Chapter 69 Quiz

A  Assess the CSF fluid laboratory test results

B  Encourage oral fluid intake.

C  Administer prescribed antibiotics.

D  Prepare the client for a CT scan.

A  Photophobia

B  Positive Kerning sign

C  Positive Brudzinski sign

D  Nuchal rigidity

A  Soft, nondistended abdomen

B  Warm, dry skin

C  Urine output of 40 ml/hour

D  Even, unlabored respirations

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

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

C  Assess the patient’s sensitivity to light.

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

A  Providing palliative care

B  Preparing for organ donation

C  Initiating isolation procedures

D  Administering amphotericin B

A  complications.

B  falls.

C  choking.

D  infection.

A  Carries message to the next nerve cell

B  Speeds nerve impulse transmission

C  Represents building block of nervous system

D  Acts as chemical messenger

A  Deltasone (Prednisone)

B  Pyridostigmine bromide (Mestinon)

C  Lioresal (Baclofen)

D  Azathioprine (Imuran)

A  Incentive spirometer

B  Blood pressure apparatus

C  Intubation tray and suction apparatus

D  Nebulizer and thermometer

A  Numbness and vomiting

B  Headache and nuchal rigidity

C  Hyporeflexia in the lower extremities

D  Ptosis and diplopia

A  Evoked potential studies

B  Neuropsychological testing

C  CSF electrophoresis

D  Magnetic resonance imaging

A  indicate renal toxicity and a worsening condition.

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

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

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  Padded tongue blade

C  Sphygmomanometer

D  Nasal cannula and oxygen

A  Administer atropine to control the side effects of edrophonium.

B  Place the patient in the supine position

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

D  Administer diphenhydramine (Benadryl) for the allergic reaction.

A  Within 24 hours after exposure

B  Within 48 hours after exposure

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

D  Within 72 hours after exposure

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

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

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

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

A  Magnetic resonance imaging (MRI)

B  Neuropsychological testing

C  Cerebrospinal fluid (CSF) electrophoresis

D  Evoked potential studies

A  Initiate seizure precautions.

B  Assess visual acuity.

C  Ensure that client takes nothing by mouth.

D  Assess for facial weakness.

A  Huntington disease

B  Creutzfeldt-Jakob disease

C  Multiple sclerosis

D  Parkinson disease

A  Prevention of joint contractures

B  Use of adaptive equipment

C  Creating a positive environment

D  Promoting ability to critically think

A  Patchy blindness

B  Diplopia and ptosis

C  Numbness

D  Loss of proprioception

A  Parkinson disease

B  Huntington disease

C  Multiple sclerosis

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

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

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

B  exercises should be completed quickly to reduce fatigue.”

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

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

A  sensory disturbance, limb pain, and behavioral changes.

B  akathisia and dysphagia.

C  muscle rigidity, memory impairment, and cognitive impairment.

D  diplopia and bradykinesia.

A  preventing further neurologic damage

B  destabilizing client’s condition

C  assessing vital signs frequently

D  reporting changes to the physician

A  Undermedication

B  Compliance with medication

C  Overmedication

D  Infection

A  Immune globulin is given intravenously.

B  Antibodies are removed from the plasma.

C  The thymus gland is removed.

D  Mestinon therapy is initiated.

A  Pyridostigmine bromide

B  Prednisone

C  Azathioprine

D  Atropine

A  signs of improvement in the patient’s condition.

B  signs and symptoms of cardiac insufficiency.

C  signs of relapse.

D  renal complications related to acyclovir therapy.

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

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

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

D  The paralysis caused by this disease is temporary.”

A  Ensure the family receives prophylaxis antibiotic treatment.

B  Apply a cooling blanket.

C  Initiate isolation precautions.

D  Administer prescribed antibiotics.

