ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 69 : Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies Questions
Question 1 of 5
A patient with Guillain-Barr?© syndrome has experienced a sharp decline in vital capacity. What is the nurse's most appropriate action?
Correct Answer: C
Rationale: A sharp decline in vital capacity in Guillain-Barr?© syndrome indicates respiratory muscle weakness, necessitating preparation for intubation to ensure adequate oxygenation. Bronchodilators and oxygen are insufficient, and breathing exercises may be impossible.
Question 2 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?
Correct Answer: A
Rationale: Bell's palsy can impair eye closure, risking corneal damage, so a protective eye shield at night is essential. Chewing on the affected side is difficult, analgesics may be needed, and oral hygiene should continue.
Question 3 of 5
The nurse is working with a patient who is newly diagnosed with MS. What basic information should the nurse provide to the patient?
Correct Answer: A
Rationale: MS is a chronic, progressive demyelinating disease of the central nervous system. It affects women more than men, has a gradual onset, and is not caused by bacterial infection.
Question 4 of 5
The nurse is creating a plan of care for a patient who has a recent diagnosis of MS. Which of the following should the nurse include in the patient's care plan?
Correct Answer: D
Rationale: Daily muscle stretching helps manage spasticity in MS. Voiding every 30 minutes after drinking, high-fiber diets, and encouraging independence in ADLs are more appropriate.
Question 5 of 5
A patient with metastatic cancer has developed trigeminal neuralgia and is taking carbamazepine (Tegretol) for pain relief. What principle applies to the administration of this medication?
Correct Answer: B
Rationale: Carbamazepine can cause bone marrow depression, requiring monitoring. It has serious side effects like aplastic anemia, not renal dysfunction, and is started at a low dose, gradually increased.