Chapter 69 Quiz

A  Prepare the client for a CT scan.

B  Assess the CSF fluid laboratory test results

C  Encourage oral fluid intake.

D  Administer prescribed antibiotics.

A  Positive Brudzinski sign

B  Positive Kerning sign

C  Nuchal rigidity

D  Photophobia

A  Soft, nondistended abdomen

B  Warm, dry skin

C  Even, unlabored respirations

D  Urine output of 40 ml/hour

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

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  falls.

C  complications.

D  choking.

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  Pyridostigmine bromide (Mestinon)

B  Deltasone (Prednisone)

C  Azathioprine (Imuran)

D  Lioresal (Baclofen)

A  Nebulizer and thermometer

B  Incentive spirometer

C  Blood pressure apparatus

D  Intubation tray and suction apparatus

A  Ptosis and diplopia

B  Hyporeflexia in the lower extremities

C  Numbness and vomiting

D  Headache and nuchal rigidity

A  Magnetic resonance imaging

B  Evoked potential studies

C  CSF electrophoresis

D  Neuropsychological testing

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

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

C  indicate renal toxicity and a worsening condition.

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

A  Padded tongue blade

B  Nasal cannula and oxygen

C  Sphygmomanometer

D  Suction machine with catheters

A  Place the patient in the supine position

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

C  Administer diphenhydramine (Benadryl) for the allergic reaction.

D  Administer atropine to control the side effects of edrophonium.

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  It’s too early to give a prognosis.”

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

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

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

A  Cerebrospinal fluid (CSF) electrophoresis

B  Evoked potential studies

C  Neuropsychological testing

D  Magnetic resonance imaging (MRI)

A  Ensure that client takes nothing by mouth.

B  Assess for facial weakness.

C  Assess visual acuity.

D  Initiate seizure precautions.

A  Creutzfeldt-Jakob disease

B  Multiple sclerosis

C  Parkinson disease

D  Huntington disease

A  Prevention of joint contractures

B  Use of adaptive equipment

C  Creating a positive environment

D  Promoting ability to critically think

A  Numbness

B  Diplopia and ptosis

C  Patchy blindness

D  Loss of proprioception

A  Parkinson disease

B  Multiple sclerosis

C  Huntington disease

D  Creutzfeldt-Jakob disease

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

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

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  sensory disturbance, limb pain, and behavioral changes.

B  akathisia and dysphagia.

C  diplopia and bradykinesia.

D  muscle rigidity, memory impairment, and cognitive impairment.

A  destabilizing client’s condition

B  preventing further neurologic damage

C  reporting changes to the physician

D  assessing vital signs frequently

A  Undermedication

B  Compliance with medication

C  Infection

D  Overmedication

A  The thymus gland is removed.

B  Mestinon therapy is initiated.

C  Immune globulin is given intravenously.

D  Antibodies are removed from the plasma.

A  Prednisone

B  Pyridostigmine bromide

C  Azathioprine

D  Atropine

A  renal complications related to acyclovir therapy.

B  signs of relapse.

C  signs and symptoms of cardiac insufficiency.

D  signs of improvement in the patient’s condition.

A  The paralysis caused by this disease is temporary.”

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

A  Initiate isolation precautions.

B  Administer prescribed antibiotics.

C  Ensure the family receives prophylaxis antibiotic treatment.

D  Apply a cooling blanket.

A  Acetylcholine

B  Gamma-aminobutyric acid

C  Dopamine

D  Serotonin

A  Decreased pulse rate, abdominal breathing

B  Increased pulse rate, respirations of 16 breaths/minute

C  Decreased pulse rate, respirations of 20 breaths/minute

D  Increased pulse rate, adventitious breath sounds

A  Respiratory system

B  Endocrine system

C  Neurovascular system

D  Cardiovascular 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  Facial distortion and pain

B  Ptosis and diplopia

C  Hyporeflexia and weakness of the lower extremities

D  Fatigue and depression

A  Positive Kernig’s sign

B  Positive Romberg sign

C  Negative Brudzinski’s sign

D  Hyper-alertness

A  Human immunodeficiency virus (HIV

B  Lyme Disease

C  Herpes simplex virus (HSV)

D  Western equine bacteria

A  Bell’s palsy

B  Angina pectoris

C  Trigeminal neuralgia

D  Migraine headache

A  Red blood cells present in the CSF

B  Glucose in the CSF

C  White blood cells in the CSF

D  Elevated protein levels in the CSF

A  Multiple sclerosis

B  Huntington disease

C  Creutzfeldt-Jakob disease

D  Parkinson disease

A  Acyclovir (Zovirax)

B  Vancomycin

C  Phenytoin (Dilantin)

D  Dexamethasone (Decadron)

A  A disorder in which histocompatible cells attack the immunoglobulins

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 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  Fatigue and depression

B  Hyporeflexia and weakness of the lower extremities

C  Facial pain in the areas of the fifth cranial nerve

D  Ptosis and diplopia

A  Muscle weakness and hyporeflexia of the lower extremities

B  Hyporeflexia and skin rash

C  Fever and cough

D  Ptosis and muscle weakness of upper extremities

A  Avoid analgesic medication.

B  Take moderate amounts of alcohol

C  Avoid hot temperatures.

D  Avoid physical activity.

A  Facial (VII)

B  Trigeminal (V)

C  Vagus (X)

D  Vestibulocochlear (VIII)

A  Avoid hot baths and showers.”

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

C  Avoid taking daytime naps.”

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

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

B  A donor who is taking medication for benign prostatic hyperplasia

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

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  Exercise the right eye twice a day.

D  Place needed items on the right side.

A  Preventing renal insufficiency

B  Preventing muscular atrophy

C  Maintaining hemodynamic stability and adequate cardiac output

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  Assess client for ability to ambulate independently.

D  Provide instruction on blood-thinning medication.

A  Treatment with antimicrobial prophylaxis as soon as possible

B  Admission to the nearest hospital for observation

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  Immunoglobulin G (Iveegam EN)

B  Edrophonium (Tensilon)

C  Azathioprine (Imuran)

D  Cyclosporine (Sandimmune)

A  Encourage the client to close his eyes.

B  Alternatively patch one eye every 2 hours.

C  Instill artificial tears.

D  Turn out the lights in the room.

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  Atropine

B  Pyridostigmine bromide

C  Azathioprine

D  Prednisone

A  preventing renal insufficiency

B  controlling seizures and increased intracranial pressure.

C  preventing muscular atrophy.

D  maintaining hemodynamic stability and adequate cardiac output

A  flea.

B  tick.

C  mosquito.

D  horse.

A  take a hot bath.

B  rest in an air-conditioned room.

C  increase the dose of muscle relaxants.

D  avoid naps during the day.