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  Photophobia

B  Nuchal rigidity

C  Positive Brudzinski sign

D  Positive Kerning sign

A  Warm, dry skin

B  Urine output of 40 ml/hour

C  Soft, nondistended abdomen

D  Even, unlabored respirations

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

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

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  Speeds nerve impulse transmission

B  Represents building block of nervous system

C  Acts as chemical messenger

D  Carries message to the next nerve cell

A  Azathioprine (Imuran)

B  Deltasone (Prednisone)

C  Pyridostigmine bromide (Mestinon)

D  Lioresal (Baclofen)

A  Intubation tray and suction apparatus

B  Nebulizer and thermometer

C  Blood pressure apparatus

D  Incentive spirometer

A  Ptosis and diplopia

B  Numbness and vomiting

C  Headache and nuchal rigidity

D  Hyporeflexia in the lower extremities

A  Magnetic resonance imaging

B  Neuropsychological testing

C  CSF electrophoresis

D  Evoked potential studies

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

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

C  indicate renal toxicity and a worsening condition.

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

A  Nasal cannula and oxygen

B  Sphygmomanometer

C  Padded tongue blade

D  Suction machine with catheters

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

B  Administer diphenhydramine (Benadryl) for the allergic reaction.

C  Administer atropine to control the side effects of edrophonium.

D  Place the patient in the supine position

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

B  Within 48 hours after exposure

C  Within 24 hours after exposure

D  Within 72 hours after exposure

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

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

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  Ensure that client takes nothing by mouth.

B  Assess visual acuity.

C  Initiate seizure precautions.

D  Assess for facial weakness.

A  Huntington disease

B  Multiple sclerosis

C  Creutzfeldt-Jakob disease

D  Parkinson disease

A  Prevention of joint contractures

B  Use of adaptive equipment

C  Promoting ability to critically think

D  Creating a positive environment

A  Diplopia and ptosis

B  Numbness

C  Patchy blindness

D  Loss of proprioception

A  Creutzfeldt-Jakob disease

B  Multiple sclerosis

C  Parkinson disease

D  Huntington disease

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

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

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

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

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

B  exercises should be completed quickly to reduce fatigue.”

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

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

A  muscle rigidity, memory impairment, and cognitive impairment.

B  akathisia and dysphagia.

C  diplopia and bradykinesia.

D  sensory disturbance, limb pain, and behavioral changes.

A  reporting changes to the physician

B  assessing vital signs frequently

C  preventing further neurologic damage

D  destabilizing client’s condition

A  Undermedication

B  Compliance with medication

C  Overmedication

D  Infection

A  Mestinon therapy is initiated.

B  The thymus gland is removed.

C  Immune globulin is given intravenously.

D  Antibodies are removed from the plasma.

A  Azathioprine

B  Pyridostigmine bromide

C  Prednisone

D  Atropine

A  renal complications related to acyclovir therapy.

B  signs and symptoms of cardiac insufficiency.

C  signs of relapse.

D  signs of improvement in the patient’s condition.

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

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

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

D  The paralysis caused by this disease is temporary.”

A  Ensure the family receives prophylaxis antibiotic treatment.

B  Administer prescribed antibiotics.

C  Initiate isolation precautions.

D  Apply a cooling blanket.

A  Serotonin

B  Dopamine

C  Gamma-aminobutyric acid

D  Acetylcholine

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  Endocrine system

B  Cardiovascular system

C  Neurovascular system

D  Respiratory system

A  Serum studies

B  Electromyogram (EMG)

C  Tensilon test

D  Computed tomography (CT) scan

A  Condition of skin

B  Gag reflex and bowel sounds

C  Respiratory status

D  Urinary output and capillary refill

A  Facial distortion and pain

B  Hyporeflexia and weakness of the lower extremities

C  Fatigue and depression

D  Ptosis and diplopia

A  Hyper-alertness

B  Positive Kernig’s sign

C  Negative Brudzinski’s sign

D  Positive Romberg sign

A  Western equine bacteria

B  Human immunodeficiency virus (HIV

C  Herpes simplex virus (HSV)

D  Lyme Disease

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  White blood cells in the CSF

D  Glucose in the CSF

A  Multiple sclerosis

B  Parkinson disease

C  Creutzfeldt-Jakob disease

D  Huntington disease

A  Dexamethasone (Decadron)

B  Acyclovir (Zovirax)

C  Vancomycin

D  Phenytoin (Dilantin)

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 the body does not have enough immunoglobulins

D  A disorder in which histocompatible cells attack the immunoglobulins

A  Numbness and vomiting

B  Ptosis and diplopia

C  Headache and nuchal rigidity

D  Hyporeflexia in the lower extremities

A  Fatigue and depression

B  Hyporeflexia and weakness of the lower extremities

C  Facial pain in the areas of the fifth cranial nerve

D  Ptosis and diplopia

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 physical activity.

B  Avoid analgesic medication.

C  Take moderate amounts of alcohol

D  Avoid hot temperatures.

A  Vestibulocochlear (VIII)

B  Trigeminal (V)

C  Facial (VII)

D  Vagus (X)

A  Avoid hot baths and showers.”

B  Avoid taking daytime naps.”

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

D  Limit your fruit and vegetable intake.”

A  I was sitting at home watching television.”

B  I was putting my shoes on.”

C  I was taking a bath.”

D  I was brushing my teeth.”

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 is taking medication for benign prostatic hyperplasia

D  A donor who moved to the United States from Canada

A  Apply an eye patch to the right eye.

B  Exercise the right eye twice a day.

C  Place needed items on the right side.

D  Administer eye drops as needed.

A  Preventing muscular atrophy

B  Controlling seizures and increased intracranial pressure

C  Maintaining hemodynamic stability and adequate cardiac output

D  Preventing renal insufficiency

A  Provide instruction on blood-thinning medication.

B  Praise client when using adaptive equipment.

C  Assess client for ability to ambulate independently.

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

A  Admission to the nearest hospital for observation

B  Treatment with antimicrobial prophylaxis as soon as possible

C  treatment unless the roommate begins to show symptoms

D  Bedrest at home for 72 hours

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

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

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

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

A  Azathioprine (Imuran)

B  Immunoglobulin G (Iveegam EN)

C  Cyclosporine (Sandimmune)

D  Edrophonium (Tensilon)

A  Turn out the lights in the room.

B  Alternatively patch one eye every 2 hours.

C  Encourage the client to close his eyes.

D  Instill artificial tears.

A  Assess laboratory values for renal insufficiency.

B  Administer diphenhydramine and acetaminophen per orders.

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

D  Stop the infusion immediately.

A  Azathioprine

B  Pyridostigmine bromide

C  Prednisone

D  Atropine

A  maintaining hemodynamic stability and adequate cardiac output

B  preventing muscular atrophy.

C  controlling seizures and increased intracranial pressure.

D  preventing renal insufficiency

A  mosquito.

B  horse.

C  tick.

D  flea.

A  avoid naps during the day.

B  rest in an air-conditioned room.

C  increase the dose of muscle relaxants.

D  take a hot bath.