Chapter 69 Quiz

A  Encourage oral fluid intake.

B  Assess the CSF fluid laboratory test results

C  Prepare the client for a CT scan.

D  Administer prescribed antibiotics.

A  Positive Brudzinski sign

B  Nuchal rigidity

C  Photophobia

D  Positive Kerning sign

A  Urine output of 40 ml/hour

B  Soft, nondistended abdomen

C  Even, unlabored respirations

D  Warm, dry skin

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  Administering amphotericin B

B  Initiating isolation procedures

C  Providing palliative care

D  Preparing for organ donation

A  infection.

B  falls.

C  complications.

D  choking.

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  Nebulizer and thermometer

B  Intubation tray and suction apparatus

C  Blood pressure apparatus

D  Incentive spirometer

A  Headache and nuchal rigidity

B  Ptosis and diplopia

C  Numbness and vomiting

D  Hyporeflexia in the lower extremities

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

C  indicate renal toxicity and a worsening condition.

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

A  Sphygmomanometer

B  Padded tongue blade

C  Suction machine with catheters

D  Nasal cannula and oxygen

A  Place the patient in the supine position

B  Administer diphenhydramine (Benadryl) for the allergic reaction.

C  Administer atropine to control the side effects of edrophonium.

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

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  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  Ensure that client takes nothing by mouth.

B  Assess visual acuity.

C  Assess for facial weakness.

D  Initiate seizure precautions.

A  Huntington disease

B  Creutzfeldt-Jakob disease

C  Multiple sclerosis

D  Parkinson disease

A  Promoting ability to critically think

B  Prevention of joint contractures

C  Use of adaptive equipment

D  Creating a positive environment

A  Patchy blindness

B  Numbness

C  Diplopia and ptosis

D  Loss of proprioception

A  Creutzfeldt-Jakob disease

B  Multiple sclerosis

C  Parkinson disease

D  Huntington disease

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

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

A  exercises should be completed quickly to reduce fatigue.”

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

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

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

A  sensory disturbance, limb pain, and behavioral changes.

B  muscle rigidity, memory impairment, and cognitive impairment.

C  akathisia and dysphagia.

D  diplopia and bradykinesia.

A  preventing further neurologic damage

B  reporting changes to the physician

C  destabilizing client’s condition

D  assessing vital signs frequently

A  Overmedication

B  Infection

C  Compliance with medication

D  Undermedication

A  The thymus gland is removed.

B  Antibodies are removed from the plasma.

C  Immune globulin is given intravenously.

D  Mestinon therapy is initiated.

A  Azathioprine

B  Atropine

C  Prednisone

D  Pyridostigmine bromide

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  Administer prescribed antibiotics.

B  Initiate isolation precautions.

C  Ensure the family receives prophylaxis antibiotic treatment.

D  Apply a cooling blanket.

A  Serotonin

B  Acetylcholine

C  Dopamine

D  Gamma-aminobutyric acid

A  Decreased pulse rate, respirations of 20 breaths/minute

B  Increased pulse rate, adventitious breath sounds

C  Decreased pulse rate, abdominal breathing

D  Increased pulse rate, respirations of 16 breaths/minute

A  Cardiovascular system

B  Respiratory system

C  Endocrine system

D  Neurovascular system

A  Tensilon test

B  Serum studies

C  Electromyogram (EMG)

D  Computed tomography (CT) scan

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  Facial distortion and pain

C  Fatigue and depression

D  Ptosis and diplopia

A  Positive Romberg sign

B  Hyper-alertness

C  Positive Kernig’s sign

D  Negative Brudzinski’s sign

A  Herpes simplex virus (HSV)

B  Western equine bacteria

C  Lyme Disease

D  Human immunodeficiency virus (HIV

A  Migraine headache

B  Angina pectoris

C  Bell’s palsy

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  Multiple sclerosis

B  Huntington disease

C  Parkinson disease

D  Creutzfeldt-Jakob disease

A  Vancomycin

B  Phenytoin (Dilantin)

C  Dexamethasone (Decadron)

D  Acyclovir (Zovirax)

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  Hyporeflexia in the lower extremities

B  Headache and nuchal rigidity

C  Numbness and vomiting

D  Ptosis and diplopia

A  Facial pain in the areas of the fifth cranial nerve

B  Hyporeflexia and weakness of the lower extremities

C  Fatigue and depression

D  Ptosis and diplopia

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 hot temperatures.

B  Avoid physical activity.

C  Take moderate amounts of alcohol

D  Avoid analgesic medication.

A  Vestibulocochlear (VIII)

B  Vagus (X)

C  Facial (VII)

D  Trigeminal (V)

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

B  Avoid hot baths and showers.”

C  Avoid taking daytime naps.”

D  Limit your fruit and vegetable intake.”

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 go into cardiac arrest.

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

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

A  A donor who moved to the United States from Canada

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 was in college in England for 1 year

A  Place needed items on the right side.

B  Administer eye drops as needed.

C  Apply an eye patch to the right eye.

D  Exercise the right eye twice a day.

A  Controlling seizures and increased intracranial pressure

B  Maintaining hemodynamic stability and adequate cardiac output

C  Preventing muscular atrophy

D  Preventing renal insufficiency

A  Praise client when using adaptive equipment.

B  Assess client for ability to ambulate independently.

C  Provide instruction on blood-thinning medication.

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

A  Treatment with antimicrobial prophylaxis as soon as possible

B  treatment unless the roommate begins to show symptoms

C  Bedrest at home for 72 hours

D  Admission to the nearest hospital for observation

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

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

C  Have you developed any new allergies in the last year?”

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

A  Immunoglobulin G (Iveegam EN)

B  Edrophonium (Tensilon)

C  Azathioprine (Imuran)

D  Cyclosporine (Sandimmune)

A  Alternatively patch one eye every 2 hours.

B  Instill artificial tears.

C  Encourage the client to close his eyes.

D  Turn out the lights in the room.

A  Assess laboratory values for renal insufficiency.

B  Stop the infusion immediately.

C  Administer diphenhydramine and acetaminophen per orders.

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

A  Pyridostigmine bromide

B  Atropine

C  Azathioprine

D  Prednisone

A  controlling seizures and increased intracranial pressure.

B  maintaining hemodynamic stability and adequate cardiac output

C  preventing muscular atrophy.

D  preventing renal insufficiency

A  flea.

B  tick.

C  mosquito.

D  horse.

A  avoid naps during the day.

B  increase the dose of muscle relaxants.

C  rest in an air-conditioned room.

D  take a hot bath.