Chapter 69 Quiz

A  Encourage oral fluid intake.

B  Administer prescribed antibiotics.

C  Assess the CSF fluid laboratory test results

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  Soft, nondistended abdomen

D  Urine output of 40 ml/hour

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

B  Assess the patient’s sensitivity to light.

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

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

A  Administering amphotericin B

B  Initiating isolation procedures

C  Preparing for organ donation

D  Providing palliative care

A  infection.

B  choking.

C  complications.

D  falls.

A  Speeds nerve impulse transmission

B  Carries message to the next nerve cell

C  Acts as chemical messenger

D  Represents building block of nervous system

A  Lioresal (Baclofen)

B  Azathioprine (Imuran)

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  Hyporeflexia in the lower extremities

D  Ptosis and diplopia

A  Magnetic resonance imaging

B  Neuropsychological testing

C  CSF electrophoresis

D  Evoked potential studies

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

B  indicate renal toxicity and a worsening condition.

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

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

A  Nasal cannula and oxygen

B  Sphygmomanometer

C  Padded tongue blade

D  Suction machine with catheters

A  Administer atropine to control the side effects of edrophonium.

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

C  Place the patient in the supine position

D  Administer diphenhydramine (Benadryl) for the allergic reaction.

A  Within 48 hours after exposure

B  Within 24 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  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  It’s too early to give a prognosis.”

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

A  Evoked potential studies

B  Cerebrospinal fluid (CSF) electrophoresis

C  Neuropsychological testing

D  Magnetic resonance imaging (MRI)

A  Assess visual acuity.

B  Assess for facial weakness.

C  Initiate seizure precautions.

D  Ensure that client takes nothing by mouth.

A  Huntington disease

B  Parkinson disease

C  Creutzfeldt-Jakob disease

D  Multiple sclerosis

A  Prevention of joint contractures

B  Use of adaptive equipment

C  Promoting ability to critically think

D  Creating a positive environment

A  Numbness

B  Diplopia and ptosis

C  Patchy blindness

D  Loss of proprioception

A  Parkinson disease

B  Creutzfeldt-Jakob disease

C  Huntington disease

D  Multiple sclerosis

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

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

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

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

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  diplopia and bradykinesia.

C  sensory disturbance, limb pain, and behavioral changes.

D  akathisia and dysphagia.

A  preventing further neurologic damage

B  assessing vital signs frequently

C  destabilizing client’s condition

D  reporting changes to the physician

A  Overmedication

B  Infection

C  Undermedication

D  Compliance with medication

A  Immune globulin is given intravenously.

B  The thymus gland is removed.

C  Antibodies are removed from the plasma.

D  Mestinon therapy is initiated.

A  Prednisone

B  Atropine

C  Azathioprine

D  Pyridostigmine bromide

A  signs of improvement in the patient’s condition.

B  signs and symptoms of cardiac insufficiency.

C  renal complications related to acyclovir therapy.

D  signs of relapse.

A  The paralysis caused by this disease is temporary.”

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

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

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

A  Administer prescribed antibiotics.

B  Ensure the family receives prophylaxis antibiotic treatment.

C  Apply a cooling blanket.

D  Initiate isolation precautions.

A  Serotonin

B  Acetylcholine

C  Dopamine

D  Gamma-aminobutyric acid

A  Increased pulse rate, adventitious breath sounds

B  Increased pulse rate, respirations of 16 breaths/minute

C  Decreased pulse rate, respirations of 20 breaths/minute

D  Decreased pulse rate, abdominal breathing

A  Endocrine system

B  Cardiovascular system

C  Neurovascular system

D  Respiratory system

A  Serum studies

B  Computed tomography (CT) scan

C  Electromyogram (EMG)

D  Tensilon test

A  Condition of skin

B  Urinary output and capillary refill

C  Gag reflex and bowel sounds

D  Respiratory status

A  Fatigue and depression

B  Ptosis and diplopia

C  Facial distortion and pain

D  Hyporeflexia and weakness of the lower extremities

A  Negative Brudzinski’s sign

B  Positive Romberg sign

C  Positive Kernig’s sign

D  Hyper-alertness

A  Herpes simplex virus (HSV)

B  Human immunodeficiency virus (HIV

C  Lyme Disease

D  Western equine bacteria

A  Migraine headache

B  Bell’s palsy

C  Angina pectoris

D  Trigeminal neuralgia

A  Glucose in the CSF

B  White blood cells in the CSF

C  Elevated protein levels in the CSF

D  Red blood cells present in the CSF

A  Huntington disease

B  Creutzfeldt-Jakob disease

C  Parkinson disease

D  Multiple sclerosis

A  Acyclovir (Zovirax)

B  Vancomycin

C  Dexamethasone (Decadron)

D  Phenytoin (Dilantin)

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  Numbness and vomiting

C  Ptosis and diplopia

D  Headache and nuchal rigidity

A  Fatigue and depression

B  Facial pain in the areas of the fifth cranial nerve

C  Hyporeflexia and weakness of the lower extremities

D  Ptosis and diplopia

A  Ptosis and muscle weakness of upper extremities

B  Hyporeflexia and skin rash

C  Muscle weakness and hyporeflexia of the lower extremities

D  Fever and cough

A  Take moderate amounts of alcohol

B  Avoid hot temperatures.

C  Avoid physical activity.

D  Avoid analgesic medication.

A  Vagus (X)

B  Facial (VII)

C  Vestibulocochlear (VIII)

D  Trigeminal (V)

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

B  Limit your fruit and vegetable intake.”

C  Avoid taking daytime naps.”

D  Avoid hot baths and showers.”

A  I was brushing my teeth.”

B  I was taking a bath.”

C  I was putting my shoes on.”

D  I was sitting at home watching television.”

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

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

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

D  The patient will go into cardiac arrest.

A  A donor who is taking medication for benign prostatic hyperplasia

B  A donor who moved to the United States from Canada

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

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

A  Administer eye drops as needed.

B  Place needed items on the right side.

C  Exercise the right eye twice a day.

D  Apply an eye patch to the right eye.

A  Preventing muscular atrophy

B  Controlling seizures and increased intracranial pressure

C  Maintaining hemodynamic stability and adequate cardiac output

D  Preventing renal insufficiency

A  Praise client when using adaptive equipment.

B  Provide instruction on blood-thinning medication.

C  Assess client for ability to ambulate independently.

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

A  Admission to the nearest hospital for observation

B  Bedrest at home for 72 hours

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 developed any new allergies in the last year?”

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

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

A  Edrophonium (Tensilon)

B  Azathioprine (Imuran)

C  Cyclosporine (Sandimmune)

D  Immunoglobulin G (Iveegam EN)

A  Alternatively patch one eye every 2 hours.

B  Turn out the lights in the room.

C  Encourage the client to close his eyes.

D  Instill artificial tears.

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  Azathioprine

B  Pyridostigmine bromide

C  Atropine

D  Prednisone

A  controlling seizures and increased intracranial pressure.

B  preventing muscular atrophy.

C  maintaining hemodynamic stability and adequate cardiac output

D  preventing renal insufficiency

A  tick.

B  mosquito.

C  horse.

D  flea.

A  increase the dose of muscle relaxants.

B  take a hot bath.

C  rest in an air-conditioned room.

D  avoid naps during the day.