Chapter 64 Management of Patients With Neurologic
Infections, Autoimmune Disorders, and Neuropathies
1.A nurse caring for a patient with possible bacterial meningitis in the ICU knows that which of
the following assessment findings would be expected for a patient with bacterial meningitis?
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
2.The nurse teaching a patient with trigeminal neuralgia about factors that precipitate an attack
would be correct in teaching him to avoid:
A) Washing his face C) Using artificial tears
B) Exposing his skin to sunlight D) Drinking liquids at room temperature
3.A nurse admitting a patient with possible Creutzfeldt-Jakob disease (CJD) knows that
which of the following diagnostic tests is used to identify this disease?
A) Lumbar puncture C) CT scan
B) Arterial blood gas analysis D) Cerebral angiography
4.Which of the following clinical manifestations would alert the nurse caring for a patient
with Guillain-Barré syndrome that his status is deteriorating?
A) Tidal volume of 500 mL C) Vital capacity of 11 mL/kg
B) Residual lung volume of 1200 mL D) Oxygen saturation of 97%
5.When developing a plan of care for a patient with Guillain-Barre' syndrome, the nurse knows
that which of the following nursing interventions would receive priority?
A) Using the incentive spirometer as prescribed
B) Maintaining the patient on bed rest
C) Assisting the patient with activities of daily living
, D) Determining abnormalities of cognitive function
6.Upon admission, the physician orders baclofen (Lioresal) for a patient diagnosed with multiple
sclerosis. The nurse knows that which of the following is an expected outcome of this
medication?
A) Reduction in the appearance of new lesions on the MRI
B) Decreased muscle spasms in the lower extremities C) Increased muscle
strength in the upper extremities D) Limited severity and duration of exacerbations
Infections, Autoimmune Disorders, and Neuropathies
1.A nurse caring for a patient with possible bacterial meningitis in the ICU knows that which of
the following assessment findings would be expected for a patient with bacterial meningitis?
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
2.The nurse teaching a patient with trigeminal neuralgia about factors that precipitate an attack
would be correct in teaching him to avoid:
A) Washing his face C) Using artificial tears
B) Exposing his skin to sunlight D) Drinking liquids at room temperature
3.A nurse admitting a patient with possible Creutzfeldt-Jakob disease (CJD) knows that
which of the following diagnostic tests is used to identify this disease?
A) Lumbar puncture C) CT scan
B) Arterial blood gas analysis D) Cerebral angiography
4.Which of the following clinical manifestations would alert the nurse caring for a patient
with Guillain-Barré syndrome that his status is deteriorating?
A) Tidal volume of 500 mL C) Vital capacity of 11 mL/kg
B) Residual lung volume of 1200 mL D) Oxygen saturation of 97%
5.When developing a plan of care for a patient with Guillain-Barre' syndrome, the nurse knows
that which of the following nursing interventions would receive priority?
A) Using the incentive spirometer as prescribed
B) Maintaining the patient on bed rest
C) Assisting the patient with activities of daily living
, D) Determining abnormalities of cognitive function
6.Upon admission, the physician orders baclofen (Lioresal) for a patient diagnosed with multiple
sclerosis. The nurse knows that which of the following is an expected outcome of this
medication?
A) Reduction in the appearance of new lesions on the MRI
B) Decreased muscle spasms in the lower extremities C) Increased muscle
strength in the upper extremities D) Limited severity and duration of exacerbations
