Chapter 69 Quiz

A  Assess the CSF fluid laboratory test results

B  Encourage oral fluid intake.

C  Prepare the client for a CT scan.

D  Administer prescribed antibiotics.

A  Positive Kerning sign

B  Nuchal rigidity

C  Positive Brudzinski sign

D  Photophobia

A  Soft, nondistended abdomen

B  Warm, dry skin

C  Even, unlabored respirations

D  Urine output of 40 ml/hour

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

B  Assess the patient’s sensitivity to light.

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

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

A  Initiating isolation procedures

B  Administering amphotericin B

C  Providing palliative care

D  Preparing for organ donation

A  falls.

B  choking.

C  infection.

D  complications.

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  Azathioprine (Imuran)

B  Lioresal (Baclofen)

C  Pyridostigmine bromide (Mestinon)

D  Deltasone (Prednisone)

A  Blood pressure apparatus

B  Incentive spirometer

C  Nebulizer and thermometer

D  Intubation tray and suction apparatus

A  Ptosis and diplopia

B  Numbness and vomiting

C  Hyporeflexia in the lower extremities

D  Headache and nuchal rigidity

A  Magnetic resonance imaging

B  CSF electrophoresis

C  Neuropsychological testing

D  Evoked potential studies

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

B  indicate renal toxicity and a worsening condition.

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

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

A  Nasal cannula and oxygen

B  Suction machine with catheters

C  Sphygmomanometer

D  Padded tongue blade

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

B  Place the patient in the supine position

C  Administer diphenhydramine (Benadryl) for the allergic reaction.

D  Administer atropine to control the side effects of edrophonium.

A  Within 48 hours after exposure

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

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

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

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

A  Cerebrospinal fluid (CSF) electrophoresis

B  Magnetic resonance imaging (MRI)

C  Evoked potential studies

D  Neuropsychological testing

A  Assess for facial weakness.

B  Ensure that client takes nothing by mouth.

C  Assess visual acuity.

D  Initiate seizure precautions.

A  Creutzfeldt-Jakob disease

B  Huntington disease

C  Parkinson disease

D  Multiple sclerosis

A  Prevention of joint contractures

B  Use of adaptive equipment

C  Creating a positive environment

D  Promoting ability to critically think

A  Loss of proprioception

B  Patchy blindness

C  Numbness

D  Diplopia and ptosis

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

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 will take hot tub baths to decrease spasms.”

B  exercises should be completed quickly to reduce fatigue.”

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

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

A  muscle rigidity, memory impairment, and cognitive impairment.

B  akathisia and dysphagia.

C  sensory disturbance, limb pain, and behavioral changes.

D  diplopia and bradykinesia.

A  reporting changes to the physician

B  assessing vital signs frequently

C  destabilizing client’s condition

D  preventing further neurologic damage

A  Infection

B  Compliance with medication

C  Overmedication

D  Undermedication

A  Antibodies are removed from the plasma.

B  Immune globulin is given intravenously.

C  The thymus gland is removed.

D  Mestinon therapy is initiated.

A  Atropine

B  Pyridostigmine bromide

C  Prednisone

D  Azathioprine

A  signs of improvement in the patient’s condition.

B  renal complications related to acyclovir therapy.

C  signs and symptoms of cardiac insufficiency.

D  signs of relapse.

A  The paralysis caused by this disease is temporary.”

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

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  Serotonin

C  Dopamine

D  Acetylcholine

A  Increased pulse rate, adventitious breath sounds

B  Decreased pulse rate, abdominal breathing

C  Decreased pulse rate, respirations of 20 breaths/minute

D  Increased pulse rate, respirations of 16 breaths/minute

A  Cardiovascular system

B  Endocrine system

C  Neurovascular system

D  Respiratory system

A  Tensilon test

B  Computed tomography (CT) scan

C  Serum studies

D  Electromyogram (EMG)

A  Condition of skin

B  Gag reflex and bowel sounds

C  Respiratory status

D  Urinary output and capillary refill

A  Hyporeflexia and weakness of the lower extremities

B  Facial distortion and pain

C  Ptosis and diplopia

D  Fatigue and depression

A  Negative Brudzinski’s sign

B  Hyper-alertness

C  Positive Romberg sign

D  Positive Kernig’s sign

A  Human immunodeficiency virus (HIV

B  Western equine bacteria

C  Lyme Disease

D  Herpes simplex virus (HSV)

A  Migraine headache

B  Angina pectoris

C  Bell’s palsy

D  Trigeminal neuralgia

A  Elevated protein levels in the CSF

B  Red blood cells present in the CSF

C  Glucose in the CSF

D  White blood cells in the CSF

A  Huntington disease

B  Creutzfeldt-Jakob disease

C  Multiple sclerosis

D  Parkinson disease

A  Phenytoin (Dilantin)

B  Acyclovir (Zovirax)

C  Vancomycin

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 histocompatible cells attack the immunoglobulins

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  Headache and nuchal rigidity

C  Ptosis and diplopia

D  Numbness and vomiting

A  Ptosis and diplopia

B  Hyporeflexia and weakness of the lower extremities

C  Fatigue and depression

D  Facial pain in the areas of the fifth cranial nerve

A  Muscle weakness and hyporeflexia of the lower extremities

B  Fever and cough

C  Hyporeflexia and skin rash

D  Ptosis and muscle weakness of upper extremities

A  Avoid hot temperatures.

B  Avoid analgesic medication.

C  Take moderate amounts of alcohol

D  Avoid physical activity.

A  Vagus (X)

B  Facial (VII)

C  Trigeminal (V)

D  Vestibulocochlear (VIII)

A  Avoid hot baths and showers.”

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

C  Limit your fruit and vegetable intake.”

D  Avoid taking daytime naps.”

A  I was taking a bath.”

B  I was putting my shoes on.”

C  I was sitting at home watching television.”

D  I was brushing my teeth.”

A  The patient will go into cardiac arrest.

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

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

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

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  Place needed items on the right side.

B  Apply an eye patch to the right eye.

C  Administer eye drops as needed.

D  Exercise the right eye twice a day.

A  Controlling seizures and increased intracranial pressure

B  Preventing renal insufficiency

C  Maintaining hemodynamic stability and adequate cardiac output

D  Preventing muscular atrophy

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

B  Praise client when using adaptive equipment.

C  Provide instruction on blood-thinning medication.

D  Assess client for ability to ambulate independently.

A  Treatment with antimicrobial prophylaxis as soon as possible

B  treatment unless the roommate begins to show symptoms

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 developed any new allergies in the last year?”

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

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

A  Immunoglobulin G (Iveegam EN)

B  Azathioprine (Imuran)

C  Cyclosporine (Sandimmune)

D  Edrophonium (Tensilon)

A  Encourage the client to close his eyes.

B  Instill artificial tears.

C  Turn out the lights in the room.

D  Alternatively patch one eye every 2 hours.

A  Administer diphenhydramine and acetaminophen per orders.

B  Stop the infusion immediately.

C  Assess laboratory values for renal insufficiency.

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

A  Prednisone

B  Azathioprine

C  Pyridostigmine bromide

D  Atropine

A  preventing renal insufficiency

B  preventing muscular atrophy.

C  controlling seizures and increased intracranial pressure.

D  maintaining hemodynamic stability and adequate cardiac output

A  mosquito.

B  horse.

C  flea.

D  tick.

A  take a hot bath.

B  increase the dose of muscle relaxants.

C  rest in an air-conditioned room.

D  avoid naps during the day.