Neurology Quiz Challenge

An 18 y/o M w/ a PMH of tonic-clonic seizures was brought to the ED by his mother because he has been vomiting and unable to keep any fluids down for almost 24 hours. She states that he has not had his antiseizure meds since yesterday morning & this morning he had a “very bad” seizure. An IV line is inserted, and during the assessment, the pt begins to have a tonic-clonic seizure that continues for almost 6 minutes. Which nursing actions will be implemented?

A 72 y/o M pt in ICU s/p vascular surgery. Stable day 1, but on day 2 his daughter asked RN, “How long has he been confused? He wasn’t like this yesterday or before his surgery.” VS are stable, except for a temp of 100.2°F. His speech is slow & difficult to understand. He repeatedly asks his daughter about the “birds flying around” in his room. His daughter tells RN that he is normally quiet & has some trouble remembering recent events, but has never been “confused like this.” Support your dx.

A 64 y/o F is brought to her PCP’s office because her husband has noticed that she has not been active during the past few months, and that she “seems depressed.” She tells the nurse that her mother died from Parkinson’s disease, and she is worried that she is developing the disease because her brother was just diagnosed with it last year. Which clinical manifestations will the nurse expect to see that support a possible diagnosis of Parkinson’s disease?