MedSurge Quiz 1 - 36 37 38 39 Questions And Answers Best Exam Solution Latest Update 2022/, Exams of Nursing

Download MedSurge Quiz 1 - 36 37 38 39 Questions And Answers Best Exam Solution Latest Update 2022/ and more Exams Nursing in PDF only on Docsity! MedSurge Quiz 1 - 36 37 38 39 Questions And Answers Best Exam Solution Latest Update 2022/2023 1. A nurse is admitting a patient with an immunodeficiency to the medical unit. In planning the care of this patient, the nurse should assess for what common sign of immunodeficiency? a. Chronic diarrhea 2. A nurse is caring for a patient who has an immunodeficiency. What assessment finding should prompt the nurse to consider the possibility that the patient is developing an infection? a. Persistent diarrhea 3. The nurse is applying standard precautions in the care of a patient who has an immunodeficiency. What are key elements of standard precautions? Select all that apply. a. Using appropriate personal protective equipment b. Using safe injection practices c. Performing hand hygiene 4. A home health nurse is reinforcing health education with a patient who is immunosuppressed and his family. What statement best suggests that the patient has understood the nurse's teaching? a. “My family needs to understand that I'll probably need lifelong treatment.” 5. The nurse is preparing to administer IVIG to a patient who has an immunodeficiency. What nursing guideline should the nurse apply? a. Administer pretreatment medications as ordered 30 minutes prior to infusion. 6. A nurse has created a plan of care for an immunodeficient patient, specifying that care providers take the patient's pulse and respiratory rate for a full minute. What is the rationale for this aspect of care? a. These patients' blunted inflammatory responses can cause subtle changes in status. 7. A nurse is providing health education regarding self-care to a patient with an immunodeficiency. What teaching point should the nurse emphasize? a. The need for thorough oral hygiene 8. A patient's primary immunodeficiency disease is characterized by the inability of white blood cells to initiate an inflammatory response to infectious organisms. What is this patient's most likely diagnosis? a. Hyperimmunoglobulinemia E syndrome 9. A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte cell count drops below what threshold? a. 200 cells/mm3 of blood 10. A patient has been diagnosed with AIDS complicated by chronic diarrhea. What nursing intervention would be appropriate for this patient? a. Obtain a stool culture to identify possible pathogens. 11. An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby is going to be born with HIV. What is the nurse's best response? a. “It's possible that your baby could contract HIV, either before, during, or after delivery.” 12. Since the emergence of HIV/AIDS, there have been significant changes in epidemiologic trends. Members of what group currently have the greatest risk of contracting HIV? 25. A nurse is planning the care of a patient who has a long history of chronic pain, which has only recently been diagnosed as fibromyalgia. What nursing diagnosis is most likely to apply to this woman's care needs? a. Ineffective Role Performance Related to Pain Test Bank Questions Not On Quiz 1 CHP 36 1. A teenager is diagnosed with cellulitis of the right knee and fails to respond to oral antibiotics. He then develops osteomyelitis of the right knee, prompting a detailed diagnostic workup that reveals a phagocytic disorder. This patient faces an increased risk of what complication? a. Neutropenia 2. A patient is admitted for the treatment of a primary immunodeficiency and intravenous immunoglobulin (IVIG) is ordered. What should the nurse monitor for as a potential adverse effect of IVIG administration? a. Anaphylaxis 3. A young couple visits the nurse practitioner stating that they want to start a family. The husband states that his brother died of a severe infection at age 6 months. He says he never knew what was wrong but his mother had him undergo ìblood testingî as a child. Based on these statements, what health problem should the nurse practitioner suspect? a. X-linked agammaglobulinemia 4. The parents of a 1-month-old infant bring their child to the pediatrician with symptoms of congestive heart failure. The infant is ultimately diagnosed with DiGeorge syndrome. What will prolong this infant's survival? a. Thymus gland transplantation 5. A patient who has received a heart transplant is taking cyclosporine, an immunosuppressant. What should the nurse emphasize during health education about infection prevention? a. Perform frequent hand-washing 6. The nurse is caring for a patient who has a diagnosis of paroxysmal nocturnal hemoglobinuria. When planning this patient's care, the nurse should recognize the patient's heightened risk of what complication? a. Venous thromboembolism 7. A patient diagnosed with common variable immune deficiency (CVID) has been admitted to the acute medicine unit. When reviewing this patient's laboratory findings, the nurse should prioritize what values? a. Hemoglobin and vitamin B12 8. Patient teaching regarding infection prevention for the patient with an immunodeficiency includes which of the following guidelines? a. Cook all food thoroughly 9. A nurse has admitted a patient diagnosed with severe combined immunodeficiency disease (SCID) to the unit. The patient's orders include IVIG. How will the patient's dose of IVIG be determined? a. The dose will be determined by the patient's response 10. IVIG has been ordered for the treatment of a patient with an immunodeficiency. Which of the following actions should the nurse perform before administering this blood product? a. Weigh the patient before administration to verify the correct dose. 11. A patient with a diagnosis of common variable immunodeficiency begins to develop thick, sticky, tenacious sputum. The patient has a history of episodes of pneumonia at least one time per year for the last 10 years. What does the nurse suspect the patient is developing? a. Bronchiectasis 12. A nurse is admitting an adolescent patient with a diagnosis of ataxia- telangiectasis. Which of the following nursing diagnoses should the nurse include in the patient's plan of care? a. Risk for Falls Due to Loss of Muscle Coordination 13. A 20-year-old patient with an immunodeficiency is admitted to the unit with an acute episode of upper airway edema. This is the fifth time in the