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  Nuchal rigidity

B  Positive Brudzinski sign

C  Positive Kerning sign

D  Photophobia

A  Warm, dry skin

B  Soft, nondistended abdomen

C  Urine output of 40 ml/hour

D  Even, unlabored respirations

A  Assess the patient’s sensitivity to light.

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

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

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

A  Initiating isolation procedures

B  Providing palliative care

C  Preparing for organ donation

D  Administering amphotericin B

A  infection.

B  complications.

C  falls.

D  choking.

A  Speeds nerve impulse transmission

B  Represents building block of nervous system

C  Carries message to the next nerve cell

D  Acts as chemical messenger

A  Pyridostigmine bromide (Mestinon)

B  Deltasone (Prednisone)

C  Azathioprine (Imuran)

D  Lioresal (Baclofen)

A  Intubation tray and suction apparatus

B  Nebulizer and thermometer

C  Incentive spirometer

D  Blood pressure apparatus

A  Ptosis and diplopia

B  Hyporeflexia in the lower extremities

C  Numbness and vomiting

D  Headache and nuchal rigidity

A  Evoked potential studies

B  Magnetic resonance imaging

C  CSF electrophoresis

D  Neuropsychological testing

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

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

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

D  indicate renal toxicity and a worsening condition.

A  Suction machine with catheters

B  Nasal cannula and oxygen

C  Sphygmomanometer

D  Padded tongue blade

A  Administer diphenhydramine (Benadryl) for the allergic reaction.

B  Place the patient in the supine position

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

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

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

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

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

A  Magnetic resonance imaging (MRI)

B  Neuropsychological testing

C  Evoked potential studies

D  Cerebrospinal fluid (CSF) electrophoresis

A  Ensure that client takes nothing by mouth.

B  Assess visual acuity.

C  Assess for facial weakness.

D  Initiate seizure precautions.

A  Parkinson disease

B  Huntington disease

C  Multiple sclerosis

D  Creutzfeldt-Jakob disease

A  Creating a positive environment

B  Promoting ability to critically think

C  Prevention of joint contractures

D  Use of adaptive equipment

A  Patchy blindness

B  Diplopia and ptosis

C  Loss of proprioception

D  Numbness

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

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

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  sensory disturbance, limb pain, and behavioral changes.

D  akathisia and dysphagia.

A  destabilizing client’s condition

B  preventing further neurologic damage

C  reporting changes to the physician

D  assessing vital signs frequently

A  Overmedication

B  Undermedication

C  Compliance with medication

D  Infection

A  Antibodies are removed from the plasma.

B  Immune globulin is given intravenously.

C  Mestinon therapy is initiated.

D  The thymus gland is removed.

A  Azathioprine

B  Pyridostigmine bromide

C  Prednisone

D  Atropine

A  signs of improvement in the patient’s condition.

B  renal complications related to acyclovir therapy.

C  signs of relapse.

D  signs and symptoms of cardiac insufficiency.

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

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  The paralysis caused by this disease is temporary.”

A  Administer prescribed antibiotics.

B  Ensure the family receives prophylaxis antibiotic treatment.

C  Initiate isolation precautions.

D  Apply a cooling blanket.

A  Serotonin

B  Acetylcholine

C  Gamma-aminobutyric acid

D  Dopamine

A  Increased pulse rate, respirations of 16 breaths/minute

B  Decreased pulse rate, respirations of 20 breaths/minute

C  Decreased pulse rate, abdominal breathing

D  Increased pulse rate, adventitious breath sounds

A  Respiratory system

B  Cardiovascular system

C  Neurovascular system

D  Endocrine system

A  Electromyogram (EMG)

B  Tensilon test

C  Computed tomography (CT) scan

D  Serum studies

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  Facial distortion and pain

D  Ptosis and diplopia

A  Negative Brudzinski’s sign

B  Positive Kernig’s sign

C  Positive Romberg sign

D  Hyper-alertness

A  Western equine bacteria

B  Lyme Disease

C  Herpes simplex virus (HSV)

D  Human immunodeficiency virus (HIV

A  Angina pectoris

B  Trigeminal neuralgia

C  Migraine headache

D  Bell’s palsy

A  White blood cells in the CSF

B  Glucose in the CSF

C  Red blood cells present in the CSF

D  Elevated protein levels in the CSF

A  Huntington disease

B  Multiple sclerosis

C  Parkinson disease

D  Creutzfeldt-Jakob disease

A  Phenytoin (Dilantin)

B  Acyclovir (Zovirax)

C  Vancomycin

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 histocompatible cells attack the immunoglobulins

C  A disorder in which the body does not have enough immunoglobulins

D  A disorder in which the body has too many immunoglobulins

A  Numbness and vomiting

B  Hyporeflexia in the lower extremities

C  Headache and nuchal rigidity

D  Ptosis and diplopia

A  Facial pain in the areas of the fifth cranial nerve

B  Fatigue and depression

C  Hyporeflexia and weakness of the lower extremities

D  Ptosis and diplopia

A  Muscle weakness and hyporeflexia of the lower extremities

B  Ptosis and muscle weakness of upper extremities

C  Fever and cough

D  Hyporeflexia and skin rash

A  Avoid analgesic medication.

B  Avoid physical activity.

C  Take moderate amounts of alcohol

D  Avoid hot temperatures.

A  Vestibulocochlear (VIII)

B  Trigeminal (V)

C  Facial (VII)

D  Vagus (X)

A  Limit your fruit and vegetable intake.”

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

C  Avoid taking daytime naps.”

D  Avoid hot baths and showers.”

A  I was sitting at home watching television.”

B  I was taking a bath.”

C  I was brushing my teeth.”

D  I was putting my shoes on.”

A  The patient will go into cardiac arrest.

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

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

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

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  Apply an eye patch to the right eye.

B  Place needed items on the right side.

C  Exercise the right eye twice a day.

D  Administer eye drops as needed.

A  Maintaining hemodynamic stability and adequate cardiac output

B  Preventing renal insufficiency

C  Controlling seizures and increased intracranial pressure

D  Preventing muscular atrophy

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  Treatment with antimicrobial prophylaxis as soon as possible

B  treatment unless the roommate begins to show symptoms

C  Admission to the nearest hospital for observation

D  Bedrest at home for 72 hours

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

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 had difficulty with urination in the last 6 weeks?”

A  Immunoglobulin G (Iveegam EN)

B  Azathioprine (Imuran)

C  Edrophonium (Tensilon)

D  Cyclosporine (Sandimmune)

A  Instill artificial tears.

B  Encourage the client to close his eyes.

C  Alternatively patch one eye every 2 hours.

D  Turn out the lights in the room.

A  Administer diphenhydramine and acetaminophen per orders.

B  Stop the infusion immediately.

C  Assess laboratory values for renal insufficiency.

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

A  Atropine

B  Prednisone

C  Pyridostigmine bromide

D  Azathioprine

A  preventing muscular atrophy.

B  controlling seizures and increased intracranial pressure.

C  preventing renal insufficiency

D  maintaining hemodynamic stability and adequate cardiac output

A  flea.

B  horse.

C  tick.

D  mosquito.

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.