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Worksheets13A NRG304 LEC FINALS QUIZ 3
Total questions: 30
Worksheet time: 33mins
Nurse Andrew assesses a patient for signs of meningeal irritation and observes for nuchal rigidity. What indicates the presence of this sign of meningeal irritation?
Tonic spasms of the legs
Curling in a fetal position
Arching of the neck and back
Resistance to flexion of the neck
Nurse Shokutine is caring for a patient admitted with a diagnosis of brain abscess following a head injury. Which changes in the vital signs would the nurse interpret as a manifestation of increased intracranial pressure?
Tachypnea
Bradycardia
Hypotension
Narrow pulse pressure
A client, age 22, is admitted with bacterial meningitis. Which hospital room would be the best choice for this client?
A private room down the hall from the nurses’ station
An isolation room three doors from the nurses’ station
A semiprivate room with a 32-year-old client who has viral meningitis
A two-bed room with a client who previously had bacterial meningitis
A physician diagnoses a client with myasthenia gravis, prescribing pyridostigmine (Mestinon), 60 mg P.O. every 3 hours. Before administering this anticholinesterase agent, the nurse reviews the client’s history. Which preexisting condition would contraindicate the use of pyridostigmine?
Ulcerative colitis
Blood dyscrasia
Intestinal obstruction
Spinal cord injury
Select all the TRUE statements about the pathophysiology of multiple sclerosis:
"The dendrites on the neuron are overstimulated leading to the destruction of the axon."
"The myelin sheath, which is made up of Schwann cells, is damaged along the axon."
"This disease affects the insulating structure found on the neuron in the central nervous system."
"The dopaminergic neurons in the part of the brain called substantia nigra have started to die."
Which finding below represents a positive Romberg Sign in a patient with multiple sclerosis?
The patient report dark spots in the visual fields during the confrontation visual field test.
When the patient closes the eyes and stands with their feet together they start to lose their balance and sway back and forth.
The patient's sign and symptoms increase when expose to hot temperatures.
The patient reports an electric shock feeling when the head and neck are moved downward.
Your patient is scheduled for a lumbar puncture to help diagnose multiple sclerosis. The patient wants clarification about what will be found in the cerebrospinal fluid during the lumbar puncture to confirm the diagnosis of MS. You explain that ____________ will be present in the fluid if MS is present.
high amounts of IgM
oligoclonal bands
low amounts of WBC
oblong red blood cells and glucose
A patient is receiving Interferon Beta for treatment of multiple sclerosis. As the nurse you will stress the importance of?
Reporting ideation of suicide
Hand hygiene and avoiding infection
Low fat diet
Physical exercise to improve fatigue
Myasthenia gravis occurs when antibodies attack the __________ receptors at the neuromuscular junction leading to ____________.
metabotropic; muscle weakness
acetylcholine; muscle weakness
dopaminergic adrenergic; muscle contraction
nicotinic adrenergic; muscle contraction
You’re educating a patient about the pathophysiology of myasthenia gravis. While explaining the involvement of the thymus gland, the patient asks you where the thymus gland is located. You state it is located?
behind the thyroid gland
within the adrenal glands
behind the sternum in between the lungs
anterior to the hypothalamus
A patient with myasthenia gravis will be eating lunch at 12:00. It is now 10:00 and the patient is scheduled to take Pyridostigmine. At what time should you administer this medication so the patient will have the maximum benefit of this medication?
As soon as possible
1 hour after the patient has eaten (at 13:00)
1 hour before the patient eats (at 11:00)
at 12:00 right before the patient eats
The neurologist is conducting a Tensilon test (Edrophonium) at the bedside of a patient who is experiencing unexplained muscle weakness, double vision, difficulty breathing, and ptosis. Which findings after the administration of Edrophonium would represent the patient has myasthenia gravis?
The patient experiences worsening of the muscle weakness.
The patient experiences wheezing along with facial flushing.
The patient reports a tingling sensation in the eyelids and sudden ringing in the ears.