past 3 months that the patient has had such as episode. As the nurse caring for this patient, you know that the patient may have a deficiency of what? a. C1esterase inhibitor 14. A patient with Wiskott-Aldrich syndrome is admitted to the medical unit. The nurse caring for the patient should prioritize which of the following? a. Protective isolation 15. The nurse is admitting a patient to the unit with a diagnosis of ataxia- telangiectasia. The nurse's assessment should reflect the patient's increased risk for what complication? a. Cancer 16. The nurse is working with the interdisciplinary team to care for a patient who has recently been diagnosed with severe combined immunodeficiency disease (SCID). What treatment is likely of most benefit to this patient? a. Hematopoietic stem cell transplantation (HSCT) 17. A patient has been admitted with a phagocytic cell disorder and the nurse is reviewing the most common health problems that accompany these disorders. The nurse should identify which of the following? Select all that apply. a. Chronic otitis media b. Cutaneous abscesses c. Pneumonia 18. A nurse is caring for a patient with a phagocytic cell disorder. The patient states, ìMy specialist says that I will likely be cured after I get my treatment tomorrow. To what treatment is the patient most likely referring? a. Hematopoietic stem cell transplantation 19. A nurse educator is explaining that patients with primary immunodeficiencies are living longer than in past decades because of advances in medical treatment. This increased longevity is associated with an increased risk of what? a. Cancer 20. The nurse educator is differentiating primary immunodeficiency diseases from secondary immunodeficiencies. What is the defining characteristic of primary immunodeficiency diseases? a. They have a genetic origin 21. The nurse is caring for a patient with an immunodeficiency who has experienced sudden malaise. The nurse's colleague states, ìI'm pretty sure that it's not an infection, because the most recent blood work looks fine.î What principle should guide the nurse's response to the colleague? a. Immunodeficient patients will usually exhibit subtle 1. A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related to the onset of what complication? a. HIV encephalopathy 2. A nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing the patient, which of the following observations takes immediate priority? a. Tachypnea and restlessness 3. A patient has come into the free clinic asking to be tested for HIV infection. The patient asks the nurse how the test works. The nurse responds that if the testing shows that antibodies to the AIDS virus are present in the blood, this indicates what? a. The patient has been infected with HIV 4. The mother of two young children has been diagnosed with HIV and expresses fear of dying. How should the nurse best respond to the patient? a. Can you tell me what concerns you most about dying? 5. The nurse is addressing condom use in the context of a health promotion workshop. When discussing the correct use of condoms, what should the nurse tell the attendees? a. Hold the condom by the cuff upon withdrawal 6. A nurse is planning the care of a patient with AIDS who is admitted to the unit with Pneumocystis pneumonia (PCP). Which nursing diagnosis has the highest priority for this patient? a. Ineffective Airway Clearance 7. A public health nurse is preparing an educational campaign to address a recent local increase in the incidence of HIV infection. The nurse should prioritize which of the following interventions? a. Educational programs that focus on control and prevention 8. During the admission assessment of an HIV-positive patient whose CD4+ count has recently fallen, the nurse carefully assesses for signs and symptoms related to opportunistic infections. What is the most common life-threatening infection? a. Pneumocystis pneumonia 9. A nurse is performing an admission assessment on a patient with stage 3 HIV. After assessing the patient's gastrointestinal system and analyzing the data, what is most likely to be the priority nursing diagnosis? a. Diarrhea 10. A patient with a recent diagnosis of HIV infection expresses an interest in exploring alternative and complementary therapies. How should the nurse best respond? a. Many patients with HIV use some type of alternative therapy and, as with most health treatments, there are benefits and risks 11. A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The nurse should expect the primary care provider to order what test to confirm the EIA test results? a. Western blot test 12. The nurse's plan of care for a patient with stage 3 HIV addresses the diagnosis of Risk for Impaired Skin Integrity Related to Candidiasis. What nursing intervention best addresses this risk? a. Providing thorough oral care before and after meals 13. A patient with HIV infection has begun experiencing severe diarrhea. What is the most appropriate nursing intervention to help alleviate the diarrhea? a. Administer antidiarrheal medications on a scheduled basis, as ordered what drug for the management of the patient's diarrhea? a. Sandostatin 26. A patient with AIDS is admitted to the hospital with AIDS-related wasting syndrome and AIDS-related anorexia. What drug has been found to promote significant weight gain in AIDS patients by increasing body fat stores? a. Megestrol 27. A nurse is completing a nutritional status of a patient who has been admitted with AIDS-related complications. What components should the nurse include in this assessment? Select all that apply. a. Serum albumin level b. Weight history c. BMI d. BUN level 28. A nurse is assessing the skin integrity of a patient who has AIDS. When performing this inspection, the nurse should prioritize assessment of what skin surfaces? a. Peri-anal region and oral mucosa 29. A hospital nurse has experienced percutaneous exposure to an HIV-positive patient's blood as a result of a needlestick injury. The nurse has informed the supervisor and identified the patient. What action should the nurse take next? a. Report to the emergency department or employee health department 30. The nurse care plan for a patient with AIDS includes the diagnosis of Risk for Impaired Skin Integrity. What nursing intervention should be included in the plan of care? a. Keep the patient's bed linens free of wrinkles 31. A patient who has AIDS is being treated in the hospital and admits to having periods