Chapter 69 Quiz

A  Assess the CSF fluid laboratory test results

B  Administer prescribed antibiotics.

C  Encourage oral fluid intake.

D  Prepare the client for a CT scan.

A  Photophobia

B  Positive Brudzinski sign

C  Nuchal rigidity

D  Positive Kerning sign

A  Urine output of 40 ml/hour

B  Even, unlabored respirations

C  Warm, dry skin

D  Soft, nondistended abdomen

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  Initiating isolation procedures

B  Administering amphotericin B

C  Providing palliative care

D  Preparing for organ donation

A  infection.

B  choking.

C  falls.

D  complications.

A  Speeds nerve impulse transmission

B  Carries message to the next nerve cell

C  Represents building block of nervous system

D  Acts as chemical messenger

A  Pyridostigmine bromide (Mestinon)

B  Deltasone (Prednisone)

C  Lioresal (Baclofen)

D  Azathioprine (Imuran)

A  Incentive spirometer

B  Blood pressure apparatus

C  Nebulizer and thermometer

D  Intubation tray and suction apparatus

A  Ptosis and diplopia

B  Headache and nuchal rigidity

C  Numbness and vomiting

D  Hyporeflexia in the lower extremities

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

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

A  Suction machine with catheters

B  Nasal cannula and oxygen

C  Padded tongue blade

D  Sphygmomanometer

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

B  Administer atropine to control the side effects of edrophonium.

C  Administer diphenhydramine (Benadryl) for the allergic reaction.

D  Place the patient in the supine position

A  Within 48 hours after exposure

B  Within 72 hours after exposure

C  Within 24 hours after exposure

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

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

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

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

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

A  Cerebrospinal fluid (CSF) electrophoresis

B  Magnetic resonance imaging (MRI)

C  Neuropsychological testing

D  Evoked potential studies

A  Assess visual acuity.

B  Ensure that client takes nothing by mouth.

C  Initiate seizure precautions.

D  Assess for facial weakness.

A  Multiple sclerosis

B  Huntington disease

C  Parkinson disease

D  Creutzfeldt-Jakob disease

A  Creating a positive environment

B  Use of adaptive equipment

C  Promoting ability to critically think

D  Prevention of joint contractures

A  Loss of proprioception

B  Numbness

C  Diplopia and ptosis

D  Patchy blindness

A  Creutzfeldt-Jakob disease

B  Huntington disease

C  Parkinson disease

D  Multiple sclerosis

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

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

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

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

C  exercises should be completed quickly to reduce fatigue.”

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

A  diplopia and bradykinesia.

B  sensory disturbance, limb pain, and behavioral changes.

C  akathisia and dysphagia.

D  muscle rigidity, memory impairment, and cognitive impairment.

A  assessing vital signs frequently

B  destabilizing client’s condition

C  preventing further neurologic damage

D  reporting changes to the physician

A  Infection

B  Compliance with medication

C  Overmedication

D  Undermedication

A  Mestinon therapy is initiated.

B  Antibodies are removed from the plasma.

C  The thymus gland is removed.

D  Immune globulin is given intravenously.

A  Pyridostigmine bromide

B  Atropine

C  Prednisone

D  Azathioprine

A  signs and symptoms of cardiac insufficiency.

B  renal complications related to acyclovir therapy.

C  signs of improvement in the patient’s condition.

D  signs of relapse.

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  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  Dopamine

D  Serotonin

A  Increased pulse rate, adventitious breath sounds

B  Decreased pulse rate, abdominal breathing

C  Decreased pulse rate, respirations of 20 breaths/minute

D  Increased pulse rate, respirations of 16 breaths/minute

A  Neurovascular system

B  Endocrine system

C  Cardiovascular system

D  Respiratory system

A  Serum studies

B  Computed tomography (CT) scan

C  Tensilon test

D  Electromyogram (EMG)

A  Urinary output and capillary refill

B  Gag reflex and bowel sounds

C  Condition of skin

D  Respiratory status

A  Ptosis and diplopia

B  Facial distortion and pain

C  Fatigue and depression

D  Hyporeflexia and weakness of the lower extremities

A  Positive Kernig’s sign

B  Hyper-alertness

C  Negative Brudzinski’s sign

D  Positive Romberg sign

A  Western equine bacteria

B  Lyme Disease

C  Herpes simplex virus (HSV)

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  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 has too many immunoglobulins

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

C  A disorder in which histocompatible cells attack the 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  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  Ptosis and muscle weakness of upper extremities

C  Hyporeflexia and skin rash

D  Fever and cough

A  Take moderate amounts of alcohol

B  Avoid analgesic medication.

C  Avoid physical activity.

D  Avoid hot temperatures.

A  Trigeminal (V)

B  Vagus (X)

C  Facial (VII)

D  Vestibulocochlear (VIII)

A  Limit your fruit and vegetable intake.”

B  Avoid taking daytime naps.”

C  Avoid hot baths and showers.”

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 muscles will become fatigued and the patient will not be able to chew food or swallow pills.

B  The patient will require a double dose prior to lunch.

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 was in college in England for 1 year

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

C  A donor who is taking medication for benign prostatic hyperplasia

D  A donor who moved to the United States from Canada

A  Exercise the right eye twice a day.

B  Apply an eye patch to the right eye.

C  Administer eye drops as needed.

D  Place needed items on the right side.

A  Preventing renal insufficiency

B  Controlling seizures and increased intracranial pressure

C  Preventing muscular atrophy

D  Maintaining hemodynamic stability and adequate cardiac output

A  Assess client for ability to ambulate independently.

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

C  Provide instruction on blood-thinning medication.

D  Praise client when using adaptive equipment.

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 developed any new allergies in the last year?”

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

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

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

A  Edrophonium (Tensilon)

B  Azathioprine (Imuran)

C  Immunoglobulin G (Iveegam EN)

D  Cyclosporine (Sandimmune)

A  Alternatively patch one eye every 2 hours.

B  Encourage the client to close his eyes.

C  Instill artificial tears.

D  Turn out the lights in the room.

A  Assess laboratory values for renal insufficiency.

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

C  Administer diphenhydramine and acetaminophen per orders.

D  Stop the infusion immediately.

A  Prednisone

B  Atropine

C  Azathioprine

D  Pyridostigmine bromide

A  preventing renal insufficiency

B  maintaining hemodynamic stability and adequate cardiac output

C  preventing muscular atrophy.

D  controlling seizures and increased intracranial pressure.

A  tick.

B  horse.

C  mosquito.

D  flea.

A  rest in an air-conditioned room.

B  increase the dose of muscle relaxants.

C  take a hot bath.

D  avoid naps during the day.