Chapter 69 Quiz

A  Administer prescribed antibiotics.

B  Prepare the client for a CT scan.

C  Encourage oral fluid intake.

D  Assess the CSF fluid laboratory test results

A  Nuchal rigidity

B  Positive Kerning sign

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

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  Assess the patient’s sensitivity to light.

A  Administering amphotericin B

B  Initiating isolation procedures

C  Providing palliative care

D  Preparing for organ donation

A  falls.

B  infection.

C  complications.

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  Deltasone (Prednisone)

B  Pyridostigmine bromide (Mestinon)

C  Azathioprine (Imuran)

D  Lioresal (Baclofen)

A  Intubation tray and suction apparatus

B  Incentive spirometer

C  Nebulizer and thermometer

D  Blood pressure apparatus

A  Hyporeflexia in the lower extremities

B  Ptosis and diplopia

C  Numbness and vomiting

D  Headache and nuchal rigidity

A  CSF electrophoresis

B  Magnetic resonance imaging

C  Evoked potential studies

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  Nasal cannula and oxygen

B  Suction machine with catheters

C  Padded tongue blade

D  Sphygmomanometer

A  Administer atropine to control the side effects of edrophonium.

B  Administer diphenhydramine (Benadryl) for the allergic reaction.

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

D  Place the patient in the supine position

A  Within 72 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 48 hours after exposure

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

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

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

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

A  Neuropsychological testing

B  Cerebrospinal fluid (CSF) electrophoresis

C  Magnetic resonance imaging (MRI)

D  Evoked potential studies

A  Assess for facial weakness.

B  Assess visual acuity.

C  Initiate seizure precautions.

D  Ensure that client takes nothing by mouth.

A  Creutzfeldt-Jakob disease

B  Multiple sclerosis

C  Parkinson disease

D  Huntington disease

A  Creating a positive environment

B  Use of adaptive equipment

C  Prevention of joint contractures

D  Promoting ability to critically think

A  Patchy blindness

B  Numbness

C  Diplopia and ptosis

D  Loss of proprioception

A  Multiple sclerosis

B  Huntington disease

C  Parkinson disease

D  Creutzfeldt-Jakob disease

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

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

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

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

A  exercises should be completed quickly to reduce fatigue.”

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

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

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

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  destabilizing client’s condition

B  reporting changes to the physician

C  assessing vital signs frequently

D  preventing further neurologic damage

A  Undermedication

B  Overmedication

C  Infection

D  Compliance with medication

A  Antibodies are removed from the plasma.

B  The thymus gland is removed.

C  Mestinon therapy is initiated.

D  Immune globulin is given intravenously.

A  Prednisone

B  Azathioprine

C  Pyridostigmine bromide

D  Atropine

A  signs of improvement in the patient’s condition.

B  signs and symptoms of cardiac insufficiency.

C  signs of relapse.

D  renal complications related to acyclovir therapy.

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  Administer prescribed antibiotics.

B  Initiate isolation precautions.

C  Apply a cooling blanket.

D  Ensure the family receives prophylaxis antibiotic treatment.

A  Gamma-aminobutyric acid

B  Acetylcholine

C  Serotonin

D  Dopamine

A  Decreased pulse rate, respirations of 20 breaths/minute

B  Increased pulse rate, adventitious breath sounds

C  Increased pulse rate, respirations of 16 breaths/minute

D  Decreased pulse rate, abdominal breathing

A  Cardiovascular system

B  Respiratory system

C  Endocrine system

D  Neurovascular system

A  Electromyogram (EMG)

B  Serum studies

C  Tensilon test

D  Computed tomography (CT) scan

A  Respiratory status

B  Urinary output and capillary refill

C  Gag reflex and bowel sounds

D  Condition of skin

A  Fatigue and depression

B  Ptosis and diplopia

C  Facial distortion and pain

D  Hyporeflexia and weakness of the lower extremities

A  Positive Romberg sign

B  Negative Brudzinski’s sign

C  Hyper-alertness

D  Positive Kernig’s sign

A  Herpes simplex virus (HSV)

B  Human immunodeficiency virus (HIV

C  Lyme Disease

D  Western equine bacteria

A  Trigeminal neuralgia

B  Angina pectoris

C  Bell’s palsy

D  Migraine headache

A  Glucose in the CSF

B  Red blood cells present in the CSF

C  Elevated protein levels in the CSF

D  White blood cells in the CSF

A  Creutzfeldt-Jakob disease

B  Multiple sclerosis

C  Huntington disease

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 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  Numbness and vomiting

B  Hyporeflexia in the lower extremities

C  Ptosis and diplopia

D  Headache and nuchal rigidity

A  Hyporeflexia and weakness of the lower extremities

B  Facial pain in the areas of the fifth cranial nerve

C  Ptosis and diplopia

D  Fatigue and depression

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 analgesic medication.

B  Avoid hot temperatures.

C  Avoid physical activity.

D  Take moderate amounts of alcohol

A  Facial (VII)

B  Trigeminal (V)

C  Vestibulocochlear (VIII)

D  Vagus (X)

A  Avoid taking daytime naps.”

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

C  Avoid hot baths and showers.”

D  Limit your fruit and vegetable intake.”

A  I was taking a bath.”

B  I was sitting at home watching television.”

C  I was putting my shoes on.”

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 who is taking medication for benign prostatic hyperplasia

B  A donor who moved to the United States from Canada

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

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

A  Exercise the right eye twice a day.

B  Place needed items on the right side.

C  Apply an eye patch to the right eye.

D  Administer eye drops as needed.

A  Preventing muscular atrophy

B  Controlling seizures and increased intracranial pressure

C  Preventing renal insufficiency

D  Maintaining hemodynamic stability and adequate cardiac output

A  Praise client when using adaptive equipment.

B  Provide instruction on blood-thinning medication.

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

D  Assess client for ability to ambulate independently.

A  Bedrest at home for 72 hours

B  Treatment with antimicrobial prophylaxis as soon as possible

C  Admission to the nearest hospital for observation

D  treatment unless the roommate begins to show symptoms

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 ptosis in the last few weeks?”

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

A  Immunoglobulin G (Iveegam EN)

B  Cyclosporine (Sandimmune)

C  Azathioprine (Imuran)

D  Edrophonium (Tensilon)

A  Instill artificial tears.

B  Turn out the lights in the room.

C  Alternatively patch one eye every 2 hours.

D  Encourage the client to close his eyes.

A  Stop the infusion immediately.

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

C  Administer diphenhydramine and acetaminophen per orders.

D  Assess laboratory values for renal insufficiency.

A  Prednisone

B  Azathioprine

C  Pyridostigmine bromide

D  Atropine

A  preventing muscular atrophy.

B  controlling seizures and increased intracranial pressure.

C  maintaining hemodynamic stability and adequate cardiac output

D  preventing renal insufficiency

A  horse.

B  mosquito.

C  flea.

D  tick.

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.