of extreme anxiety. What would be the most appropriate nursing intervention? a. Teach the patient guided imagery 32. A patient who has AIDS has been admitted for the treatment of Kaposi's sarcoma. What nursing diagnosis should the nurse associate with this complication of AIDS? a. Impaired Skin Integrity Related to Kaposi's Sarcoma b. (This is a disease that involves the endothelial layer of blood and lymphatic vessels. This malignancy does not directly affect swallowing or bowel motility and it doesn’t constitute a risk for disuse syndrome) CHP 38 1. A patient with a family history of allergies has suffered an allergic response based on a genetic predisposition. This atopic response is usually mediated by what immunoglobulin? a. Immunoglobulin E 2. An office worker takes a cupcake that contains peanut butter. He begins wheezing, with an inspiratory stridor and air hunger and the occupational health nurse is called to the office. The nurse should recognize that the worker is likely suffering from which type of hypersensitivity? a. Anaphylactic (type 1) 3. A patient is learning about his new diagnosis of asthma with the asthma nurse. What medication has the ability to prevent the onset of acute asthma exacerbations? a. Montelukast (Singulair) 4. A nurse is preparing a patient for allergy skin testing. Which of the following precautionary steps is most important for the nurse to follow? a. Emergency equipment should be readily available 5. A patient who is scheduled for a skin test informs the nurse that he has been taking corticosteroids to help control his allergy symptoms. What nursing intervention should the nurse implement? a. The patient's test should be cancelled until he is off his corticosteroids (and/or antihistamines, including OTC allergy meds b/c all of these suppress skin test reactivity and should be stopped 48 to 96 hours before testing, depending on the duration of their activity) 6. A patient has developed severe contact dermatitis with burning, itching, cracking, and peeling of the skin on her hands. What should the nurse teach the patient to do? a. Keep her hands well-moisturized at all times (powdered latex gloves can cause contact dermatitis) 7. A patient with severe environmental allergies is scheduled for an immunotherapy injection. What should be included in teaching the patient about this treatment? a. The patient will remain in the clinic to be monitored for 30 minutes following theinjection 8. The nurse is providing care for a patient who has experienced a type I hypersensitivity reaction. What condition is an example of such a reaction? a. Anaphylactic reaction after a bee sting Feedback:Anaphylactic (type I) hypersensitivity is an immediate reaction mediated by IgE antibodies and requires previous exposure to the specific antigen. Skin reactions are more commonly type IV and myasthenia gravis is thought to be a type II reaction. Rheumatoid arthritis is not a type I hypersensitivity reaction. 9. A nurse is caring for a teenage girl who has had an anaphylactic reaction after a bee sting. The nurse is providing patient teaching prior to the patient's discharge. In the event of an anaphylactic reaction, the nurse informs the patient that she should self- administer epinephrine in what site? a. Thigh 10. A nurse has included the nursing diagnosis of Risk for Latex Allergy Response in a patient's plan of care. The presence of what chronic health problem would most likely prompt this diagnosis? a. Spina bifida 11. A patient has a documented history of allergies presents to the clinic. She states that she is frustrated by her chronic nasal congestion, anosmia (inability to smell) and inability to concentrate. The nurse should identify which of the following nursing diagnoses? a. Ineffective Individual Coping with Chronicity of Condition and Need for Environmental Modification 12. A patient's decline in respiratory and renal function has been attributed to Goodpasture syndrome, which is a type II hypersensitivity a. Cytotoxic (type II) 23. Which of the following individuals would be the most appropriate candidate for immunotherapy? a. A patient with severe allergies to grass and tree pollen 24. A nurse has asked the nurse educator if there is any way to predict the severity of a patient's anaphylactic reaction. What would be the nurse's best response? a. The faster the onset of symptoms, the more severe the reaction 25. A nurse knows of several patients who have achieved adequate control of their allergy symptoms using over-the-counter antihistamines. Antihistamines would be contraindicated in the care of which patient? a. A pregnant woman at 30 weeks' gestation 26. A patient has been living with seasonal allergies for many years, but does not take antihistamines, stating, ìWhen I was young I used to take antihistamines, but they always put me to sleep.î How should the nurse best respond? a. The newer antihistamines are different than in years past, and cause lesssedation 27. A child has been transported to the emergency department (ED) after a severe allergic reaction. The ED nurse is evaluating the patient's respiratory status. How should the nurse evaluate the patient's respiratory status? Select all that apply. a. Assess breath sounds b. Measure the child’s oxygen saturation by oximeter c. Monitor the child’s respiratory pattern d. Assess the child’s respiratory rate 28. A nurse at an allergy clinic is providing education for a patient starting immunotherapy for the treatment of allergies. What education should the nurse prioritize? a. The importance of keeping appointments for desensitization procedures (b/c dosages are adjusted on a weekly basis, and missed appts may interfere w/the dosage adjustment) 29. A patient was prescribed an oral antibiotic for the treatment of sinusitis. The patient has now stopped, stating she developed a rash shortly after taking the first dose of the drug. What is the nurse's most appropriate response? a. Refer the woman to her primary care provider to have the medication changed 30. A patient has sought care, stating that she developed hives overnight. The nurse's inspection confirms the presence of urticaria. What type of allergic hypersensitivity reaction has the patient developed? a. Type I 31. The nurse is providing care for a patient who has a diagnosis of hereditary angioedema. When planning this patient's care, what nursing diagnosis should be prioritized? a. Risk for Impaired Gas Exchange Related to Airway Obstruction 32. A junior nursing student is having an observation day in the operating room. Early in the day, the student tells the OR nurse that her eyes are swelling and she is having trouble breathing. What should the nurse suspect? a. Anaphylaxis due to a latex allergy 33. The nurse is creating a care plan for a patient suffering from allergic rhinitis. Which of the following outcomes should the nurse identify? a. Improved coping with lifestyle modifications 34. A 5-year-old boy has been diagnosed with a severe food allergy. What is an important parameter to address when educating the parents of this child about his allergy and care? a. Wear a medical identification bracelet 35. A patient is brought to the emergency department (ED) in a state of expresses angerand irritation when her call bell isn't answered immediately. What would be the most appropriate response? a. "You seem like you're feeling angry. Is that something that we could talk about?" 