ENA Neurological Emergencies.

ENA Neurological Emergencies.When caring for a patient with meningitis, you should perform which nursing intervention? A. Discuss stress management techniques. B. Initiate continuous positive airway pressure (CPAP) ventilation. C. Elevate the head of the bed to 30. D. Provide a quiet, darkened room. - ANSWERD For a patient with meningitis, provide comfort measures such as minimizing noise, light, and other environmental stimuli. These stimuli can be extremely noxious because of meningeal inflammation and irritation from infected cerebrospinal fluid. The other interventions are not appropriate for a patient with meningitis. Use continuous positive airway pressure (CPAP) ventilation for a patient with Guillain-Barr syndrome. Elevate the head of the bed to 30 for a patient with a stroke or subarachnoid hemorrhage. Discuss stress management techniques for a patient with tension headaches. Which disorder requires a biopsy for a definitive diagnosis? A. Myasthenia gravis B. Meningitis C. Guillain-Barr syndrome D. Temporal arteritis - ANSWERD The definitive diagnosis of temporal arteritis requires a biopsy of the temporal artery. The diagnosis of myasthenia gravis is based on symptoms, antibody testing, electrophysiology testing, and the patient's response to the edrophonium (Tensilon). The diagnosis of meningitis is confirmed by a lumbar puncture and cerebrospinal fluid examination and culture and sensitivity testing. The diagnosis of Guillain-Barr&#-61;&#-87; syndrome is made through history, physical examination, and cerebrospinal fluid examination. Which condition poses the greatest risk for a stroke caused by a thrombus? A. Recent femur fracture B. Carotid stenosis C. Recent abdominal surgery D. Atrial fibrillation - ANSWERB Carotid stenosis is a common cause of transient ischemic attacks and stro