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  Positive Brudzinski sign

B  Positive Kerning sign

C  Nuchal rigidity

D  Photophobia

A  Urine output of 40 ml/hour

B  Even, unlabored respirations

C  Warm, dry skin

D  Soft, nondistended abdomen

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

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

C  Assess the patient’s sensitivity to light.

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

A  Administering amphotericin B

B  Preparing for organ donation

C  Providing palliative care

D  Initiating isolation procedures

A  infection.

B  falls.

C  complications.

D  choking.

A  Acts as chemical messenger

B  Carries message to the next nerve cell

C  Represents building block of nervous system

D  Speeds nerve impulse transmission

A  Pyridostigmine bromide (Mestinon)

B  Lioresal (Baclofen)

C  Deltasone (Prednisone)

D  Azathioprine (Imuran)

A  Blood pressure apparatus

B  Intubation tray and suction apparatus

C  Nebulizer and thermometer

D  Incentive spirometer

A  Headache and nuchal rigidity

B  Hyporeflexia in the lower extremities

C  Ptosis and diplopia

D  Numbness and vomiting

A  Neuropsychological testing

B  CSF electrophoresis

C  Evoked potential studies

D  Magnetic resonance imaging

A  indicate renal toxicity and a worsening condition.

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

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

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

A  Suction machine with catheters

B  Sphygmomanometer

C  Padded tongue blade

D  Nasal cannula and oxygen

A  Administer atropine to control the side effects of edrophonium.

B  Administer diphenhydramine (Benadryl) for the allergic reaction.

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

D  Place the patient in the supine position

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

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

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

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

A  Cerebrospinal fluid (CSF) electrophoresis

B  Magnetic resonance imaging (MRI)

C  Evoked potential studies

D  Neuropsychological testing

A  Assess for facial weakness.

B  Initiate seizure precautions.

C  Ensure that client takes nothing by mouth.

D  Assess visual acuity.

A  Multiple sclerosis

B  Parkinson disease

C  Huntington disease

D  Creutzfeldt-Jakob disease

A  Use of adaptive equipment

B  Creating a positive environment

C  Prevention of joint contractures

D  Promoting ability to critically think

A  Numbness

B  Loss of proprioception

C  Patchy blindness

D  Diplopia and ptosis

A  Parkinson disease

B  Creutzfeldt-Jakob disease

C  Multiple sclerosis

D  Huntington disease

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

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

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

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

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

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

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

D  exercises should be completed quickly to reduce fatigue.”

A  sensory disturbance, limb pain, and behavioral changes.

B  diplopia and bradykinesia.

C  muscle rigidity, memory impairment, and cognitive impairment.

D  akathisia and dysphagia.

A  preventing further neurologic damage

B  reporting changes to the physician

C  assessing vital signs frequently

D  destabilizing client’s condition

A  Compliance with medication

B  Overmedication

C  Undermedication

D  Infection

A  Antibodies are removed from the plasma.

B  Mestinon therapy is initiated.

C  Immune globulin is given intravenously.

D  The thymus gland is removed.

A  Pyridostigmine bromide

B  Prednisone

C  Atropine

D  Azathioprine

A  renal complications related to acyclovir therapy.

B  signs and symptoms of cardiac insufficiency.

C  signs of improvement in the patient’s condition.

D  signs of relapse.

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

B  The paralysis caused by this disease is temporary.”

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

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

A  Initiate isolation precautions.

B  Ensure the family receives prophylaxis antibiotic treatment.

C  Administer prescribed antibiotics.

D  Apply a cooling blanket.

