Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies 1

Neurovascular system

A client is brought to the emergency department in a confused state, with slurred speech, characteristics of a headache, and right facial droop. The vital signs reveal a blood pressure of 170/88 mm Hg, pulse of 92 beats/minute, and respirations at 24 breaths/minute. On which bodily system does the nurse focus the nursing assessment?

Renal

A client with herpes simplex virus (HSV) encephalitis is receiving acyclovir. To ensure early intervention, the nurse monitors laboratory values and urine output for which type of adverse reactions?

central and peripheral nervous systems with decreased, impaired, or absent functioning.

A neurologic deficit is best defined as a defecit of the:

Within 24 hours after exposure

A patient has been diagnosed with meningococcal meningitis at a community living home. When should prophylactic therapy begin for those who have had close contact with the patient?

Suggest massaging the face several times daily, using a gentle upward motion, to maintain muscle tone.

A patient with Bell's palsy says to the nurse, "It doesn't hurt anymore to touch my face. How am I going to get muscle tone back so I don't look like this anymore?" What interventions can the nurse suggest to the patient?

Diplopia and ptosis

The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe?

Increased pulse rate, adventitious breath sounds

The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning?

Tensilon test

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

Facial pain in the areas of the fifth cranial nerve

While performing an initial nursing assessment on a client admitted with suspected tic douloureux (trigeminal neuralgia), for which of the following would the nurse expect to observe?