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Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies

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Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies

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Question 1 of 5

A patient with possible bacterial meningitis is admitted to the ICU. What assessment finding would the nurse expect for a patient 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

Correct Answer:

Rationale:

Question 2 of 5

The nurse is planning discharge education for a patient with trigeminal neuralgia. The nurse knows to include information about factors that precipitate an attack. What would the nurse be correct in teaching the patient to avoid?

A. Washing his face

B. Exposing his skin to sunlight

C. Using artificial tears

D. Drinking large amounts of fluids

Correct Answer:

Rationale:

Question 3 of 5

The nurse is caring for a patient with multiple sclerosis (MS). The patient tells the nurse the hardest thing to deal with is the fatigue. When teaching the patient how to reduce fatigue, what action should the nurse suggest?

A. Taking a hot bath at least once daily

B. Resting in an air-conditioned room whenever possible

C. Increasing the dose of muscle relaxants

D. Avoiding naps during the day

Correct Answer:

Rationale:

Question 4 of 5

A patient with Guillain-Barr?© syndrome has experienced a sharp decline in vital capacity. What is the nurse's most appropriate action?

A. Administer bronchodilators as ordered.

B. Remind the patient of the importance of deep breathing and coughing exercises.

C. Prepare to assist with intubation.

D. Administer supplementary oxygen by nasal cannula.

Correct Answer:

Rationale:

Question 5 of 5

A patient diagnosed with Bell's palsy is being cared for on an outpatient basis. During health education, the nurse should promote which of the following actions?

A. Applying a protective eye shield at night

B. Chewing on the affected side to prevent unilateral neglect

C. Avoiding the use of analgesics whenever possible

D. Avoiding brushing the teeth

Correct Answer:

Rationale:

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