13. A nurse is caring for a 78-year-old patient with a history of osteoarthritis (OA). When planning the patient's care, what goal should the nurse include? a. The patient will express satisfaction with her ability to perform ADLs 14. A patient who has been newly diagnosed with systemic lupus erythematosus (SLE) has been admitted to the medical unit. Which of the following nursing diagnoses is the most plausible inclusion in the plan of care? a. Fatigue Related to Anemia 15. The nurse is preparing to care for a patient who has scleroderma. The nurse refers to resources that describe CREST syndrome. Which of the following is a component of CREST syndrome? a. Raynaud's phenomenon 16. Allopurinol (Zyloprim) has been ordered for a patient receiving treatment for gout. The nurse caring for this patient knows to assess the patient for bone marrow suppression, which may be manifested by which of the following diagnostic findings? a. Decreased platelets 17. A patient with rheumatic disease is complaining of stomatitis. The nurse caring for the patient should further assess the patient for the adverse effects of what medications? a. Gold-containing compounds (Stomatitis is associated with gold therapy) 18. A nurse is planning patient education for a patient being discharged home with a diagnosis of rheumatoid arthritis. The patient has been prescribed antimalarials for treatment, so the nurse knows to teach the patient to self-monitor for what adverse effect? a. Visual changes (caused by anti-malaria meds, so regular ophthalmologic exams are necessary) 19. A nurse is working with a patient with rheumatic disease who is being treated with salicylate therapy. What statement would indicate that the patient is experiencing adverse effects of this drug? a. “I have this ringing in my ears that just won’t go away” (Tinnitis is associated with salicylate therapy) 20. Patient develops hirsutism, what is this associated with? a. Corticosteroid therapy 21. A patient has been admitted to a medical unit with a diagnosis of polymyalgia rheumatica (PMR). The nurse should be aware of what aspects of PMR? Select all that apply. a. PMR has an association with the genetic marker HLA-DR4 b. Immunoglobulin deposits occur in PMR c. PMR occurs predominately in Caucasians 22. A nurse is providing care for a patient who has a recent diagnosis of giant cell arteritis (GCA). What aspect of physical assessment should the nurse prioritize? a. Assessment for headaches and jaw pain 23. A nurse is caring for a patient who is suspected of having giant cell arteritis (GCA). What laboratory tests are most useful in diagnosing this rheumatic disorder? Select all that apply. a. Erythrocyte sedimentation rate b. C-reactive protein 24. A community health nurse is performing a visit to the home of a patient who has a history of rheumatoid arthritis (RA). On what aspect of the patient's health should the nurse focus most closely during the visit? a. The patients functional status 25. A 21-year-old male has just been diagnosed with a spondyloarthropathy. What will be a priority nursing intervention for this patient? a. Teaching about symptom management 26. A patient with SLE asks the nurse why she has to come to the office so often for ìcheck-ups.î What would be the nurse's best response? a. Taking care of you in the best way involves monitoring your disease activity andhow well the prescribed treatment is working 27. A patient is diagnosed with giant cell arteritis (GCA) and is placed on corticosteroids. A concern for this patient is that he will stop taking the medication as soon as he starts to feel better. Why must the nurse emphasize the need for continued adherence to the prescribed medication? a. To avoid complications such as blindness 28. A patient with polymyositisis experiencing challenges with activities of daily living as a result of proximal muscle weakness. What is the most appropriate nursing action? a. Facilitate referrals to occupational and physical therapy 29. A nurse is creating a teaching plan for a patient who has a recent diagnosis of scleroderma. What topics should the nurse address during health education? Select all that apply. a. Managing Raynaud’s-type symptoms b. Smoking cessation c. The importance of vigilant skin care 30. A 40-year-old woman was diagnosed with Raynaud's phenomenon several years earlier and has sought care because of a progressive worsening of her symptoms. The patient also states that many of her skin surfaces are ìstiff, like the skin is being stretched from all directions.