Chapter 69 Quiz

A  Encourage oral fluid intake.

B  Assess the CSF fluid laboratory test results

C  Prepare the client for a CT scan.

D  Administer prescribed antibiotics.

A  Photophobia

B  Positive Brudzinski sign

C  Nuchal rigidity

D  Positive Kerning sign

A  Even, unlabored respirations

B  Warm, dry skin

C  Urine output of 40 ml/hour

D  Soft, nondistended abdomen

A  Assess the patient’s sensitivity to light.

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

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

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

A  Preparing for organ donation

B  Providing palliative care

C  Initiating isolation procedures

D  Administering amphotericin B

A  falls.

B  complications.

C  infection.

D  choking.

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  Azathioprine (Imuran)

C  Pyridostigmine bromide (Mestinon)

D  Lioresal (Baclofen)

A  Blood pressure apparatus

B  Nebulizer and thermometer

C  Intubation tray and suction apparatus

D  Incentive spirometer

A  Headache and nuchal rigidity

B  Numbness and vomiting

C  Hyporeflexia in the lower extremities

D  Ptosis and diplopia

A  CSF electrophoresis

B  Evoked potential studies

C  Magnetic resonance imaging

D  Neuropsychological testing

A  indicate renal toxicity and a worsening condition.

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

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

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

A  Sphygmomanometer

B  Nasal cannula and oxygen

C  Padded tongue blade

D  Suction machine with catheters

A  Administer atropine to control the side effects of edrophonium.

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

C  Place the patient in the supine position

D  Administer diphenhydramine (Benadryl) for the allergic reaction.

A  Within 72 hours after exposure

B  Within 48 hours after exposure

C  Within 24 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  There are no guarantees, but a large portion of people with Guillain-Barré syndrome survive.”

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

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

A  Evoked potential studies

B  Neuropsychological testing

C  Cerebrospinal fluid (CSF) electrophoresis

D  Magnetic resonance imaging (MRI)

A  Ensure that client takes nothing by mouth.

B  Assess for facial weakness.

C  Initiate seizure precautions.

D  Assess visual acuity.

A  Multiple sclerosis

B  Creutzfeldt-Jakob disease

C  Parkinson disease

D  Huntington disease

A  Creating a positive environment

B  Prevention of joint contractures

C  Promoting ability to critically think

D  Use of adaptive equipment

A  Diplopia and ptosis

B  Numbness

C  Patchy blindness

D  Loss of proprioception

A  Multiple sclerosis

B  Huntington disease

C  Creutzfeldt-Jakob disease

D  Parkinson disease

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

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

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

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

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

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

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

D  exercises should be completed quickly to reduce fatigue.”

A  akathisia and dysphagia.

B  muscle rigidity, memory impairment, and cognitive impairment.

C  diplopia and bradykinesia.

D  sensory disturbance, limb pain, and behavioral changes.

A  reporting changes to the physician

B  destabilizing client’s condition

C  assessing vital signs frequently

D  preventing further neurologic damage

A  Overmedication

B  Infection

C  Undermedication

D  Compliance with medication

A  The thymus gland is removed.

B  Mestinon therapy is initiated.

C  Antibodies are removed from the plasma.

D  Immune globulin is given intravenously.

A  Azathioprine

B  Prednisone

C  Pyridostigmine bromide

D  Atropine

A  signs and symptoms of cardiac insufficiency.

B  signs of relapse.

C  renal complications related to acyclovir therapy.

D  signs of improvement in the patient’s condition.

A  The paralysis caused by this disease is temporary.”

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

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

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

A  Initiate isolation precautions.

B  Administer prescribed antibiotics.

C  Ensure the family receives prophylaxis antibiotic treatment.

D  Apply a cooling blanket.

A  Gamma-aminobutyric acid

B  Acetylcholine

C  Dopamine

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  Respiratory system

B  Neurovascular system

C  Cardiovascular system

D  Endocrine system

A  Computed tomography (CT) scan

B  Serum studies

C  Electromyogram (EMG)

D  Tensilon test

A  Urinary output and capillary refill

B  Condition of skin

C  Respiratory status

D  Gag reflex and bowel sounds

A  Ptosis and diplopia

B  Hyporeflexia and weakness of the lower extremities

C  Facial distortion and pain

D  Fatigue and depression

A  Positive Kernig’s sign

B  Negative Brudzinski’s sign

C  Hyper-alertness

D  Positive Romberg sign

A  Lyme Disease

B  Human immunodeficiency virus (HIV

C  Herpes simplex virus (HSV)

D  Western equine bacteria

A  Trigeminal neuralgia

B  Bell’s palsy

C  Migraine headache

D  Angina pectoris

A  White blood cells in the CSF

B  Red blood cells present in the CSF

C  Glucose in the CSF

D  Elevated protein levels in the CSF

A  Huntington disease

B  Creutzfeldt-Jakob disease

C  Multiple sclerosis

D  Parkinson disease

A  Vancomycin

B  Phenytoin (Dilantin)

C  Acyclovir (Zovirax)

D  Dexamethasone (Decadron)

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

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

C  A disorder in which the body has too many immunoglobulins

D  A disorder in which histocompatible cells attack the immunoglobulins

A  Ptosis and diplopia

B  Headache and nuchal rigidity

C  Hyporeflexia in the lower extremities

D  Numbness and vomiting

A  Ptosis and diplopia

B  Facial pain in the areas of the fifth cranial nerve

C  Hyporeflexia and weakness of the lower extremities

D  Fatigue and depression

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  Avoid analgesic medication.

B  Avoid physical activity.

C  Avoid hot temperatures.

D  Take moderate amounts of alcohol

A  Facial (VII)

B  Vestibulocochlear (VIII)

C  Vagus (X)

D  Trigeminal (V)

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

B  Avoid taking daytime naps.”

C  Avoid hot baths and showers.”

D  Limit your fruit and vegetable intake.”

A  I was taking a bath.”

B  I was putting my shoes on.”

C  I was brushing my teeth.”

D  I was sitting at home watching television.”

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

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

C  The patient will go into cardiac arrest.

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

A  A donor who is taking medication for benign prostatic hyperplasia

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

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  Controlling seizures and increased intracranial pressure

C  Preventing muscular atrophy

D  Maintaining hemodynamic stability and adequate cardiac output

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  Admission to the nearest hospital for observation

B  treatment unless the roommate begins to show symptoms

C  Treatment with antimicrobial prophylaxis as soon as possible

D  Bedrest at home for 72 hours

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  Edrophonium (Tensilon)

B  Immunoglobulin G (Iveegam EN)

C  Azathioprine (Imuran)

D  Cyclosporine (Sandimmune)

A  Encourage the client to close his eyes.

B  Turn out the lights in the room.

C  Alternatively patch one eye every 2 hours.

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  Azathioprine

D  Prednisone

A  maintaining hemodynamic stability and adequate cardiac output

B  preventing renal insufficiency

C  controlling seizures and increased intracranial pressure.

D  preventing muscular atrophy.

A  horse.

B  flea.

C  mosquito.

D  tick.

A  avoid naps during the day.

B  increase the dose of muscle relaxants.

C  rest in an air-conditioned room.

D  take a hot bath.