Chapter 69 Quiz

A  Prepare the client for a CT scan.

B  Administer prescribed antibiotics.

C  Encourage oral fluid intake.

D  Assess the CSF fluid laboratory test results

A  Positive Brudzinski sign

B  Positive Kerning sign

C  Nuchal rigidity

D  Photophobia

A  Urine output of 40 ml/hour

B  Soft, nondistended abdomen

C  Even, unlabored respirations

D  Warm, dry skin

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

B  Assess the patient’s sensitivity to light.

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  Administering amphotericin B

B  Initiating isolation procedures

C  Providing palliative care

D  Preparing for organ donation

A  choking.

B  falls.

C  infection.

D  complications.

A  Carries message to the next nerve cell

B  Acts as chemical messenger

C  Speeds nerve impulse transmission

D  Represents building block of nervous system

A  Azathioprine (Imuran)

B  Deltasone (Prednisone)

C  Pyridostigmine bromide (Mestinon)

D  Lioresal (Baclofen)

A  Incentive spirometer

B  Nebulizer and thermometer

C  Blood pressure apparatus

D  Intubation tray and suction apparatus

A  Ptosis and diplopia

B  Hyporeflexia in the lower extremities

C  Headache and nuchal rigidity

D  Numbness and vomiting

A  Neuropsychological testing

B  Evoked potential studies

C  CSF electrophoresis

D  Magnetic resonance imaging

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  Sphygmomanometer

B  Suction machine with catheters

C  Nasal cannula and oxygen

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 atropine to control the side effects of edrophonium.

D  Administer diphenhydramine (Benadryl) for the allergic reaction.

A  Within 48 hours after exposure

B  Within 72 hours after exposure

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

D  Within 24 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  Magnetic resonance imaging (MRI)

C  Cerebrospinal fluid (CSF) electrophoresis

D  Evoked potential studies

A  Ensure that client takes nothing by mouth.

B  Assess for facial weakness.

C  Initiate seizure precautions.

D  Assess visual acuity.

A  Parkinson disease

B  Multiple sclerosis

C  Creutzfeldt-Jakob disease

D  Huntington 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  Patchy blindness

C  Loss of proprioception

D  Numbness

A  Parkinson disease

B  Creutzfeldt-Jakob disease

C  Multiple sclerosis

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 take hot tub baths to decrease spasms.”

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

C  exercises should be completed quickly to reduce fatigue.”

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

A  diplopia and bradykinesia.

B  sensory disturbance, limb pain, and behavioral changes.

C  muscle rigidity, memory impairment, and cognitive impairment.

D  akathisia and dysphagia.

A  assessing vital signs frequently

B  reporting changes to the physician

C  destabilizing client’s condition

D  preventing further neurologic damage

A  Overmedication

B  Compliance with medication

C  Infection

D  Undermedication

A  Immune globulin is given intravenously.

B  Antibodies are removed from the plasma.

C  The thymus gland is removed.

D  Mestinon therapy is initiated.

A  Prednisone

B  Atropine

C  Azathioprine

D  Pyridostigmine bromide

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

B  The paralysis caused by this disease is temporary.”

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

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

A  Apply a cooling blanket.

B  Ensure the family receives prophylaxis antibiotic treatment.

C  Administer prescribed antibiotics.

D  Initiate isolation precautions.

A  Gamma-aminobutyric acid

B  Acetylcholine

C  Dopamine

D  Serotonin

A  Decreased pulse rate, abdominal breathing

B  Increased pulse rate, respirations of 16 breaths/minute

C  Increased pulse rate, adventitious breath sounds

D  Decreased pulse rate, respirations of 20 breaths/minute

A  Endocrine system

B  Cardiovascular system

C  Neurovascular system

D  Respiratory system

A  Computed tomography (CT) scan

B  Electromyogram (EMG)

C  Tensilon test

D  Serum studies

A  Gag reflex and bowel sounds

B  Condition of skin

C  Urinary output and capillary refill

D  Respiratory status

A  Ptosis and diplopia

B  Fatigue and depression

C  Facial distortion and pain

D  Hyporeflexia and weakness of the lower extremities

A  Hyper-alertness

B  Negative Brudzinski’s sign

C  Positive Kernig’s sign

D  Positive Romberg sign

A  Human immunodeficiency virus (HIV

B  Lyme Disease

C  Western equine bacteria

D  Herpes simplex virus (HSV)

A  Migraine headache

B  Bell’s palsy

C  Angina pectoris

D  Trigeminal neuralgia

A  White blood cells in the CSF

B  Elevated protein levels in the CSF

C  Red blood cells present in the CSF

D  Glucose in the CSF

A  Creutzfeldt-Jakob disease

B  Multiple sclerosis

C  Parkinson disease

D  Huntington disease

A  Dexamethasone (Decadron)

B  Vancomycin

C  Acyclovir (Zovirax)

D  Phenytoin (Dilantin)

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

B  A disorder in which histocompatible cells attack the immunoglobulins

C  A disorder in which killer T cells and autoantibodies attack or destroy natural cells—those cells that are “self”

D  A disorder in which the body has too many immunoglobulins

A  Headache and nuchal rigidity

B  Numbness and vomiting

C  Hyporeflexia in the lower extremities

D  Ptosis and diplopia

A  Ptosis and diplopia

B  Fatigue and depression

C  Hyporeflexia and weakness of the lower extremities

D  Facial pain in the areas of the fifth cranial nerve

A  Fever and cough

B  Ptosis and muscle weakness of upper extremities

C  Hyporeflexia and skin rash

D  Muscle weakness and hyporeflexia of the lower extremities

A  Avoid hot temperatures.

B  Take moderate amounts of alcohol

C  Avoid physical activity.

D  Avoid analgesic medication.

A  Facial (VII)

B  Trigeminal (V)

C  Vestibulocochlear (VIII)

D  Vagus (X)

A  Avoid taking daytime naps.”

B  Avoid hot baths and showers.”

C  Limit your fruit and vegetable intake.”

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

A  I was putting my shoes on.”

B  I was brushing my teeth.”

C  I was sitting at home watching television.”

D  I was taking a bath.”

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 moved to the United States from Canada

C  A donor who is taking medication for benign prostatic hyperplasia

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  Administer eye drops as needed.

D  Apply an eye patch to the right eye.

A  Maintaining hemodynamic stability and adequate cardiac output

B  Preventing muscular atrophy

C  Preventing renal insufficiency

D  Controlling seizures and increased intracranial pressure

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  Bedrest at home for 72 hours

B  Admission to the nearest hospital for observation

C  Treatment with antimicrobial prophylaxis as soon as possible

D  treatment unless the roommate begins to show symptoms

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  Edrophonium (Tensilon)

B  Cyclosporine (Sandimmune)

C  Immunoglobulin G (Iveegam EN)

D  Azathioprine (Imuran)

A  Turn out the lights in the room.

B  Encourage the client to close his eyes.

C  Instill artificial tears.

D  Alternatively patch one eye every 2 hours.

A  Stop the infusion immediately.

B  Assess laboratory values for renal insufficiency.

C  Administer diphenhydramine and acetaminophen per orders.

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

A  Prednisone

B  Pyridostigmine bromide

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  take a hot bath.

B  increase the dose of muscle relaxants.

C  avoid naps during the day.

D  rest in an air-conditioned room.