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
The nurse caring for a patient diagnosed with Guillain-Barr?© syndrome is planning care with regard to the clinical manifestations associated with this syndrome. The nurse's communication with the patient should reflect the possibility of what sign or symptom of the disease?
Correct Answer: D
Rationale: Guillain-Barr?© syndrome affects the vagus nerve (X), potentially causing vocal paralysis or dysphagia. Hearing loss, tinnitus, and tongue enlargement are not associated.
Question 2 of 5
The nurse is preparing to provide care for a patient diagnosed with myasthenia gravis. The nurse should know that the signs and symptoms of the disease are the result of what?
Correct Answer: D
Rationale: Myasthenia gravis results from a lower motor neuron lesion at the myoneural junction, causing muscle weakness. It is not genetic, nor does it involve upper motor neurons.
Question 3 of 5
A patient with suspected Creutzfeldt-Jakob disease (CJD) is being admitted to the unit. The nurse would expect what diagnostic test to be ordered for this patient?
Correct Answer: D
Rationale: EEG shows a characteristic pattern in CJD, aiding diagnosis. CT may rule out other conditions, but angiography and ABGs are not diagnostic for CJD.
Question 4 of 5
To alleviate pain associated with trigeminal neuralgia, a patient is taking Tegretol (carbamazepine). What health education should the nurse provide to the patient before initiating this treatment?
Correct Answer: B
Rationale: Carbamazepine requires monitoring of blood levels to ensure therapeutic efficacy and avoid toxicity. It does not cause hyperactivity or tinnitus, and calcium supplements are not contraindicated.
Question 5 of 5
A patient with herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What medication would the nurse expect the physician to order for the treatment of this disease process?
Correct Answer: B
Rationale: Acyclovir is an antiviral effective against HSV by inhibiting viral DNA replication. Cyclosporine, cyclobenzaprine, and ampicillin do not treat viral infections.