Exam 3 Test Bank: Mgmt. of pts. w/ neurologic infections/auto disorders/neuropathies
WOTF are the most commonly reported clinical manifestations of MS? SATA A) pain B) depression C) numbness D) spasticity E) fatigue F) aphasia
A, B, C, D, E
Bell's palsy is a disorder of which cranial nerve? A) vestibulocochlear (VIII) B) facial (VII) C) trigeminal (V) D) vagus (X)
B
A frontal lobe brain abscess produces which manifestations? A) nystagmus B) localized HA C) seizures D) ataxia
C
A pt. has been diagnosed w/ a frontal lobe brain abscess. WOTF nursing interventions is appropriate? A) assess for facial weakness B) ensure that pt. takes NPO C) initiate seizure precautions D) assess visual acuity
C
Which drug should be available to counteract the effect of tensilon? A) prednisone B) mestinon C) imuran D) atropine
D
A pt. is newly diagnosed w/ relapsing-remitting MS (RRMS). Which instruction should the nurse provide? A) you'll have a steady and gradual decline in function B) you should take your meds only during time of relapse C) your type of MS is the least common, making it difficult to manage D) you must avoid stress and extreme fatigue because these can trigger a relapse
D
A pt. is suspected to have bacterial meningitis. What is the priority nursing intervention? A) administer prescribed antibiotics B) assess the CSF fluid lab results C) encourage fluid intake PO D) prepare the pt. for a CT scan
A
A pt. w/ herpes simplex virus (HSV) encephalitis is receiving acyclovir (Zovirax). The nurse monitors blood chemistry test results and urinary output for...? A) renal complications related to acyclovir therpay B) signs of improvement in the pts. condition C) signs of relapse D) S&S of cardiac insufficiency
A
Medical mgmt. of arthropod-borne (arboviral) encephalitis is aimed at? A) controlling seizures and increased ICP B) maintaining hemodynamic stability and adequate CO C) preventing muscular atrophy D) preventing renal insufficiency
A
The initial symptoms of vCJD include WOTF? A) a sensory disturbance, limb pain, and behavioral changes B) diplopia and bradykinesia C) akathisia and dysphagia D) muscle rigidity, memory impairment, and cognitive impairment
A
The nurse is preparing the pt. for an acetylcholinesterase inhibitor test to rule out myasthenia gravis. WOTF is the priority nursing action? A) ensure atropine is readily available B) assess facial weakness 5 minutes after injection C) document the results D) administer edrophonium chloride (Tensilon) per orders
A
WOTF is the priority nursing intervention for a pt. in myasthenic crisis? A) assessing respiratory effort B) preparing for plasmapheresis C) administering IV immunoglobulin per orders D) ensuring adequate nutritional support
A
Which diagnostic test is used for early diagnosis of HSV-1 encephalitis? A) polymerase chain reaction (PCR) B) electroencephalography (EEG) C) MRI D) lumbar puncture
A
Which well-recognized sign of meningitis is exhibited when the client's neck is flexed and flexion of the knees and hips is produced? A) positive brudzinski sign B) nuchal rigidity C) photophobia D) positive kerning's sign
A
A nurse is caring for a pt. diagnosed w/ GBS. The patient states "it's getting harder to take a deep breath." WOTF actions by the nurse is the most appropriate? A) explain the progression of the syndrome B) call the physician and prepare for intubation C) encourage pt. to cough D) assess lung sounds
B
A pt. has been brought to the ED with altered LOC, high fever, and purpura rash on the lower extremities. The family states the pt. was complaining of neck stiffness earlier in the day. What action should the nurse do first? A) administer prescribed antibiotics B) initiate isolation precautions C) ensure the family receives prophylaxis antibiotic treatment D) apply a cooling blanket
B
A pt. w/ fungal encephalitis receiving IV amphotericin B complains of fever, chills, and body aches. What action by the nurse is appropriate? A) stop the infusion immediately B) administer Benadryl and Tylenol per orders C) assess lab values for renal insufficiency D) notify the physician and prepare for a lumbar puncture to obtain CSF cultures
