MENINGITIS, ENCEPHALITIS, MULTIPLE

SCLEROSIS, MYASTHENIA GRAVIS,

GUILLAIN-BARRE SYNDROME
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A nurse is planning care for a child with acute bacterial meningitis. Based * 1 point

on the mode of transmission of this infection, which of the following would

be included in the plan of care?

A. No precautions are required as long as antibiotics have been started

B. Maintain enteric precautions

C. Maintain respiratory isolation precautions for at least 24 hours after the initiation
of antibiotics

D. Maintain neutropenic precautions

The nurse is teaching the female client with myasthenia gravis about the * 1 point

prevention of myasthenic and cholinergic crisis. The nurse tells the client
that this is most effectively done by:

A. Eating large, well-balanced meals

B. Doing muscle-strengthening exercises

C. Doing all chores early in the day while less fatigued

D. Taking medications on time to maintain therapeutic blood levels

A physician diagnoses a client with myasthenia gravis, prescribing * 1 point

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?

A. Ulcerative colitis

B. Blood dyscrasia

C. Intestinal obstruction

D. Spinal cord injury

The nurse is assessing a 37-year-old client diagnosed with multiple * 1 point

sclerosis. Which of the following symptoms would the nurse expect to find?

A. Vision changes

B. Absent deep tendon reflexes

C. Tremors at rest

D. Flaccid muscles
A female client is admitted to the hospital with a diagnosis of Guillain-Barre * 1 point

syndrome. The nurse inquires during the nursing admission interview if the
client has a history of:

A. Seizures or trauma to the brain

B. Meningitis during the last five (5) years

C. Back injury or trauma to the spinal cord

D. Respiratory or gastrointestinal infection during the previous month

Which of the following assessment data indicated nuchal rigidity? * 1 point

A. Positive Kernig’s sign

B. Negative Brudzinski’s sign

C. Positive Homan’s sign

D. Negative Kernig’s sign

A female client has experienced an episode of myasthenic crisis. The nurse * 1 point
would assess whether the client has precipitating factors such as:

A. Getting too little exercise

B. Taking excess medication

C. Omitting doses of medication

D. Increasing intake of fatty foods

Lumbar puncture is performed on a child suspected of having bacterial * 1 point
meningitis. CSF is obtained for analysis. A nurse reviews the results of the
CSF analysis and determines that which of the following results would
verify the diagnosis?

A. Cloudy CSF, decreased protein, and decreased glucose

B. Cloudy CSF, elevated protein, and decreased glucose

C. Clear CSF, elevated protein, and decreased glucose

D. Clear CSF, decreased pressure, and elevated protein

Which of the following are considered as the initial symptoms of HSV-1 * 1 point
encephalitis? Select all that apply.

A. Confusion

B. Seizure

C. Headache

D. Behavioral changes

E. Fever

The nurse is teaching a female client with multiple sclerosis. When * 1 point
teaching the client how to reduce fatigue, the nurse should tell the client to:

A. Take a hot bath.

B. Rest in an air-conditioned room.

C. Increase the dose of muscle relaxants.

D. Avoid naps during the day.

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