Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies 3

"I will stretch daily as directed by the physical therapist."

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

Facial distortion and pain

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?

Muscle weakness and hyporeflexia of the lower extremities

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?

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

The parents of a client intubated due to the progression of Guillain-Barré syndrome ask whether their child will die. What is the best response by the nurse?

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?

Providing supportive care

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

complications

While caring for clients who have suffered neurologic deficits from causes such as cerebrovascular accident and closed head injury, an important nursing goal that motivate nurses to offer the best care possible is preventing:

preventing further neurologic damage

A client's spouse relates how the client reported a severe headache, and shortly after was unable to talk or move their right arm and leg. The spouse indicates the client has hypertension. What should be the focus of management during this phase?

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

The nurse is assisting with administering a Tensilon test to a patient with ptosis. If the test is positive for myasthenia gravis, what outcome does the nurse know will occur?

Herpes simplex virus (HSV)

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