NURSING2212 Chapter 69- Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathie UPDATED 2020 (GRADE A)

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Chapter 69- Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathie Question 1 See full question A client with Guillain-Barré syndrome has paralysis affecting the... respiratory muscles and requires mechanical ventilation. When the client asks the nurse about the paralysis, how should the nurse respond? Question 2 See full question A client arrives at the emergency department complaining of extreme muscle weakness after minimal effort. The physician suspects myasthenia gravis. Which drug will be used to test for this disease? Question 3 See full question Medical management of arthropod-borne virus (arboviral) encephalitis is aimed at Question 4 See full question The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe? Question 5 See full question The nurse is performing an initial assessment on a client with suspected Bell's palsy. Which of the following findings would the nurse be most focused on related to this medical diagnosis? Question 6 See full question Which of the following is a rare, transmissible, progressive fatal disease of the CNS characterized by spongiform degeneration of the gray matter of the brain? Question 7 See full question Which of the following is the most common cause of acute encephalitis in the United States? Question 8 See full question The diagnosis of multiple sclerosis is based on which of the following tests? Question 9 See full question At what rate (in drops per minute) should a nurse start an I.V. infusion if the order is for 1 g of vancomycin (Vancocin) to be given in 180 ml of dextrose 5% in water over 60 minutes? The tubing delivers 15 drops/ml. Enter the correct number ONLY. Question 10 See full question The nurse is caring for a patient in the emergency department with an onset of pain related to trigeminal neuralgia. What subjective data stated by the patient does the nurse determine triggered the paroxysms of pain? Question 11 See full question A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia gravis is confirmed by: Question 12 See full question The nurse is taking health history from a client admitted to rule out Guillain-Barre syndrome. An important question to ask related to the diagnosis is which of the following? Question 13 See full question The nurse is performing an initial nursing assessment on a client with possible Guillain-Barre syndrome. Which of the following findings would be most consistent with this diagnosis? Question 14 See full question Which of the following tests confirms the diagnosis of myasthenia gravis (MG)? Question 15 See full question Which of the following are disease-modifying agents used in the treatment of multiple sclerosis (MS)? Select all that apply. Question 16 See full question Stephen Oswald, a 68-year-old retired salesman, was brought by squad into the acute care facility where you practice nursing. His wife accompanies him and relates how Stephen reported a severe headache, shortly after he was unable to talk or move his right arm and leg. His wife indicates Mr. Oswald has hypertension. What should be your focus of management during this phase? Question 17 See full question The nurse has been educating a patient newly diagnosed with MS. Which of the following statements by the patient indicates an understanding of the education? Question 18 See full question A patient has been brought to the ED with altered LOC, high fever, and a purpura rash on the lower extremities. The family states the patient was complaining of neck stiffness earlier in the day. What action should the nurse do first? Question 19 See full question A patient has been diagnosed with meningococcal meningitis at a community living home. When should prophylactic therapy begin for those who have had close contact with the patient? Question 20 See full question A patient with Bell’s palsy says to the nurse, “It doesn’t hurt anymore to touch my face. How am I going to get muscle tone back so I don’t look like this anymore?” What interventions can the nurse suggest to the patient? Question 21 See full question A client with weakness and tingling in both legs is admitted to the medical-surgical unit with a tentative diagnosis of Guillain-Barré syndrome. On admission, which assessment is most important for this client? Question 22 See full question A nurse is teaching a client who was recently diagnosed with myasthenia gravis. Which statement should the nurse include in her teaching? Question 23 See full question Which of the following is a rare, transmissible, progressive fatal disease of the central nervous system characterized by spongiform degeneration of the gray matter of the brain? Question 24 See full question Which of the following is a component of the nursing management of the patient with new variant Creutzfeldt-Jakob disease (nvCJD)? Question 25 See full question The diagnosis of multiple sclerosis is based upon which of the following tests? Question 26 See full question Which of the following is the medication of choice in the treatment of herpes simplex virus (HSV)? Question 27 See full question Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin? Question 28 See full question A client is brought to the emergency department in a confused state, with slurred speech, characteristics of a headache, and right facial droop. The vital signs reveal a blood pressure of 170/88 mm Hg, pulse of 92 beats/minute, and respirations at 24 breaths/minute. On which bodily system does the nurse focus the nursing assessment? Question 29 See full question Which of the following is considered a central nervous system (CNS) disorder? Question 30 See full question During a Tensilon test to determine if a patient has myasthenia gravis, the