î The nurse should recognize the need for medical referral for the assessment of what health problem? a. Scleroderma Scleroderma starts insidiously with Raynaud's phenomenon and swelling in the hands. Later, the skin and the subcutaneous tissues become increasingly hard and rigid and cannot be pinched up from the underlying structures. This progression of symptoms is inconsistent with GCA, FM, or RA 31. A patient with rheumatoid arthritis comes to the clinic complaining of pain in the joint of his right great toe and is eventually diagnosed with gout. When planning teaching for this patient, what management technique should the nurse emphasize? a. Restrict consumption of foods high in purines 32. A clinic nurse is caring for a patient diagnosed with rheumatoid arthritis (RA). The patient tells the nurse that she has not been taking her medication because she usually cannot remove the childproof medication syndrome. When completing a physical assessment, the nurse should specifically observe for what integumentary manifestation? a. Hirsutism 7. An 82-year-old patient is being treated in the hospital for a sacral pressure ulcer. What age-related change is most likely to affect the patient's course of treatment? a. Increased time required for wound healing 8. A young student is brought to the school nurse after falling off a swing. The nurse is documenting that the child has bruising on the lateral aspect of the right arm. What term will the nurse use to describe bruising on the skin in documentation? a. Ecchymoses 9. A nurse educator is teaching a group of medical nurses about Kaposi's sarcoma. What would the educator identify as characteristics of endemic Kaposi's sarcoma? Select all that apply. a. Affects people predominately in the eastern half of Africa b. Affects men more than women c. Can progress to lymphadenopathic forms 10. A nurse is caring for a patient whose skin cancer will soon be removed by excision. Which of the following actions should the nurse perform? a. Teach the patient about self-care after treatment 11. A public health nurse is participating in a health promotion campaign that has the goal of improving outcomes related to skin cancer in the community. What action has the greatest potential to achieve this goal? a. Educating participants about the early signs and symptoms of skin cancer 12. A patient with a chronic diabetic wound is being discharged after receiving a skin graft to aid wound healing. What direction should the nurse include in home care instructions? a. Protect the graft from direct sunlight and temperature extremes 13. A 35-year-old kidney transplant patient comes to the clinic exhibiting new skin lesions. The diagnosis is Kaposi's sarcoma. The nurse caring for this patient recognizes that this is what type of Kaposi's sarcoma? a. Immunosuppression-related 14. A nurse practitioner is seeing a 16-year-old male patient who has come to the dermatology clinic for treatment of acne. The nurse practitioner would know that the treatment may consist of which of the following medications? a. Benzoyl peroxide and erythromycin (Benzamycin) 15. A patient comes to the dermatology clinic requesting the removal of a port- wine stain on his right cheek. The nurse knows that the procedure especially useful in treating cutaneous vascular lesions such as port-wine stains is what? a. Laser treatment 16. A nurse is providing care for a patient who has psoriasis. The nurse is aware of the sequelae that can result from this health problem. Following the appearance of skin lesions, the nurse should prioritize what assessment? a. Assessment of the patient’s joints for pain and decreased range of motion 17. An emergency department nurse has just admitted a patient with a burn. What characteristic of the burn will primarily determine whether the patient experiences a systemic response to this injury? a. The total body surface area (TBSA) affected by the burn b. The length of time since the burn c. The location of burned skin surfaces d. The source of the burn (Explanation: Systemic effects are a result of several variables. However, TBSA and wound severity are considered the major factors that affect the presence or absence of CHP 60 1. A nurse is aware that the outer layer of the skin consists of dead cells that contain large amounts of keratin. The physiologic functions of keratin include which of the following? Select all that apply. a. Physically repelling pathogens b. Preventing fluid loss 2. When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest? a. The palms of the hands (& soles of the feet) 3. The nurse in an ambulatory care center is admitting an older adult patient who has bright red moles on the skin. Benign changes in elderly skin that appear as bright red moles are termed what? a. Cherry angiomas 4. While waiting to see the physician, a patient shows the nurse skin areas that are flat, nonpalpable, and have had a change of color. The nurse recognizes that the patient is demonstrating what? a. Macules 5. An African American is admitted to the medical unit with liver disease. To correctly assess this patient for jaundice, on what body area should the nurse look for yellow discoloration? a. Sclera 6. A nurse is doing a shift assessment on a group of patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the patient's chest. The nurse should ask what priority question regarding the presence of a reddened rash? a. “Are you allergic to any foods or medications” 7. A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How should these students best integrate these changes into care planning? a. By protecting older adults against shearing injuries 8. A patient is diagnosed with atrial fibrillation and the physician orders Coumadin (warfarin). For what skin lesion should the nurse monitor this patient? a. Ecchymosis 9. A new patient has come to the dermatology clinic to be assessed for a reddened rash on his abdomen. What diagnostic test would most likely be ordered to identify the causative allergen? a. Patch testing (performed to identify substances to which the pt has developed an allergy. Skin scrapings are done for suspected fungal lesions. A skin biopsy is completed to rule out malignancy and to establish an exact diagnosis of skin lesions. A Tzanck smear is used to examine cells from blistering skin conditions such as herpes zoster) 10. A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to facilitate what diagnostic test to rule out a skin malignancy? a. Skin biopsy 11. A nurse is explaining the importance of sunlight on the skin to a woman with decreased mobility who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin? a. Vitamin D 12. The outer layer of the epidermis provides the most effective barrier to penetration of the skin by environmental factors. Which of the following is an example of penetration by an environmental factor? a. An insect bite 13. A nurse in a dermatology clinic is reading the electronic health record of a new patient. The nurse notes that the patient has a history of a primary skin lesion. What is an example of a primary skin lesion? a. Pustule 14. An unresponsive Caucasian patient has been brought to the emergency room by EMS. While assessing this patient, the nurse notes that the patient's face is a cherry-red color. What should the nurse suspect? a. Carbon monoxide poisoning (causes a bright cherry red color in the face & upper torso in light-skinned persons. In dark-skinned persons, there will be a cherry red color to nail beds, lips, and oral mucosa. When anemia occurs in light-skinned persons, the skin has generalized pallor. Anemia in dark- skinned persons manifests as a yellow-brown coloration. Jaundice appears as a yellow coloration of the sclerae. Uremia gives a yellow-orange tinge to the skin) 15. A nurse is providing an educational presentation addressing the topic of ìProtecting Your Skin.