Regarding the patient with Parkinsons disease who recently entered a long-term care facility

b. Nystagmus or confusion

Diplopia is a sign of phenytoin toxicity. The nurse should assess for other signs of toxicity, which include neurologic changes, such as nystagmus, ataxia, confusion, dizziness, or slurred speech. An aura, focal seizure, abdominal pain or cramping, irregular pulse, or palpitations are not associated with phenytoin toxicity.

21. c. Specific neurologic dysfunction of MS is caused by
destruction of myelin and replacement with glial scar tissue at specific areas in the nervous system. Motor, sensory, cerebellar, and emotional dysfunctions, including paresthesias as well as patchy blindness, blurred vision, pain radiating along the dermatome of the nerve, ataxia, and severe fatigue, are the most common manifestations of MS. Constipation and bladder dysfunctions, short-term memory loss, sexual dysfunction, anger, and depression or euphoria may also occur. Excessive involuntary movements and tremors are not seen in MS.

B.
Diplopia is a sign of phenytoin toxicity. The nurse should assess for other signs of toxicity, which include neurologic changes, such as nystagmus, ataxia, confusion, dizziness, or slurred speech. An aura, focal seizure, abdominal pain or cramping, irregular pulse, or palpitations are not associated with phenytoin toxicity.

Sets with similar terms

What is the nursing action of highest priority to be taken with a patient who experiences a generalized tonic clonic seizure?

Help the person lie down, and place something soft under the head and neck. Keep the person (especially the head) away from sharp or hard objects, such as the corner of a table. Loosen all tight clothing.

Which diagnostic findings would the nurse associate with a patient's diagnosis of multiple sclerosis MS )?

Vision problems — such as optic neuritis (blurriness and pain in one eye) — are often one of the first signs of multiple sclerosis..
Changes in gait..
Fatigue..
Loss of balance or coordination..
Muscle spasms..
Muscle weakness..
Tingling or numbness, especially in your legs or arms..