A  Acetylcholine

B  Gamma-aminobutyric acid

C  Serotonin

D  Dopamine

A  Decreased pulse rate, abdominal breathing

B  Decreased pulse rate, respirations of 20 breaths/minute

C  Increased pulse rate, adventitious breath sounds

D  Increased pulse rate, respirations of 16 breaths/minute

A  Neurovascular system

B  Respiratory system

C  Endocrine system

D  Cardiovascular system

A  Electromyogram (EMG)

B  Tensilon test

C  Computed tomography (CT) scan

D  Serum studies

A  Respiratory status

B  Condition of skin

C  Gag reflex and bowel sounds

D  Urinary output and capillary refill

A  Fatigue and depression

B  Facial distortion and pain

C  Hyporeflexia and weakness of the lower extremities

D  Ptosis and diplopia

A  Negative Brudzinski’s sign

B  Positive Romberg sign

C  Positive Kernig’s sign

D  Hyper-alertness

A  Human immunodeficiency virus (HIV

B  Herpes simplex virus (HSV)

C  Western equine bacteria

D  Lyme Disease

A  Migraine headache

B  Trigeminal neuralgia

C  Angina pectoris

D  Bell’s palsy

A  Glucose in the CSF

B  Elevated protein levels in the CSF

C  White blood cells in the CSF

D  Red blood cells present in the CSF

A  Parkinson disease

B  Multiple sclerosis

C  Huntington disease

D  Creutzfeldt-Jakob disease

A  Acyclovir (Zovirax)

B  Vancomycin

C  Phenytoin (Dilantin)

D  Dexamethasone (Decadron)

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

B  A disorder in which the body has too many immunoglobulins

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

D  A disorder in which histocompatible cells attack the immunoglobulins

A  Headache and nuchal rigidity

B  Hyporeflexia in the lower extremities

C  Ptosis and diplopia

D  Numbness and vomiting

A  Fatigue and depression

B  Ptosis and diplopia

C  Hyporeflexia and weakness of the lower extremities

D  Facial pain in the areas of the fifth cranial nerve

A  Ptosis and muscle weakness of upper extremities

B  Muscle weakness and hyporeflexia of the lower extremities

C  Hyporeflexia and skin rash

D  Fever and cough

A  Avoid analgesic medication.

B  Avoid physical activity.

C  Avoid hot temperatures.

D  Take moderate amounts of alcohol

A  Facial (VII)

B  Vestibulocochlear (VIII)

C  Trigeminal (V)

D  Vagus (X)

A  Avoid hot baths and showers.”

B  Limit your fruit and vegetable intake.”

C  Avoid taking daytime naps.”

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

A  I was taking a bath.”

B  I was sitting at home watching television.”

C  I was putting my shoes on.”

D  I was brushing my teeth.”

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 is taking medication for benign prostatic hyperplasia

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

C  A donor who moved to the United States from Canada

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

A  Place needed items on the right side.

B  Administer eye drops as needed.

C  Exercise the right eye twice a day.

D  Apply an eye patch to the right eye.

A  Controlling seizures and increased intracranial pressure

B  Preventing muscular atrophy

C  Maintaining hemodynamic stability and adequate cardiac output

D  Preventing renal insufficiency

A  Praise client when using adaptive equipment.

B  Provide instruction on blood-thinning medication.

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

D  Assess client for ability to ambulate independently.

A  Admission to the nearest hospital for observation

B  treatment unless the roommate begins to show symptoms

C  Bedrest at home for 72 hours

D  Treatment with antimicrobial prophylaxis as soon as possible

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

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

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

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

A  Immunoglobulin G (Iveegam EN)

B  Edrophonium (Tensilon)

C  Azathioprine (Imuran)

D  Cyclosporine (Sandimmune)

A  Instill artificial tears.

B  Alternatively patch one eye every 2 hours.

C  Encourage the client to close his eyes.

D  Turn out the lights in the room.

A  Stop the infusion immediately.

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

C  Administer diphenhydramine and acetaminophen per orders.

D  Assess laboratory values for renal insufficiency.

A  Azathioprine

B  Atropine

C  Prednisone

D  Pyridostigmine bromide

A  preventing muscular atrophy.

B  preventing renal insufficiency

C  maintaining hemodynamic stability and adequate cardiac output

D  controlling seizures and increased intracranial pressure.

A  flea.

B  mosquito.

C  tick.

D  horse.

A  increase the dose of muscle relaxants.

B  avoid naps during the day.

C  rest in an air-conditioned room.

D  take a hot bath.