A  Dopamine

B  Serotonin

C  Acetylcholine

D  Gamma-aminobutyric acid

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  Cardiovascular system

B  Respiratory system

C  Neurovascular system

D  Endocrine system

A  Electromyogram (EMG)

B  Computed tomography (CT) scan

C  Serum studies

D  Tensilon test

A  Gag reflex and bowel sounds

B  Condition of skin

C  Urinary output and capillary refill

D  Respiratory status

A  Facial distortion and pain

B  Ptosis and diplopia

C  Hyporeflexia and weakness of the lower extremities

D  Fatigue and depression

A  Positive Romberg sign

B  Positive Kernig’s sign

C  Hyper-alertness

D  Negative Brudzinski’s sign

A  Human immunodeficiency virus (HIV

B  Lyme Disease

C  Western equine bacteria

D  Herpes simplex virus (HSV)

A  Bell’s palsy

B  Trigeminal neuralgia

C  Migraine headache

D  Angina pectoris

A  Glucose in the CSF

B  White blood cells in the CSF

C  Elevated protein levels in the CSF

D  Red blood cells present in the CSF

A  Creutzfeldt-Jakob disease

B  Parkinson disease

C  Multiple sclerosis

D  Huntington disease

A  Dexamethasone (Decadron)

B  Phenytoin (Dilantin)

C  Vancomycin

D  Acyclovir (Zovirax)

A  A disorder in which histocompatible cells attack the 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 the body has too many immunoglobulins

A  Hyporeflexia in the lower extremities

B  Numbness and vomiting

C  Ptosis and diplopia

D  Headache and nuchal rigidity

A  Fatigue and depression

B  Hyporeflexia and weakness of the lower extremities

C  Ptosis and diplopia

D  Facial pain in the areas of the fifth cranial nerve

A  Fever and cough

B  Muscle weakness and hyporeflexia of the lower extremities

C  Hyporeflexia and skin rash

D  Ptosis and muscle weakness of upper extremities

A  Avoid hot temperatures.

B  Take moderate amounts of alcohol

C  Avoid analgesic medication.

D  Avoid physical activity.

A  Facial (VII)

B  Vestibulocochlear (VIII)

C  Vagus (X)

D  Trigeminal (V)

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

B  Avoid hot baths and showers.”

C  Avoid taking daytime naps.”

D  Limit your fruit and vegetable intake.”

A  I was brushing my teeth.”

B  I was sitting at home watching television.”

C  I was taking a bath.”

D  I was putting my shoes on.”

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

B  The patient will go into cardiac arrest.

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

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

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

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

C  A donor who moved to the United States from Canada

D  A donor who is taking medication for benign prostatic hyperplasia

A  Place needed items on the right side.

B  Apply an eye patch to the right eye.

C  Exercise the right eye twice a day.

D  Administer eye drops as needed.

A  Preventing renal insufficiency

B  Preventing muscular atrophy

C  Controlling seizures and increased intracranial pressure

D  Maintaining hemodynamic stability and adequate cardiac output

A  Assess client for ability to ambulate independently.

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

C  Praise client when using adaptive equipment.

D  Provide instruction on blood-thinning medication.

A  treatment unless the roommate begins to show symptoms

B  Admission to the nearest hospital for observation

C  Bedrest at home for 72 hours

D  Treatment with antimicrobial prophylaxis as soon as possible

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

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

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

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

A  Cyclosporine (Sandimmune)

B  Edrophonium (Tensilon)

C  Azathioprine (Imuran)

D  Immunoglobulin G (Iveegam EN)

A  Alternatively patch one eye every 2 hours.

B  Encourage the client to close his eyes.

C  Turn out the lights in the room.

D  Instill artificial tears.

A  Stop the infusion immediately.

B  Assess laboratory values for renal insufficiency.

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

D  Administer diphenhydramine and acetaminophen per orders.

A  Atropine

B  Pyridostigmine bromide

C  Prednisone

D  Azathioprine

A  preventing muscular atrophy.

B  maintaining hemodynamic stability and adequate cardiac output

C  preventing renal insufficiency

D  controlling seizures and increased intracranial pressure.

A  flea.

B  horse.

C  tick.

D  mosquito.

A  avoid naps during the day.

B  take a hot bath.

C  increase the dose of muscle relaxants.

D  rest in an air-conditioned room.