î When discussing the anatomy of the skin with this group, the nurse should know that what cells are responsible for producing the pigmentation of the skin? a. Melanocytes 16. A wound care nurse is reviewing skin anatomy with a group of medical nurses. Which area of the skin would the nurse identify as providing a cushion between the skin layers, muscles, and bones? a. Subcutaneous tissues 17. A young student comes to the school nurse and shows the nurse a mosquito bite. As the nurse expects, the bite is elevated and has serous fluid contained in the dermis. How would the nurse classify this lesion? a. Wheal 18. While assessing a 25-year-old female, the nurse notes that the patient has hair on her lower abdomen. Earlier in the health interview, the patient stated that her menses are irregular. The nurse should suspect what type of health problem? a. Hormonal imbalance 19. A nurse is preparing to perform the physical assessment of a newly admitted patient. During which of the following components of the assessment should the nurse wear gloves? Select all that apply. a. Palpation of a rash on the patient’s trunk b. Palpation of a lesion on the patient’s upper back 20. A patient with an exceptionally low body mass index has been admitted to the emergency department with signs and symptoms of hypothermia. The nurse should know that this patient's susceptibility to heat loss is related to atrophy of what skin component? a. Subcutaneous tissue 21. An 80-year-old patient is brought to the clinic by her son. The son asks the nurse why his mother has gotten so many ìspotsî on her skin. What would be an appropriate response by the nurse? a. “As people age, they normally develop uneven pigmentation in their skin” 22. An older adult patient is diagnosed with a vitamin D deficiency. a. Tzanck smear (this test is used to examine cells from blistering skin conditions, such as herpes zoster, varicella, herpes simplex, and all forms of pemphigus. The secretions from a suspected lesion are applied to a glass slide, stained, and examined) CHP 61 1. A nurse is caring for a patient who has been diagnosed with psoriasis. The nurse is creating an education plan for the patient. What information should be included in this plan? a. Use caution when taking nonprescription medications 2. A nurse is planning the care of a patient with herpes zoster. What medication, if administered within the first 24 hours of the initial eruption, can arrest herpes zoster? a. Acyclovir (Zovirax) 3. A patient with squamous cell carcinoma has been scheduled for treatment of this malignancy. The nurse should anticipate that treatment for this type of cancer will primarily consist of what intervention? a. Surgical excision 4. When writing a plan of care for a patient with psoriasis, the nurse would know that an appropriate nursing diagnosis for this patient would be what? a. Impaired Skin Integrity Related to Scaly Lesions 5. A patient who has sustained third-degree facial burns and a facial fracture is undergoing reconstructive surgery and implantation of a prosthesis. The nurse has identified a nursing diagnosis of Disturbed Body Image Related to Disfigurement. What would be an appropriate nursing intervention related to this diagnosis? a. Teaching the patient how to use and care for the prosthesis 6. While performing an initial assessment of a patient admitted with appendicitis, the nurse observes an elevated blue-black lesion on the patient's ear. The nurse knows that this lesion is consistent with what type of skin cancer? a. Malignant melanoma 7. A nurse is providing care for a patient who has developed Kaposi's sarcoma secondary to HIV infection. The nurse should be aware that this form of malignancy originates in what part of the body? a. Endothelial cells lining small blood vessels 8. A patient requires a full-thickness graft to cover a chronic wound. How is the donor site selected? a. An area matching the color and texture of the skin at the surgical site is selected 9. A patient has just been told that he has malignant melanoma. The nurse caring for this patient should anticipate that the patient will undergo what treatment? a. Wide excision 10. A nurse is leading a health promotion workshop that is focusing on cancer prevention. What action is most likely to reduce participants' risks of basal cell carcinoma (BCC)? a. Teaching participants to limit their sun exposure 11. A patient diagnosed with a stasis ulcer has been hospitalized. There is an order to change the dressing and provide wound care. Which activity should the nurse first perform when providing wound care? a. Perform hand hygiene 12. A patient comes to the clinic complaining of a red rash of small, fluid-filled blisters and is suspected of having herpes zoster. What presentation is most consistent with herpes zoster? a. Grouped vesicles in linear patches along a dermatome 13. A patient presents at the free clinic with a black, wart-like lesion on his face, stating, ìI've done some research, and I'm pretty sure I have malignant melanoma.î and fatigue. The nurse is aware that these findings are potential indicators of what? Select all that apply a. Epidermal necrosis b. Increased metabolic needs c. Possible gastrointestinal mucosal sloughing 23. A nurse is assessing a teenage patient with acne vulgaris. The patient's mother states, ìI keep telling him that this is what happens when you eat as much chocolate as he does.