Chapter 69 Quiz

A  Administer prescribed antibiotics.

B  Assess the CSF fluid laboratory test results

C  Encourage oral fluid intake.

D  Prepare the client for a CT scan.

A  Photophobia

B  Positive Kerning sign

C  Nuchal rigidity

D  Positive Brudzinski sign

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  Assess the patient’s sensitivity to light.

D  Support the patient’s neck through normal range of motion and evaluate stiffness.

A  Initiating isolation procedures

B  Administering amphotericin B

C  Preparing for organ donation

D  Providing palliative care

A  infection.

B  complications.

C  falls.

D  choking.

A  Speeds nerve impulse transmission

B  Acts as chemical messenger

C  Carries message to the next nerve cell

D  Represents building block of nervous system

A  Pyridostigmine bromide (Mestinon)

B  Azathioprine (Imuran)

C  Lioresal (Baclofen)

D  Deltasone (Prednisone)

A  Intubation tray and suction apparatus

B  Incentive spirometer

C  Blood pressure apparatus

D  Nebulizer and thermometer

A  Numbness and vomiting

B  Headache and nuchal rigidity

C  Ptosis and diplopia

D  Hyporeflexia in the lower extremities

A  Evoked potential studies

B  CSF electrophoresis

C  Magnetic resonance imaging

D  Neuropsychological testing

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

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  are primarily associated with infection with Coccidioides immitis and Aspergillus.

A  Nasal cannula and oxygen

B  Padded tongue blade

C  Sphygmomanometer

D  Suction machine with catheters

A  Administer diphenhydramine (Benadryl) for the allergic reaction.

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

C  Administer atropine to control the side effects of edrophonium.

D  Place the patient in the supine position

A  Within 24 hours after exposure

B  Within 48 hours after exposure

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

D  Within 72 hours after exposure

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

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

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

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

A  Magnetic resonance imaging (MRI)

B  Cerebrospinal fluid (CSF) electrophoresis

C  Evoked potential studies

D  Neuropsychological testing

A  Initiate seizure precautions.

B  Assess visual acuity.

C  Ensure that client takes nothing by mouth.

D  Assess for facial weakness.

A  Multiple sclerosis

B  Parkinson disease

C  Huntington disease

D  Creutzfeldt-Jakob disease

A  Promoting ability to critically think

B  Prevention of joint contractures

C  Creating a positive environment

D  Use of adaptive equipment

A  Numbness

B  Loss of proprioception

C  Diplopia and ptosis

D  Patchy blindness

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

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

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

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

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

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

D  exercises should be completed quickly to reduce fatigue.”

A  muscle rigidity, memory impairment, and cognitive impairment.

B  akathisia and dysphagia.

C  sensory disturbance, limb pain, and behavioral changes.

D  diplopia and bradykinesia.

A  assessing vital signs frequently

B  preventing further neurologic damage

C  reporting changes to the physician

D  destabilizing client’s condition

A  Infection

B  Overmedication

C  Undermedication

D  Compliance with medication

A  Antibodies are removed from the plasma.

B  Mestinon therapy is initiated.

C  Immune globulin is given intravenously.

D  The thymus gland is removed.

A  Azathioprine

B  Prednisone

C  Atropine

D  Pyridostigmine bromide

A  signs and symptoms of cardiac insufficiency.

B  signs of relapse.

C  renal complications related to acyclovir therapy.

D  signs of improvement in the patient’s condition.

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

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

C  The paralysis caused by this disease is temporary.”

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

A  Ensure the family receives prophylaxis antibiotic treatment.

B  Apply a cooling blanket.

C  Administer prescribed antibiotics.

D  Initiate isolation precautions.

A  Dopamine

B  Acetylcholine

C  Serotonin

D  Gamma-aminobutyric acid

A  Increased pulse rate, respirations of 16 breaths/minute

B  Decreased pulse rate, abdominal breathing

C  Increased pulse rate, adventitious breath sounds

D  Decreased pulse rate, respirations of 20 breaths/minute

A  Cardiovascular system

B  Neurovascular system

C  Respiratory system

D  Endocrine system

A  Tensilon test

B  Computed tomography (CT) scan

C  Serum studies

D  Electromyogram (EMG)

A  Condition of skin

B  Urinary output and capillary refill

C  Respiratory status

D  Gag reflex and bowel sounds

A  Hyporeflexia and weakness of the lower extremities

B  Fatigue and depression

C  Ptosis and diplopia

D  Facial distortion and pain

A  Negative Brudzinski’s sign

B  Positive Kernig’s sign

C  Hyper-alertness

D  Positive Romberg sign

A  Human immunodeficiency virus (HIV

B  Lyme Disease

C  Herpes simplex virus (HSV)

D  Western equine bacteria

A  Angina pectoris

B  Migraine headache

C  Trigeminal neuralgia

D  Bell’s palsy

A  Red blood cells present in the CSF

B  White blood cells in the CSF

C  Glucose in the CSF

D  Elevated protein levels in the CSF

A  Parkinson disease

B  Huntington disease

C  Creutzfeldt-Jakob disease

D  Multiple sclerosis

A  Acyclovir (Zovirax)

B  Vancomycin

C  Phenytoin (Dilantin)

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  Headache and nuchal rigidity

B  Numbness and vomiting

C  Ptosis and diplopia

D  Hyporeflexia in the lower extremities

A  Ptosis and diplopia

B  Facial pain in the areas of the fifth cranial nerve

C  Hyporeflexia and weakness of the lower extremities

D  Fatigue and depression

A  Ptosis and muscle weakness of upper extremities

B  Muscle weakness and hyporeflexia of the lower extremities

C  Hyporeflexia and skin rash

D  Fever and cough

A  Avoid physical activity.

B  Avoid hot temperatures.

C  Take moderate amounts of alcohol

D  Avoid analgesic medication.

A  Facial (VII)

B  Vagus (X)

C  Trigeminal (V)

D  Vestibulocochlear (VIII)

A  Avoid hot baths and showers.”

B  Limit your fruit and vegetable intake.”

C  Avoid taking daytime naps.”

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

A  I was brushing my teeth.”

B  I was sitting at home watching television.”

C  I was taking a bath.”

D  I was putting my shoes on.”

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

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

C  The patient will go into cardiac arrest.

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

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

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

A  Exercise the right eye twice a day.

B  Apply an eye patch to the right eye.

C  Place needed items on the right side.

D  Administer eye drops as needed.

A  Preventing renal insufficiency

B  Controlling seizures and increased intracranial pressure

C  Preventing muscular atrophy

D  Maintaining hemodynamic stability and adequate cardiac output

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

B  Provide instruction on blood-thinning medication.

C  Praise client when using adaptive equipment.

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 unless the roommate begins to show symptoms

D  Treatment with antimicrobial prophylaxis as soon as possible

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

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 experienced any viral infections in the last month?”

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  Assess laboratory values for renal insufficiency.

B  Stop the infusion immediately.

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

D  Administer diphenhydramine and acetaminophen per orders.

A  Azathioprine

B  Prednisone

C  Atropine

D  Pyridostigmine bromide

A  maintaining hemodynamic stability and adequate cardiac output

B  preventing renal insufficiency

C  preventing muscular atrophy.

D  controlling seizures and increased intracranial pressure.

A  tick.

B  flea.

C  mosquito.

D  horse.

A  take a hot bath.

B  avoid naps during the day.

C  increase the dose of muscle relaxants.

D  rest in an air-conditioned room.