B
A pt. w/ fungal encephalitis receiving amphotericin B complains of fever, chills, and body aches. The nurse knows that these symptoms? A) indicate renal toxicity and a worsening of the pts. condition B) may be controlled by the administration of Benadryl and Tylenol approx. 30 min prior to administration of amphotericin B C) indicate the need for immediate blood and CSF cultures D) are primarily associated w/ infection w/ Coccidioides immitis and aspergillus
B
Myasthenia gravis occurs when antibodies attach to which receptor sites? A) serotonin B) acetylcholine C) dopamine D) GABA
B
The diagnosis of MS is based upon WOTF tests? A) neuropsychological testing B) MRI C) evoked potential studies D) CSF electrophoresis
B
The parents of a pt. intubated due to the progression of GBS ask if their child will die. What is the best response by the nurse? A) it is too early to give a prognosis B) there are no guarantees, but a large portion of people w/ GBS survive C) once GBS progresses to the diaphragm, there is a significant decrease in surviving D) don't worry, your child will be fine
B
WOTF is the most common cause of acute encephalitis in the US? A) western equine bacteria B) herpes simplex virus (HSV) C) St. Louis virus D) Western Nile Virus
B
WOTF is the most common clinical manifestation of MS? A) ataxia B) fatigue C) spasticity D) pain
B
WOTF is a component of the nursing management of the pt. w/ new variant C-J disease? (nvCJD) A) preparing for organ donation B) administering amphotericin B C) providing supporting care D) initiating isolation procedures
C
WOTF is a component of the nursing mgmt. of the pt. w/ variant CJD? A) preparing for organ donation B) administering amphotericin B C) providing supporting care D) initiating isolation procedures
C
WOTF manifestations is inconsistent w/ the diagnosis of Guillain-Barr syndrome? A) orthostatic hypotension B) ascending weakness C) cognitive decline D) areflexia
C
A pt. is receiving mitoxantrone (Novantrone) for treatment of secondary progressive MS. This pt. should be closely monitored for? A) hypoxia B) mood changes and F/E alterations C) renal insufficiency D) leukopenia and cardiac toxicity
D
A pt. w/ herpes simplex virus (HSV) encephalitis is receiving acyclovir (Zovirax) to ensure early intervention. The nurse monitors lab values and urine output for WOTF adverse reactions? A) hepatic B) musculoskeletal C) integumentary D) renal
D
The initial symptoms of CJD include WOTF? A) akathisia and dysphagia B) memory and cognitive impairment C) diplopia and bradykinesia D) anxiety, depression, and behavioral changes
D
The nurse has been educating a pt. newly diagnosed w/ MS. WOTF statements by the pt. indicates an understanding of the education? A) the exercises should be completed quickly to reduce fatigue B) I will take hot tub baths to decrease spasms C) I should participate in non-weight bearing exercises D) I will stretch daily as directed by the physical therapist
D
The primary north American vector transmitting arthropod-borne virus encephalitis is the? A) horse B) tick C) flea D) mosquito
D
WOTF is a chronic, degenerative, progressive disease of the CNS characterized by the occurrence of small patches of demyelination in the brain and spinal cord? A) Parkinson's disease B) Huntington disease C) Creutzfeldt-Jakob disease D) Multiple Sclerosis
D
WOTF is a rare, transmissible, progressive fatal disease of the CNS characterized by spongiform degeneration of the gray matter of the brain? A) Huntington disease B) Parkinson's disease C) Multiple Sclerosis D) Creutzfeldt-Jakob disease
D
WOTF nursing interventions is appropriate for a pt. w/ double vision in the right eye due to MS? A) administer eye drops PRN B) place needed items on the right side C) exercise the right eye 2x per day (BID) D) apply an eye patch to the right eye
D
WOTF reflects basic nursing measures in the care of the pt. with viral encephalitis? A) administering narcotic analgesics B) monitoring CO C) administering amphotericin B D) providing comfort measures
D
