Chapter 64: Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies

1 hr

The initial sign of skin pressure is erythema, which normally resolves in less than

Overmedication

The most common cause of cholinergic crisis includes which of the following?

stretch daily

The nurse has been educating a client newly diagnosed with MS. Which statement by the client indicates an understanding of the education?

Lioresal aka baclofen (GABA agonist tx of choice)

The nurse is evaluating the laboratory values of a client whose nursing diagnosis is "risk for impaired skin integrity." Which of the following values places the client at greatest risk?

infection control

The nurse is expecting to admit a client with a diagnosis of meningitis. While preparing the client's room, which of the following would the nurse most likely have available?

isolation precautions

A client has been brought to the ED with altered LOC, high fever, and a purpura rash on the lower extremities. The family states the client was reporting neck stiffness earlier in the day. What action should the nurse do first? (s/s= bacterial meningitis)

Ischial tuberosity

A client spends most of his time in a wheelchair. The nurse would be especially alert for the development of pressure ulcers in which area?

alternate patch, q2hr

A client who recently experienced a stroke tells the nurse that he has double vision. Which nursing intervention is most appropriate?

b push pop. area against bed

A nurse has taught a client how to perform quadriceps-setting exercises. The nurse determines that the client has understood the instructions when he demonstrates which of the following?

Functional Independence Measure

A nurse is assessing a patient's level of independent functioning. Which tool would the nurse most frequently use?

cooking

A nurse is assessing a client who will be discharged home after rehabilitation for a stroke. The nurse is questioning the client about his instrumental activities of daily living (IADLs). Which of the following would the nurse address? (Instrumental activities of daily living (IADLs) include cooking, cleaning, shopping, doing laundry, managing personal finances, developing social and recreational skills, and handling emergencies. Bathing, grooming, and dressing are activities of daily living)

2.5 g/mL (albumin <3= bad kidney)

A nurse is reviewing a patient's laboratory test results. Which serum albumin level would lead the nurse to suspect that the patient is at risk for pressure ulcers?

Multiple sclerosis

Which of the following is considered a central nervous system (CNS) disorder?

Acetylcholine (receptor sites)

Myasthenia gravis occurs when antibodies attack which receptor sites?

the patient

When describing the role of the various members of the rehabilitation team, which member would the nurse identify as the one who determines the final outcome of the process?

Copaxone subcut

Which 1st-generation MS immunotherapy does not cause flu-like symptoms? Which 1st-generation MS immunotherapy drug is NOT an interferon? Which 1st-generation MS immunotherapy is NOT pregnancy category C (it's B)?

Creutzfeldt-Jakob disease

Which condition is a rare, transmissible, progressive fatal disease of the central nervous system characterized by spongiform degeneration of the gray matter of the brain? *causes severe dementia and myoclonus

supportive care

Which is a component of the nursing management of the client with new variant Creutzfeldt-Jakob disease (vCJD)?

herpes

Which is the most common cause of acute encephalitis in the United States?

control seizures/ ICP

Which is the primary medical management of arthropod-borne virus (arboviral) encephalitis?

Tensilon test

Which of the following tests confirms the diagnosis of myasthenia gravis (MG)?

Gag reflex and bowel sounds

A client with Guillain-Barre syndrome cannot swallow and has a paralytic ileus; the nurse is administering parenteral nutrition intravenously. The nurse is careful to assess which of the following related to intake of nutrients?

ac room

A nurse is teaching a client with multiple sclerosis (MS). When teaching the client how to reduce fatigue, the nurse should tell the client to: (Lowering the body temperature by resting in an air-conditioned room may relieve fatigue; however, extreme cold should be avoided.)

after breakfast

A nurse is working with a patient to establish a bowel training program. Based on the nurse's understanding of bowel function, the nurse would suggest planning for bowel evacuation at which time? (Natural gastrocolic and duodenocolic reflexes occur about 30 minutes after a meal)

Copaxone

A provider prescribes a disease-modifying drug for a patient with relapsing-remitting MS. The nurse advises the patient that the drug has to be taken subcutaneously on a daily basis, and it may take 6 months for evidence of any response. Which of the following is the medication most likely prescribed in this scenario? (reduces the rate of relapse in the RR course of MS. It decreases the number of plaques noted on MRI and increases the time between relapses.)

priority setting

A rehabilitation nurse is preparing a presentation for clients and caregivers about issues that clients with disabilities may face. Which of the following would be most appropriate for the nurse to include in the presentation?

cholinergic crisis

severe muscle weakness and respiratory paralysis due to excessive acetylcholine; often seen in patients with myasthenia gravis as an adverse effect of drugs used to treat the disorder Caused by excessive medication ---stop giving Tensilon...will make it worse. results in severe generalized muscle weakness, respiratory impairment, and excessive pulmonary secretion that may result in respiratory failure.