth from injury to the tongue. What is an expected finding in this stage based on the type of seizure this patient experienced?

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Hope you find this activity helpful. This activity does not cover the entirety of Chapter 23, so make sure you revisit the chapter as well.

Procficiency in Chapter 23

LPN 132 Neurologic Unit

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