Chapter 69 Quiz

A  Assess the CSF fluid laboratory test results

B  Prepare the client for a CT scan.

C  Encourage oral fluid intake.

D  Administer prescribed antibiotics.

A  Positive Kerning sign

B  Positive Brudzinski sign

C  Nuchal rigidity

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  Preparing for organ donation

B  Initiating isolation procedures

C  Providing palliative care

D  Administering amphotericin B

A  falls.

B  complications.

C  infection.

D  choking.

A  Represents building block of nervous system

B  Carries message to the next nerve cell

C  Acts as chemical messenger

D  Speeds nerve impulse transmission

A  Pyridostigmine bromide (Mestinon)

B  Azathioprine (Imuran)

C  Lioresal (Baclofen)

D  Deltasone (Prednisone)

A  Incentive spirometer

B  Blood pressure apparatus

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  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  Suction machine with catheters

B  Sphygmomanometer

C  Nasal cannula and oxygen

D  Padded tongue blade

A  Place the patient in the supine position

B  Administer atropine to control the side effects of edrophonium.

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

D  Administer diphenhydramine (Benadryl) for the allergic reaction.

A  Within 48 hours after exposure

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

C  Within 72 hours after exposure

D  Within 24 hours after exposure

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

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

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

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

A  Magnetic resonance imaging (MRI)

B  Cerebrospinal fluid (CSF) electrophoresis

C  Neuropsychological testing

D  Evoked potential studies

A  Assess visual acuity.

B  Assess for facial weakness.

C  Initiate seizure precautions.

D  Ensure that client takes nothing by mouth.

A  Creutzfeldt-Jakob disease

B  Huntington disease

C  Parkinson disease

D  Multiple sclerosis

A  Creating a positive environment

B  Promoting ability to critically think

C  Use of adaptive equipment

D  Prevention of joint contractures

A  Diplopia and ptosis

B  Loss of proprioception

C  Numbness

D  Patchy blindness

A  Multiple sclerosis

B  Creutzfeldt-Jakob disease

C  Parkinson disease

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

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

C  exercises should be completed quickly to reduce fatigue.”

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

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  preventing further neurologic damage

B  destabilizing client’s condition

C  reporting changes to the physician

D  assessing vital signs frequently

A  Infection

B  Undermedication

C  Compliance with medication

D  Overmedication

A  Antibodies are removed from the plasma.

B  The thymus gland is removed.

C  Immune globulin is given intravenously.

D  Mestinon therapy is initiated.

A  Atropine

B  Azathioprine

C  Pyridostigmine bromide

D  Prednisone

A  renal complications related to acyclovir therapy.

B  signs and symptoms of cardiac insufficiency.

C  signs of improvement in the patient’s condition.

D  signs of relapse.

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

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

C  The paralysis caused by this disease is temporary.”

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

A  Ensure the family receives prophylaxis antibiotic treatment.

B  Administer prescribed antibiotics.

C  Initiate isolation precautions.

D  Apply a cooling blanket.

A  Serotonin

B  Acetylcholine

C  Gamma-aminobutyric acid

D  Dopamine

A  Decreased pulse rate, respirations of 20 breaths/minute

B  Increased pulse rate, adventitious breath sounds

C  Decreased pulse rate, abdominal breathing

D  Increased pulse rate, respirations of 16 breaths/minute

A  Respiratory system

B  Endocrine system

C  Neurovascular system

D  Cardiovascular system

A  Tensilon test

B  Computed tomography (CT) scan

C  Serum studies

D  Electromyogram (EMG)

A  Respiratory status

B  Gag reflex and bowel sounds

C  Urinary output and capillary refill

D  Condition of skin

A  Facial distortion and pain

B  Ptosis and diplopia

C  Hyporeflexia and weakness of the lower extremities

D  Fatigue and depression

A  Positive Kernig’s sign

B  Hyper-alertness

C  Positive Romberg sign

D  Negative Brudzinski’s sign

A  Lyme Disease

B  Western equine bacteria

C  Human immunodeficiency virus (HIV

D  Herpes simplex virus (HSV)

A  Trigeminal neuralgia

B  Angina pectoris

C  Bell’s palsy

D  Migraine headache

A  White blood cells in the CSF

B  Red blood cells present in the CSF

C  Elevated protein levels in the CSF

D  Glucose in the CSF

A  Multiple sclerosis

B  Creutzfeldt-Jakob disease

C  Huntington disease

D  Parkinson disease

A  Acyclovir (Zovirax)

B  Phenytoin (Dilantin)

C  Dexamethasone (Decadron)

D  Vancomycin

A  A disorder in which histocompatible cells attack the immunoglobulins

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

A  Headache and nuchal rigidity

B  Hyporeflexia in the lower extremities

C  Numbness and vomiting

D  Ptosis and diplopia

A  Fatigue and depression

B  Ptosis and diplopia

C  Hyporeflexia and weakness of the lower extremities

D  Facial pain in the areas of the fifth cranial nerve

A  Hyporeflexia and skin rash

B  Fever and cough

C  Ptosis and muscle weakness of upper extremities

D  Muscle weakness and hyporeflexia of the lower extremities

A  Take moderate amounts of alcohol

B  Avoid analgesic medication.

C  Avoid hot temperatures.

D  Avoid physical activity.

A  Facial (VII)

B  Vagus (X)

C  Vestibulocochlear (VIII)

D  Trigeminal (V)

A  Avoid hot baths and showers.”

B  Avoid taking daytime naps.”

C  Limit your fruit and vegetable intake.”

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

A  I was sitting at home watching television.”

B  I was brushing my teeth.”

C  I was putting my shoes on.”

D  I was taking a bath.”

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

D  The patient will go into cardiac arrest.

A  A donor who is taking medication for benign prostatic hyperplasia

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

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

D  A donor who moved to the United States from Canada

A  Apply an eye patch to the right eye.

B  Place needed items on the right side.

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  Praise client when using adaptive equipment.

C  Provide instruction on blood-thinning medication.

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

A  Admission to the nearest hospital for observation

B  Bedrest at home for 72 hours

C  Treatment with antimicrobial prophylaxis as soon as possible

D  treatment unless the roommate begins to show symptoms

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

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 had difficulty with urination in the last 6 weeks?”

A  Edrophonium (Tensilon)

B  Cyclosporine (Sandimmune)

C  Immunoglobulin G (Iveegam EN)

D  Azathioprine (Imuran)

A  Encourage the client to close his eyes.

B  Turn out the lights in the room.

C  Instill artificial tears.

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  Pyridostigmine bromide

B  Prednisone

C  Atropine

D  Azathioprine

A  preventing muscular atrophy.

B  preventing renal insufficiency

C  maintaining hemodynamic stability and adequate cardiac output

D  controlling seizures and increased intracranial pressure.

A  mosquito.

B  tick.

C  flea.

D  horse.

A  avoid naps during the day.

B  increase the dose of muscle relaxants.

C  take a hot bath.

D  rest in an air-conditioned room.