ENA Neurological Emergencies 3.0
questions and answers
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.✔✔D
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✔✔D
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✔✔B
Carotid stenosis is a common cause of transient ischemic attacks and stroke
due to thrombus. A patient with a recent fracture of a long bone (such as the
femur) or surgery (such as abdominal surgery) is at risk for a stroke caused by
an embolic occlusion. A patient with atrial fibrillation, which can cause clot
formation in the left atrium, also is at risk for a stroke caused by an embolic
occlusion.
In which condition is placing the patient in droplet isolation a priority?
A. Temporal arteritis
B. Bacterial meningitis
C. Febrile seizures
D. Guillain-Barr syndrome✔✔B
Bacterial meningitis can be spread through airborne droplets or contact with
oral secretions from infected individuals. Therefore, you should place all
questions and answers
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.✔✔D
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✔✔D
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✔✔B
Carotid stenosis is a common cause of transient ischemic attacks and stroke
due to thrombus. A patient with a recent fracture of a long bone (such as the
femur) or surgery (such as abdominal surgery) is at risk for a stroke caused by
an embolic occlusion. A patient with atrial fibrillation, which can cause clot
formation in the left atrium, also is at risk for a stroke caused by an embolic
occlusion.
In which condition is placing the patient in droplet isolation a priority?
A. Temporal arteritis
B. Bacterial meningitis
C. Febrile seizures
D. Guillain-Barr syndrome✔✔B
Bacterial meningitis can be spread through airborne droplets or contact with
oral secretions from infected individuals. Therefore, you should place all
