Chapter 69 Quiz

A  Prepare the client for a CT scan.

B  Assess the CSF fluid laboratory test results

C  Encourage oral fluid intake.

D  Administer prescribed antibiotics.

A  Nuchal rigidity

B  Positive Brudzinski sign

C  Positive Kerning sign

D  Photophobia

A  Urine output of 40 ml/hour

B  Warm, dry skin

C  Even, unlabored respirations

D  Soft, nondistended abdomen

A  Help the patient flex his neck and observe for flexion of the hips and knees

B  Flex the patient’s thigh on his abdomen and assess the extension of the leg.

C  Assess the patient’s sensitivity to light.

D  Support the patient’s neck through normal range of motion and evaluate stiffness.

A  Preparing for organ donation

B  Administering amphotericin B

C  Initiating isolation procedures

D  Providing palliative care

A  infection.

B  complications.

C  choking.

D  falls.

A  Carries message to the next nerve cell

B  Acts as chemical messenger

C  Speeds nerve impulse transmission

D  Represents building block of nervous system

A  Azathioprine (Imuran)

B  Lioresal (Baclofen)

C  Deltasone (Prednisone)

D  Pyridostigmine bromide (Mestinon)

A  Blood pressure apparatus

B  Intubation tray and suction apparatus

C  Nebulizer and thermometer

D  Incentive spirometer

A  Numbness and vomiting

B  Hyporeflexia in the lower extremities

C  Ptosis and diplopia

D  Headache and nuchal rigidity

A  Evoked potential studies

B  Magnetic resonance imaging

C  CSF electrophoresis

D  Neuropsychological testing

A  are primarily associated with infection with Coccidioides immitis and Aspergillus.

B  may be controlled by the administration of diphenhydramine and acetaminophen approximately 30 minutes before administration of the amphotericin.

C  indicate the need for immediate blood and cerebral spinal fluid (CSF) cultures.

D  indicate renal toxicity and a worsening condition.

A  Sphygmomanometer

B  Suction machine with catheters

C  Padded tongue blade

D  Nasal cannula and oxygen

A  Call the rapid response team because the patient is preparing to arrest.

B  Administer atropine to control the side effects of edrophonium.

C  Place the patient in the supine position

D  Administer diphenhydramine (Benadryl) for the allergic reaction.

A  Within 24 hours after exposure

B  Within 48 hours after exposure

C  Within 72 hours after exposure

D  Therapy is not necessary prophylactically and should only be used if the person develops symptoms.

A  There are no guarantees, but a large portion of people with Guillain-Barré syndrome survive.”

B  Once Guillain-Barré syndrome progresses to the diaphragm, survival decreases significantly.”

C  Don’t worry; your child will be fine.”

D  It’s too early to give a prognosis.”

A  Evoked potential studies

B  Cerebrospinal fluid (CSF) electrophoresis

C  Magnetic resonance imaging (MRI)

D  Neuropsychological testing

A  Initiate seizure precautions.

B  Ensure that client takes nothing by mouth.

C  Assess visual acuity.

D  Assess for facial weakness.

A  Multiple sclerosis

B  Huntington disease

C  Parkinson disease

D  Creutzfeldt-Jakob disease

A  Prevention of joint contractures

B  Use of adaptive equipment

C  Promoting ability to critically think

D  Creating a positive environment

A  Loss of proprioception

B  Diplopia and ptosis

C  Numbness

D  Patchy blindness

A  Creutzfeldt-Jakob disease

B  Multiple sclerosis

C  Huntington disease

D  Parkinson disease

A  After administration of the medication, there will be no change in the status of the ptosis or facial weakness.

B  Thirty seconds after administration, the facial weakness and ptosis will be relieved for approximately 5 minutes.

C  The patient will have recovery of symptoms for at least 24 hours after the administration of the Tensilon.

D  Eight hours after administration, the acetylcholinesterase begins to regenerate the available acetylcholine and will relieve symptoms.

A  I will stretch daily as directed by the physical therapist.”

B  I will take hot tub baths to decrease spasms.”

C  exercises should be completed quickly to reduce fatigue.”

D  I should participate in non–weight-bearing exercises.”

A  muscle rigidity, memory impairment, and cognitive impairment.

B  diplopia and bradykinesia.

C  akathisia and dysphagia.

D  sensory disturbance, limb pain, and behavioral changes.

A  assessing vital signs frequently

B  reporting changes to the physician

C  destabilizing client’s condition

D  preventing further neurologic damage

A  Overmedication

B  Undermedication

C  Compliance with medication

D  Infection

A  Immune globulin is given intravenously.

B  Antibodies are removed from the plasma.

C  Mestinon therapy is initiated.

D  The thymus gland is removed.

A  Azathioprine

B  Pyridostigmine bromide

C  Atropine

D  Prednisone

A  signs and symptoms of cardiac insufficiency.

B  signs of relapse.

C  signs of improvement in the patient’s condition.

D  renal complications related to acyclovir therapy.

A  You’ll first regain use of your legs and then your arms.”

B  It must be hard to accept the permanency of your paralysis.”

C  You’ll be permanently paralyzed; however, you won’t have any sensory loss.”

D  The paralysis caused by this disease is temporary.”

A  Apply a cooling blanket.

B  Ensure the family receives prophylaxis antibiotic treatment.

C  Initiate isolation precautions.

D  Administer prescribed antibiotics.