patient complains of cramping and becomes diaphoretic. Vital signs are BP 130/78, HR 42, and respiration 18. What intervention should the nurse prepare to do? Question 32 See full question The nurse is caring for a client diagnosed with Guillain-Barre syndrome. His spouse asks about recovery rates. The nurse can correctly relate which of the following? Question 33 The nurse is performing an initial assessment on a client who is admitted to rule out myasthenia gravis. Which of the following findings would the nurse expect to observe? Question 34 See full question Which of the following statements best defines a neurologic deficit? Question 35 See full question The nurse is evaluating the progression of a client in the home setting. Which activity of the hemiplegic client best indicates that the client is assuming independence? Question 37 See full question Which of the following is a component of the nursing management of the patient with variant Creutzfeldt-Jakob disease (vCJD)? Question 38 See full question A patient has been diagnosed with a frontal lobe brain abscess. Which of the following nursing interventions is appropriate? Question 39 See full question A patient is suspected to have bacterial meningitis. What is the priority nursing intervention? Question 40 See full question The parents of a patient intubated due to the progression of Guillain-Barré syndrome ask if their child will die. What is the best response by the nurse? Question 41 See full question A client with respiratory complications of multiple sclerosis (MS) is admitted to the medical-surgical unit. Which equipment is most important for the nurse to keep at the client's bedside? Question 42 See full question A client is hospitalized with Guillain-Barré syndrome. Which nursing assessment finding is most significant? Question 43 See full question A patient with fungal encephalitis receiving amphotericin B complains of fever, chills, and body aches. The nurse knows that these symptoms Question 44 See full question The nurse is performing an initial assessment on a client admitted with a possible brain abscess. Which of the following would the nurse most likely find? Question 45 See full question Which of the following is the first-line therapy for myasthenia gravis (MG)? Question 46 See full question The nurse is planning care of a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of highest priority? Question 47 See full question Myasthenia gravis occurs when antibodies attack which receptor sites? Question 48 See full question A patient diagnosed with MS 2 years ago has been admitted to the hospital with another relapse. The previous relapse was followed by a complete recovery with the exception of occasional vertigo. What type of MS does the nurse recognize this patient most likely has? Question 49 See full question Which well-recognized sign of meningitis is exhibited when the patient's neck is flexed and flexion of the knees and hips is produced? Question 50 See full question Which of the following is the most common clinical manifestation of multiple sclerosis? Question 51 See full question A client with Guillain-Barre syndrome cannot swallow and has a paralytic ileus; the nurse is administering parenteral nutrition intraveneously. The nurse is careful to assess which of the following related to intake of nutrients? Question 52 See full question A nurse is assisting with a neurological examination of a client who reports a headache in the occipital area and shows signs of ataxia and nystagmus. Which of the following conditions is the most likely reason for the client's problems? Question 53 See full question Cerebrospinal fluid (CSF) studies would indicate which of the following in a patient suspected of having meningitis? Select all that apply. Question 54 See full question Which client goal, established by the nurse, is most important as the nurse plans care for a seizure client in the home setting? Question 55 See full question Which well-recognized sign of meningitis is exhibited when the patient’s neck is flexed and flexion of the knees and hips is produced? Question 56 See full question The nurse is preparing the patient for an acetylcholinesterase inhibitor test to rule out myasthenia gravis. Which of the following is the priority nursing action? Question 57 See full question A patient with myasthenia gravis is in the hospital for treatment of pneumonia. The patient informs the nurse that it is very important to take pyridostigmine bromide (Mestinon) on time. The nurse gets busy and does not administer the medication until after breakfast. What outcome will the patient have related to this late dose? Question 58 See full question A patient suspected of having Guillain-Barré syndrome has had a lumbar puncture for cerebrospinal fluid (CSF) evaluation. When reviewing the laboratory results, what does the nurse find that is diagnostic for this disease? Question 59 See full question Mildred McCarthy, an 89-year-old retired government clerk, is being admitted to your rehabilitation hospital as a result of the tetraplegia caused by stroke. Her condition is stable, and after admission, she will begin physical and psychological therapy. An important part of your nursing management is to reposition Mrs. McCarthy every 2 hours. What is the rationale behind this intervention? Question 60 See full question Nursing assessment findings reveal joint swelling and tenderness and a butterfly rash on the face. The nurse suspects which of the following? Question 61 See full question Which of the following manifestations is inconsistent with the diagnosis of Guillain-Barr syndrome? Question 62 See full question Which of the following reflects basic nursing measures in the care of the patient with viral encephalitis? [Show More]

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