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  Positive Brudzinski sign

B  Nuchal rigidity

C  Photophobia

D  Positive Kerning sign

A  Even, unlabored respirations

B  Warm, dry skin

C  Urine output of 40 ml/hour

D  Soft, nondistended abdomen

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  Preparing for organ donation

B  Providing palliative care

C  Initiating isolation procedures

D  Administering amphotericin B

A  falls.

B  choking.

C  complications.

D  infection.

A  Carries message to the next nerve cell

B  Acts as chemical messenger

C  Represents building block of nervous system

D  Speeds nerve impulse transmission

A  Azathioprine (Imuran)

B  Lioresal (Baclofen)

C  Deltasone (Prednisone)

D  Pyridostigmine bromide (Mestinon)

A  Intubation tray and suction apparatus

B  Blood pressure apparatus

C  Incentive spirometer

D  Nebulizer and thermometer

A  Headache and nuchal rigidity

B  Numbness and vomiting

C  Ptosis and diplopia

D  Hyporeflexia in the lower extremities

A  Evoked potential studies

B  CSF electrophoresis

C  Neuropsychological testing

D  Magnetic resonance imaging

A  indicate renal toxicity and a worsening condition.

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

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

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

A  Suction machine with catheters

B  Sphygmomanometer

C  Padded tongue blade

D  Nasal cannula and oxygen

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 24 hours after exposure

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

C  Within 48 hours after exposure

D  Within 72 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  It’s too early to give a prognosis.”

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

A  Evoked potential studies

B  Cerebrospinal fluid (CSF) electrophoresis

C  Neuropsychological testing

D  Magnetic resonance imaging (MRI)

A  Assess for facial weakness.

B  Ensure that client takes nothing by mouth.

C  Assess visual acuity.

D  Initiate seizure precautions.

A  Creutzfeldt-Jakob disease

B  Parkinson disease

C  Multiple sclerosis

D  Huntington disease

A  Prevention of joint contractures

B  Creating a positive environment

C  Promoting ability to critically think

D  Use of adaptive equipment

A  Patchy blindness

B  Loss of proprioception

C  Numbness

D  Diplopia and ptosis

A  Parkinson disease

B  Multiple sclerosis

C  Huntington disease

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

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

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

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

C  exercises should be completed quickly to reduce fatigue.”

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

A  muscle rigidity, memory impairment, and cognitive impairment.

B  diplopia and bradykinesia.

C  akathisia and dysphagia.

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  Overmedication

B  Infection

C  Compliance with medication

D  Undermedication

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  Pyridostigmine bromide

B  Prednisone

C  Azathioprine

D  Atropine

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 first regain use of your legs and then your arms.”

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

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

D  The paralysis caused by this disease is temporary.”

A  Initiate isolation precautions.

B  Administer prescribed antibiotics.

C  Apply a cooling blanket.

D  Ensure the family receives prophylaxis antibiotic treatment.

A  Acetylcholine

B  Gamma-aminobutyric acid

C  Serotonin

D  Dopamine

A  Decreased pulse rate, respirations of 20 breaths/minute

B  Decreased pulse rate, abdominal breathing

C  Increased pulse rate, respirations of 16 breaths/minute

D  Increased pulse rate, adventitious breath sounds

A  Neurovascular system

B  Respiratory system

C  Endocrine system

D  Cardiovascular system

A  Computed tomography (CT) scan

B  Electromyogram (EMG)

C  Tensilon test

D  Serum studies

A  Urinary output and capillary refill

B  Condition of skin

C  Gag reflex and bowel sounds

D  Respiratory status

A  Hyporeflexia and weakness of the lower extremities

B  Ptosis and diplopia

C  Fatigue and depression

D  Facial distortion and pain

A  Positive Romberg sign

B  Positive Kernig’s sign

C  Hyper-alertness

D  Negative Brudzinski’s sign

A  Lyme Disease

B  Human immunodeficiency virus (HIV

C  Herpes simplex virus (HSV)

D  Western equine bacteria

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  Glucose in the CSF

D  Red blood cells present in the CSF

A  Huntington disease

B  Parkinson disease

C  Creutzfeldt-Jakob disease

D  Multiple sclerosis

A  Acyclovir (Zovirax)

B  Vancomycin

C  Phenytoin (Dilantin)

D  Dexamethasone (Decadron)

A  A disorder in which the body has too many 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 does not have enough immunoglobulins

A  Hyporeflexia in the lower extremities

B  Headache and nuchal rigidity

C  Numbness and vomiting

D  Ptosis and diplopia

A  Hyporeflexia and weakness of the lower extremities

B  Ptosis and diplopia

C  Fatigue and depression

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 physical activity.

B  Avoid analgesic medication.

C  Take moderate amounts of alcohol

D  Avoid hot temperatures.

A  Facial (VII)

B  Vestibulocochlear (VIII)

C  Trigeminal (V)

D  Vagus (X)

A  Avoid taking daytime naps.”

B  Limit your fruit and vegetable intake.”

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

D  Avoid hot baths and showers.”

A  I was putting my shoes on.”

B  I was taking a bath.”

C  I was sitting at home watching television.”

D  I was brushing my teeth.”

A  The patient will go into cardiac arrest.

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

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

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

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  Administer eye drops as needed.

C  Place needed items on the right side.

D  Exercise the right eye twice a day.

A  Controlling seizures and increased intracranial pressure

B  Preventing renal insufficiency

C  Preventing muscular atrophy

D  Maintaining hemodynamic stability and adequate cardiac output

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

B  Assess client for ability to ambulate independently.

C  Provide instruction on blood-thinning medication.

D  Praise client when using adaptive equipment.

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 developed any new allergies in the last year?”

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 had difficulty with urination in the last 6 weeks?”

A  Azathioprine (Imuran)

B  Edrophonium (Tensilon)

C  Cyclosporine (Sandimmune)

D  Immunoglobulin G (Iveegam EN)

A  Instill artificial tears.

B  Turn out the lights in the room.

C  Encourage the client to close his eyes.

D  Alternatively patch one eye every 2 hours.

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  Pyridostigmine bromide

B  Azathioprine

C  Prednisone

D  Atropine

A  preventing muscular atrophy.

B  maintaining hemodynamic stability and adequate cardiac output

C  preventing renal insufficiency

D  controlling seizures and increased intracranial pressure.

A  horse.

B  flea.

C  mosquito.

D  tick.

A  avoid naps during the day.

B  rest in an air-conditioned room.

C  take a hot bath.

D  increase the dose of muscle relaxants.