The patient experiences improved muscle strength
You’re preparing to help the neurologist with conducting a Tensilon test. Which antidote will you have on hand in case of an emergency?
Atropine
Protamine sulfate
Narcan
Leucovorin
Which meal option would be the most appropriate for a patient with myasthenia gravis?
Roasted potatoes and cubed steak
Hamburger with baked fries
Clam chowder with mashed potatoes
Fresh veggie tray with sliced cheese cubes
You’re providing teaching to a group of patients with myasthenia gravis. Which of the following is not a treatment option for this condition?
Plasmapheresis
Cholinesterase medications
Thymectomy
Corticosteroids
You’re a home health nurse providing care to a patient with myasthenia gravis. Today you plan on helping the patient with bathing and exercising. When would be the best time to visit the patient to help these tasks?
Mid-afternoon
Morning
Evening
Before bedtime
You are taking care of patient Nanongito who is diagnosed with meningitis,. All of the following are clinical manifestation of Menigitis, Except? Select all that apply
Positive Kernig sign
Positive Brudzinki sign
Seizure
Hallucinations
You are taking care of a patient with Viral meningitis. Which of the following laboratory results would most likely be evident?
Protein of 18 mg/dL
Leukocytes of 5000 cells/mm3
Neutrophils of <40 %
Glucose of <40 mg/dL
You are the medicating nurse for patient Chusderi who is diagnosed with Bacterial meningitis. Which of the following medication is not appropriate for the patient?
Ceftriaxone
Acyclovir
Dexamethasone
Diazepam
You are assessing patient Bimbimbaby who is diagnosed with a massive temporal lobe abscess. Which of the following signs and symptoms would most likely be present?
Ataxia
Receptive aphasia
Expressive aphasia
Nystagmus
You are giving health teachings to patient and family regarding Creutzfeldt-Jakob disease. Which of the following information is correct?
Its is acquired by ingesting prions from infected meat
People at risk for this disease are bird handlers
This can be transmitted by blood feeding arthropods
This is an autoimmune process
What can be seen in the immunologic assessment of CSF with a patient with West Nile Virtus ?
Protein kinase inhibitor 14-3-3
Fungal antibodies
Several bands of immunoglobulin G bonded together
Presence of Immunoglobulin M antibodies
It is a type of MS that shows progression from onset but with clear acute relapses with or without recovery.
Progressive relapsing MS
Secondary progressive MS
Primary progressive MS
Relapsing remitting
What is the most common cause of peripheral neuropathy?
Hypertension
Diabetes
Atherosclerosis
Thrombosis
You are taking care of a patient with Bell's palsy. Which of the following is not a clinical manifestation of this disorder? Select all that apply.
Unable to close eyelids
Speech difficulties
Pain during washing the face
Unable to eat on the affected side
You are giving care to a patient with Bell's palsy. Which of the following nursing management is incorrect?
Eye should be covered with a protective shield at night
Moisturizing eye drops during the day and eye ointment at bedtime may help prevent injury
Massaging the face several times daily, using a gentle downward motion, to maintain muscle tone
Exposure of the face to cold and drafts is avoided.
You are the medicating nurse for patient Edturde who is diagnosed with Trigeminal neuralgia. Which of the following medication is not part of the pharmacologic management of the patient?
Carbamazepine
Gabapentin
Phenytoin
Dexamethasone
You are assessing the patient with Trigeminal neuralgia. Which of the following is not part of the Branches of the Trigeminal nerve?
Opthalmic
Paranasal
Mandibular
Maxillary
Which of the following information about Guillain–Barré Syndrome is incorrect?
It is also known as acute idiopathic polyneuritis
Weakness in the lower extremities, which progresses upward and has the potential for respiratory failure
Miller–Fisher variant, presents with ataxia, areflexia, and opthalmoplegia; Rarest type
Elevated protein levels are detected in CSF evaluation, with an increase in other cells
Which medication should be given approximately 30 minutes before giving amphotericin B may prevent flulike side effects.
aspirin
acetaminophen
atropine
ascorbic acid
