Ch 69 Neurologic infections

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

Herpes simplex virus (HSV) Explanation: Viral infection is the most common cause of encephalitis. HSV is the most common cause of acute encephalitis in the United States.

The most common cause of encephalitis in the US

Herpes symplex virus (HSV)

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?

Muscle weakness and hyporeflexia of the lower extremities Explanation: Guillain-Barre syndrome typically begins with muscle weakness and diminished reflexes of the lower extremities

The primary pathology of multiple sclerosis damage is to the

Myelin sheath

The nurse is using a bedside risk scoring system for an adukt patient with bacterial menengitis. Name fove risks for an unfavorable outcome

Older age, HR > 120bpm, decreased score on the glasgow coma scale, cranial nerve palsies, + gram stain 1 hour after presentation

The clinical feature uniques to patients with St Louis encephalitis

Syndrome of inappropriate antidiuretic hormone(SIADH) with hyponatremia

Myesthenia Gravis is considered an autoimmune disease in which antibodies are directed against

acetylcholine receptors

Two medications of choice for encephalitis

acyclovir (zovirax), ganciclovir(cytovene)

Classic Clinical sighns of Guillain-Barre syndrome (GBS)

areflexia, ascending weakness

The majority of patients with myasthenia gravis exhibit theses two clinical signs

double vision, ptosis

Three diagnostic tests used to support a diagnosis of Creutzfeldt-Jabob are

immunologic assessment, electroencephalogram(EEG), and Magnetic Resonance Imaging(MRI)

Disease modifying treatments for MS include

immunomodulating, immunosupressive

The bacteria responsible for the majority of cases of bacterial meningitis in adults.

streptococcus pneumoniae, neisseria meningitis