î What aspect of the pathophysiology of acne should inform the nurse's response? a. Diet is thought of play a minimal role in the development of acne (it’s not believed to play a major role in acne therapy. A change in diet is not known to exacerbate symptoms) 24. A nurse is providing self-care education to a patient who has been receiving treatment for acne vulgaris. What instruction should the nurse provide to the patient? a. Wash your face with water and gentle soap each morning and evening 25. A patient has just undergone surgery for malignant melanoma. Which of the following nursing actions should be prioritized? a. Anticipate the need for, and administer, appropriate analgesic medications 26. A patient has recently been diagnosed with advanced malignant melanoma and is scheduled for a wide excision of the tumor on her chest. In writing the plan of care for this patient, what major nursing diagnosis should the nurse include? a. Deficient Knowledge about Early Signs of Melanoma (the fact that the patient's disease was not reported until an advanced stage suggests that the patient lacked knowledge about skin lesions) 27. A 65-year-old man presents at the clinic complaining of nodules on both legs. The man tells the nurse that his son, who is in medical school, encouraged him to seek prompt care and told him that the nodules are related to the fact that he is Jewish. What health problem should the nurse suspect? a. Classic Kaposi’s Sarcoma (occurs predominantly in men of Mediterranean or Jewish ancestry between 40 and 70 years of age. Most patients have nodules or plaques on the lower extremities that rarely metastasize beyond this area. Classic KS is chronic, relatively benign, and rarely fatal) 28. A 55-year-old woman is scheduled to have a chemical face peel. The nurse is aware that the patient is likely seeking treatment for which of the following? a. Wrinkles near the lips and eyes (it doesn’t remove acne scars, vascular lesions, or reshape the eyes) 29. A 30-year-old male patient has just returned from the operating room after having a ìflapî done following a motorcycle accident. The patient's wife asks the nurse about the major complications following this type of surgery. What would be the nurse's best response? a. “The major complication is when the blood supply fails and the tissue in the flap dies” 30. An older adult resident of a long-term care facility has been experiencing generalized pruritus that has become more severe in recent weeks. What intervention should the nurse add to this resident's plan of care? a. Avoid using hot water during the patient’s baths 31. A patient has a diagnosis of seborrhea and has been referred to the dermatology clinic, where the nurse contributes to care. When planning this patient's care, the nurse should include which of the following nursing diagnoses? a. Disturbed Body Image r/t Excess Sebum Production 32. A nurse is working with a family whose 5 year-old daughter has been diagnosed with impetigo. What educational intervention should the nurse include in this family's care? a. Teaching about the importance of maintaining high standards of hygiene (Impetigo is associated with unhygienic conditions; educational interventions to address this are appropriate. The disease is contagious, thus vesicles should not be manually burst. Because of the bacterial etiology, corticosteroids are ineffective) CHP 62 1. A patient is brought to the emergency department from the site of a chemical fire, where he suffered a burn that involves the epidermis, dermis, and the muscle and bone of the right arm. On inspection, the skin appears charred. Based on these assessment findings, what is the depth of the burn on the patient's arm? a. Full-thickness 2. The current phase of a patient's treatment for a burn injury prioritizes wound care, nutritional support, and prevention of complications such as infection. Based on these care priorities, the patient is in what phase of burn care? a. Acute (the acute or intermediate phase of burn care follows the emergent/resuscitative phase and begins 48 to 72 hours after the burn injury. During this phase, attention is directed toward continued assessment and maintenance of respiratory and circulatory status, fluid and electrolyte balance, and gastrointestinal function. Infection prevention, burn wound care (i.e., wound cleaning, topical antibacterial therapy, wound dressing, dressing changes, wound dÈbridement, and wound grafting), pain management, and nutritional support are priorities at this stage. Priorities during the emergent or immediate resuscitative phase include first aid, prevention of shock and respiratory distress, detection and treatment of concomitant injuries, and initial wound assessment and care. The priorities during the rehabilitation phase include prevention of scars and contractures, rehabilitation, functional and cosmetic reconstruction, and psychosocial counseling) 3. A patient in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood gases drawn. Upon analysis of the patient's laboratory studies, the nurse will expect the results to indicate what? a. Hyperkalemia, hyponatremia, elevated hct & metabolic acidosis 4. A patient has experienced an electrical burn and has developed thick eschar over the burn site. Which of the following topical antibacterial agents will the nurse expect the physician to order for the wound? a. Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream 5. An occupational health nurse is called to the floor of a factory where a worker has sustained a flash burn to the right arm. The nurse arrives and the flames have been extinguished. The next step is to ìcool the burn.î position of joints in alignment. What is the best rationale for this intervention? a. To prevent contractures 16. A patient's burns have required a homograft. During the nurse's most recent assessment, the nurse observes that the graft is newly covered with purulent exudate. What is the nurse's most appropriate response? a. Inform the primary care provider promptly b/c the graft may need to be removed 17. A nurse has reported for a shift at a busy burns and plastics unit in a large university hospital. Which patient is most likely to have life- threatening complications? a. A 4-year-old scald victim burned over 24% of the body 18. A patient is brought to the emergency department with a burn injury. The nurse knows that the first systemic event after a major burn injury is what? a. Hemodynamic instability 19. A patient with severe burns is admitted to the intensive care unit to stabilize and begin fluid resuscitation before transport to the burn center. The nurse should monitor the patient closely for what signs of the onset of burn shock? a. Decreased BP 20. An emergency department nurse has just received a patient with burn injuries brought in by ambulance. The paramedics have started a large-bore IV and covered the burn in cool towels. The burn is estimated as covering 24% of the patient's body. How should the nurse best address the pathophysiologic changes resulting