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 Kerning sign

B  Nuchal rigidity

C  Positive Brudzinski sign

D  Photophobia

A  Warm, dry skin

B  Urine output of 40 ml/hour

C  Soft, nondistended abdomen

D  Even, unlabored respirations

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  Initiating isolation procedures

C  Preparing for organ donation

D  Providing palliative care

A  complications.

B  infection.

C  falls.

D  choking.

A  Represents building block of nervous system

B  Acts as chemical messenger

C  Carries message to the next nerve cell

D  Speeds nerve impulse transmission

A  Lioresal (Baclofen)

B  Deltasone (Prednisone)

C  Pyridostigmine bromide (Mestinon)

D  Azathioprine (Imuran)

A  Intubation tray and suction apparatus

B  Nebulizer and thermometer

C  Blood pressure apparatus

D  Incentive spirometer

A  Numbness and vomiting

B  Hyporeflexia in the lower extremities

C  Headache and nuchal rigidity

D  Ptosis and diplopia

A  Magnetic resonance imaging

B  Evoked potential studies

C  CSF electrophoresis

D  Neuropsychological testing

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

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

A  Suction machine with catheters

B  Nasal cannula and oxygen

C  Padded tongue blade

D  Sphygmomanometer

A  Administer diphenhydramine (Benadryl) for the allergic reaction.

B  Place the patient in the supine position

C  Administer atropine to control the side effects of edrophonium.

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

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  It’s too early to give a prognosis.”

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

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

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

A  Magnetic resonance imaging (MRI)

B  Cerebrospinal fluid (CSF) electrophoresis

C  Neuropsychological testing

D  Evoked potential studies

A  Ensure that client takes nothing by mouth.

B  Assess visual acuity.

C  Assess for facial weakness.

D  Initiate seizure precautions.

A  Parkinson disease

B  Multiple sclerosis

C  Creutzfeldt-Jakob disease

D  Huntington disease

A  Prevention of joint contractures

B  Use of adaptive equipment

C  Creating a positive environment

D  Promoting ability to critically think

A  Diplopia and ptosis

B  Loss of proprioception

C  Patchy blindness

D  Numbness

A  Parkinson disease

B  Huntington disease

C  Creutzfeldt-Jakob disease

D  Multiple sclerosis

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

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

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

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

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

B  exercises should be completed quickly to reduce fatigue.”

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

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

A  sensory disturbance, limb pain, and behavioral changes.

B  akathisia and dysphagia.

C  diplopia and bradykinesia.

D  muscle rigidity, memory impairment, and cognitive impairment.

A  reporting changes to the physician

B  preventing further neurologic damage

C  assessing vital signs frequently

D  destabilizing client’s condition

A  Overmedication

B  Infection

C  Compliance with medication

D  Undermedication

A  The thymus gland is removed.

B  Mestinon therapy is initiated.

C  Immune globulin is given intravenously.

D  Antibodies are removed from the plasma.

A  Pyridostigmine bromide

B  Azathioprine

C  Prednisone

D  Atropine

A  signs of relapse.

B  signs and symptoms of cardiac insufficiency.

C  renal complications related to acyclovir therapy.

D  signs of improvement in the patient’s condition.

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

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

C  The paralysis caused by this disease is temporary.”

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

A  Apply a cooling blanket.

B  Initiate isolation precautions.

C  Ensure the family receives prophylaxis antibiotic treatment.

D  Administer prescribed antibiotics.

A  Gamma-aminobutyric acid

B  Acetylcholine

C  Dopamine

D  Serotonin

A  Increased pulse rate, adventitious breath sounds

B  Decreased pulse rate, abdominal breathing

C  Increased pulse rate, respirations of 16 breaths/minute

D  Decreased pulse rate, respirations of 20 breaths/minute

A  Neurovascular system

B  Cardiovascular system

C  Respiratory system

D  Endocrine system

A  Tensilon test

B  Serum studies

C  Electromyogram (EMG)

D  Computed tomography (CT) scan

A  Urinary output and capillary refill

B  Respiratory status

C  Gag reflex and bowel sounds

D  Condition of skin

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  Positive Kernig’s sign

C  Positive Romberg sign

D  Hyper-alertness

A  Herpes simplex virus (HSV)

B  Lyme Disease

C  Western equine bacteria

D  Human immunodeficiency virus (HIV

A  Bell’s palsy

B  Angina pectoris

C  Migraine headache

D  Trigeminal neuralgia

A  Elevated protein levels in the CSF

B  White blood cells in the CSF

C  Glucose in the CSF

D  Red blood cells present in the CSF

A  Creutzfeldt-Jakob disease

B  Huntington disease

C  Parkinson disease

D  Multiple sclerosis

A  Phenytoin (Dilantin)

B  Dexamethasone (Decadron)

C  Vancomycin

D  Acyclovir (Zovirax)

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 histocompatible cells attack the immunoglobulins

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

A  Headache and nuchal rigidity

B  Ptosis and diplopia

C  Hyporeflexia in the lower extremities

D  Numbness and vomiting

A  Facial pain in the areas of the fifth cranial nerve

B  Hyporeflexia and weakness of the lower extremities

C  Fatigue and depression

D  Ptosis and diplopia

A  Hyporeflexia and skin rash

B  Muscle weakness and hyporeflexia of the lower extremities

C  Ptosis and muscle weakness of upper extremities

D  Fever and cough

A  Avoid analgesic medication.

B  Avoid hot temperatures.

C  Avoid physical activity.

D  Take moderate amounts of alcohol

A  Vagus (X)

B  Facial (VII)

C  Vestibulocochlear (VIII)

D  Trigeminal (V)

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

B  Limit your fruit and vegetable intake.”

C  Avoid hot baths and showers.”

D  Avoid taking daytime naps.”

A  I was putting my shoes on.”

B  I was sitting at home watching television.”

C  I was taking a bath.”

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  The patient will go into cardiac arrest.

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

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  Administer eye drops as needed.

C  Apply an eye patch to the right eye.

D  Exercise the right eye twice a day.

A  Preventing muscular atrophy

B  Maintaining hemodynamic stability and adequate cardiac output

C  Controlling seizures and increased intracranial pressure

D  Preventing renal insufficiency

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 unless the roommate begins to show symptoms

B  Treatment with antimicrobial prophylaxis as soon as possible

C  Bedrest at home for 72 hours

D  Admission to the nearest hospital for observation

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 developed any new allergies in the last year?”

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

A  Cyclosporine (Sandimmune)

B  Immunoglobulin G (Iveegam EN)

C  Edrophonium (Tensilon)

D  Azathioprine (Imuran)

A  Encourage the client to close his eyes.

B  Alternatively patch one eye every 2 hours.

C  Turn out the lights in the room.

D  Instill artificial tears.

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

B  Assess laboratory values for renal insufficiency.

C  Administer diphenhydramine and acetaminophen per orders.

D  Stop the infusion immediately.

A  Prednisone

B  Azathioprine

C  Pyridostigmine bromide

D  Atropine

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  tick.

C  mosquito.

D  horse.

A  rest in an air-conditioned room.

B  avoid naps during the day.

C  take a hot bath.

D  increase the dose of muscle relaxants.