A  Gamma-aminobutyric acid

B  Dopamine

C  Acetylcholine

D  Serotonin

A  Increased pulse rate, respirations of 16 breaths/minute

B  Decreased pulse rate, respirations of 20 breaths/minute

C  Decreased pulse rate, abdominal breathing

D  Increased pulse rate, adventitious breath sounds

A  Endocrine system

B  Respiratory system

C  Neurovascular system

D  Cardiovascular system

A  Computed tomography (CT) scan

B  Electromyogram (EMG)

C  Serum studies

D  Tensilon test

A  Condition of skin

B  Respiratory status

C  Urinary output and capillary refill

D  Gag reflex and bowel sounds

A  Facial distortion and pain

B  Fatigue and depression

C  Hyporeflexia and weakness of the lower extremities

D  Ptosis and diplopia

A  Hyper-alertness

B  Positive Romberg sign

C  Positive Kernig’s sign

D  Negative Brudzinski’s sign

A  Herpes simplex virus (HSV)

B  Lyme Disease

C  Human immunodeficiency virus (HIV

D  Western equine bacteria

A  Trigeminal neuralgia

B  Angina pectoris

C  Bell’s palsy

D  Migraine headache

A  Elevated protein levels in the CSF

B  Glucose in the CSF

C  Red blood cells present in the CSF

D  White blood cells in the CSF

A  Parkinson disease

B  Creutzfeldt-Jakob disease

C  Huntington disease

D  Multiple sclerosis

A  Vancomycin

B  Dexamethasone (Decadron)

C  Acyclovir (Zovirax)

D  Phenytoin (Dilantin)

A  A disorder in which the body has too many immunoglobulins

B  A disorder in which killer T cells and autoantibodies attack or destroy natural cells—those cells that are “self”

C  A disorder in which the body does not have enough immunoglobulins

D  A disorder in which histocompatible cells attack the immunoglobulins

A  Headache and nuchal rigidity

B  Ptosis and diplopia

C  Hyporeflexia in the lower extremities

D  Numbness and vomiting

A  Fatigue and depression

B  Hyporeflexia and weakness of the lower extremities

C  Facial pain in the areas of the fifth cranial nerve

D  Ptosis and diplopia

A  Hyporeflexia and skin rash

B  Muscle weakness and hyporeflexia of the lower extremities

C  Fever and cough

D  Ptosis and muscle weakness of upper extremities

A  Take moderate amounts of alcohol

B  Avoid physical activity.

C  Avoid analgesic medication.

D  Avoid hot temperatures.

A  Facial (VII)

B  Vestibulocochlear (VIII)

C  Vagus (X)

D  Trigeminal (V)

A  Limit your fruit and vegetable intake.”

B  Avoid hot baths and showers.”

C  Restrict fluid intake to 1,500 ml/day.”

D  Avoid taking daytime naps.”

A  I was putting my shoes on.”

B  I was brushing my teeth.”

C  I was sitting at home watching television.”

D  I was taking a bath.”

A  The patient will require a double dose prior to lunch.

B  The muscles will become fatigued and the patient will not be able to chew food or swallow pills.

C  There should not be a problem, since the medication was only delayed by about 2 hours.

D  The patient will go into cardiac arrest.

A  A donor who was in college in England for 1 year

B  A donor who is taking medication for benign prostatic hyperplasia

C  A donor who moved to the United States from Canada

D  A donor with a history of hypertension with a blood pressure of 140/90 mm Hg

A  Administer eye drops as needed.

B  Apply an eye patch to the right eye.

C  Place needed items on the right side.

D  Exercise the right eye twice a day.

A  Preventing muscular atrophy

B  Maintaining hemodynamic stability and adequate cardiac output

C  Preventing renal insufficiency

D  Controlling seizures and increased intracranial pressure

A  Praise client when using adaptive equipment.

B  Include client in planning of care and setting of goals.

C  Provide instruction on blood-thinning medication.

D  Assess client for ability to ambulate independently.

A  treatment unless the roommate begins to show symptoms

B  Treatment with antimicrobial prophylaxis as soon as possible

C  Admission to the nearest hospital for observation

D  Bedrest at home for 72 hours

A  Have you had difficulty with urination in the last 6 weeks?”

B  Have you experienced any ptosis in the last few weeks?”

C  Have you experienced any viral infections in the last month?”

D  Have you developed any new allergies in the last year?”

A  Edrophonium (Tensilon)

B  Cyclosporine (Sandimmune)

C  Immunoglobulin G (Iveegam EN)

D  Azathioprine (Imuran)

A  Instill artificial tears.

B  Turn out the lights in the room.

C  Alternatively patch one eye every 2 hours.

D  Encourage the client to close his eyes.

A  Assess laboratory values for renal insufficiency.

B  Administer diphenhydramine and acetaminophen per orders.

C  Stop the infusion immediately.

D  Notify the physician and prepare for a lumbar puncture to obtain CSF cultures.

A  Prednisone

B  Atropine

C  Azathioprine

D  Pyridostigmine bromide

A  preventing muscular atrophy.

B  preventing renal insufficiency

C  controlling seizures and increased intracranial pressure.

D  maintaining hemodynamic stability and adequate cardiac output

A  horse.

B  flea.

C  tick.

D  mosquito.

A  take a hot bath.

B  avoid naps during the day.

C  rest in an air-conditioned room.

D  increase the dose of muscle relaxants.