immunity practice questions

The clinic nurse is caring for a client with a recent diagnosis of myasthenia gravis. The client has begun treatment with pyridostigmine bromide. What change in status would most clearly suggest a therapeutic benefit of this medication? A) Increased muscle strength B) Decreased pain C) Improved GI function D) Improved cognition

A) increased muscle strength

The nurse is developing a plan of care for a client with Guillain--Barré syndrome. Which of the following interventions should the nurse prioritize for this client? A) Using the incentive spirometer as prescribed B) Maintaining the client on bed rest C) Providing aids to compensate for loss of vision D) Assessing frequently for loss of cognitive function

A) using the incentive spirometer as prescribed

A 69-year-old client is brought to the ED by ambulance because a family member found him lying on the floor disoriented and lethargic. The health care provider suspects bacterial meningitis and admits the client to the ICU. What interventions should the nurse perform? Select all that apply. A) Obtain a blood type and cross-match B) Administer antipyretics as prescribed C) Perform frequent neurologic assessments D) Monitor pain levels and administer analgesics E) Place the client in positive pressure isolation

B) Administer antipyretics as prescribed C) Perform frequent neurologic assessments D) Monitor pain levels and administer analgesics

A client with herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What medication would the nurse expect the health care provider to order for the treatment of this disease process? A) Cyclosporine B) Acyclovir C) Cyclobenzaprine D) Ampicillin

B) acyclovir

A client with possible bacterial meningitis is admitted to the ICU. What assessment finding would the nurse expect for a client with this diagnosis? A) Pain upon ankle dorsiflexion of the foot B) Neck flexion produces flexion of knees and hips C) Inability to stand with eyes closed and arms extended without swaying D) Numbness and tingling in the lower extremities

B) neck flexion produces flexion of knees and hips

A male client presents to the clinic reporting a headache. The nurse notes that the client is guarding his neck and tells the nurse that he has stiffness in the neck area. The nurse suspects the client may have meningitis. What is another well-recognized sign of this infection? A) Negative Brudzinski sign B) Positive Kernig sign C) Hyperpatellar reflex D) Sluggish pupil reaction

B) positive kernig sign

A client diagnosed with myasthenia gravis has been hospitalized to receive plasmapheresis for a myasthenic exacerbation. The nurse should anticipate what therapeutic response? A) Permanent improvement after 4 to 6 months of treatment B) Symptom improvement that lasts a few weeks after treatment ceases C) Permanent improvement after 60 to 90 treatments D) Gradual improvement over several months

B) symptom improvement that lasts a few weeks after treatment ceases

A client is being admitted to the neurologic ICU with suspected herpes simplex virus encephalitis. What nursing action best addresses the client's complaints of headache? A) Initiating a patient-controlled analgesia (PCA) of morphine sulfate B) Administering hydromorphone IV as needed C) Dimming the lights and reducing stimulation D) Distracting the client with activity

C) dimming lights and reducing stimulation

A nurse is planning the care of a 28-year-old woman hospitalized with a diagnosis of myasthenia gravis. What approach would be most appropriate for the care and scheduling of diagnostic procedures for this client? A) All at one time, to provide a longer rest period B) Before meals, to stimulate her appetite C) In the morning, with frequent rest periods D) Before bedtime, to promote rest

C) in the morning, with frequent rest periods

The critical care nurse is caring for 25-year-old man admitted to the ICU with a brain abscess. What is a priority nursing responsibility in the care of this client? A) Maintaining the client's functional independence B) Providing health education C) Monitoring neurologic status closely D) Promoting mobility

C) monitoring neurologic status closely

A client with Guillain--Barré syndrome has experienced a sharp decline in vital capacity. What is the nurse's most appropriate action? A) Administer bronchodilators as prescribed B) Remind the client of the importance of deep breathing and coughing exercises C) Prepare to assist with intubation D) Administer supplementary oxygen by nasal cannula

C) prepare to assist with intubation

The critical care nurse is admitting a client in myasthenic crisis to the ICU. The nurse should prioritize what nursing action in the immediate care of this client? A) Suctioning secretions B) Facilitating ABG analysis C) Providing ventilatory assistance D) Administering tube feedings

C) providing ventilatory assistance

The nurse caring for a client in ICU diagnosed with Guillain--Barré syndrome should prioritize monitoring for what potential complication? A) Impaired skin integrity B) Cognitive deficits C) Hemorrhage D) Autonomic dysfunction

D) autonomic dysfunction

The nurse caring for a client diagnosed with Guillain--Barré syndrome is planning care with regard to the clinical manifestations associated this syndrome. The nurse's communication with the client should reflect the possibility of what sign or symptom of the disease? A) Intermittent hearing loss B) Tinnitus C) Tongue enlargement D) Vocal paralysis

D) vocal paralysis