from major burns during the initial burn-shock period? a. Administer IV fluids 21. A patient's burns are estimated at 36% of total body surface area; fluid resuscitation has been ordered in the emergency department. After establishing intravenous access, the nurse should anticipate the administration of what fluid? a. Lactated Ringer's 22. A patient is admitted to the burn unit after being transported from a facility 1000 miles away. The patient has burns to the groin area and circumferential burns to both upper thighs. When assessing the patient's legs distal to the wound site, the nurse should be cognizant of the risk of what complication? a. Ischemia 23. A patient experienced a 33% TBSA burn 72 hours ago. The nurse observes that the patient's hourly urine output has been steadily increasing over the past 24 hours. How should the nurse best respond to this finding? a. Recognize that the patient is experiencing an expected onset of diuresis 24. A public health nurse has reviewed local data about the incidence and prevalence of burn injuries in the community. These data are likely to support what health promotion effort? a. Education about home safety 25. A nurse is performing a home visit to a patient who is recovering following a long course of inpatient treatment for burn injuries. When performing this home visit, the nurse should do which of the following? a. Assess the patient's psychosocial state 26. A nurse is caring for a patient with burns who is in the later stages of the acute phase of recovery. The plan of nursing care should include which of the following nursing actions? a. Prevention of venous thromboembolism 27. A patient is in the acute phase of a burn injury. One of the nursing diagnoses in the plan of care is Ineffective Coping Related to Trauma of Burn Injury. What interventions appropriately address this diagnosis? Select all that apply should teach the family that these responses are typically a result of what cause? You Selected: • Frustration around changes in function and communication Correct response: • Frustration around changes in function and communication Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1986. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1986 Question 3See full question A patient is brought by ambulance to the ED after suffering what the family thinks is a stroke. The nurse caring for this patient is aware that an absolute contraindication for thrombolytic therapy is what? You Selected: • Evidence of hemorrhagic stroke Correct response: • Evidence of hemorrhagic stroke Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1977. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1977 Question 4See full question A patient with a new diagnosis of ischemic stroke is deemed to be a candidate for treatment with tissue plasminogen activator (t-PA) and has been admitted to the ICU. In addition to closely monitoring the patient's cardiac and neurologic status, the nurse monitors the patient for signs of what complication? You Selected: • Bleeding Correct response: • Bleeding Explanatio n: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1979. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1979 Question 5See full question A patient has recently begun mobilizing during the recovery from an ischemic stroke. To protect the patient's safety during mobilization, the nurse should perform what action? You Selected: • Avoid mobilizing the patient in the early morning or late evening. Correct response: • Have a colleague follow the patient closely with a wheelchair. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1982. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1982 Question 6 See full question The nurse is performing stroke risk screenings at a hospital open house. The nurse has identified four patients who might be at risk for a stroke. Which patient is likely at the highest risk for a hemorrhagic stroke? You Selected: • White male, age 60, with history of uncontrolled hypertension Correct response: • White male, age 60, with history of uncontrolled hypertension Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1988. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1988 Question 7See full question A patient who has experienced an ischemic stroke has been admitted to the medical unit. The patient's family in adamant that she remain on bed rest to hasten her recovery and to conserve energy. What principle of care should inform the nurse's response to the family? You Selected: • The patient should mobilize as soon as she is physically able. Correct response: • The patient should mobilize as soon as she is physically able. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1982. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1982 Question 8See full question A patient diagnosed with a hemorrhagic stroke has been admitted to the neurologic ICU. The nurse knows that teaching for the patient and family needs to begin as soon as the patient is settled on the unit and will continue until the patient is discharged. What will family education need to include? You Selected: • How to correctly modify the home environment Correct response: • How to correctly modify the home environment Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1992. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1992 Question 9See full question A community health nurse is giving an educational presentation about stroke and heart disease at the local senior citizens center. What nonmodifiable risk • Positioning to avoid hypoxia Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1979. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1979 Question 13 See full question A patient has been admitted to the ICU after being recently diagnosed with an aneurysm and the patient's admission orders include specific aneurysm precautions. What nursing action will the nurse incorporate into the patient's plan of care? You Selected: • Maintain the patient on complete bed rest. Correct response: • Maintain the patient on complete bed rest. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1991. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1991 Question 14See full question A patient has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize? You Selected: • Generalized seizure Correct response: • Generalized seizure Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 66: Management of Patients With Neurologic Dysfunction, p. 1960. Chapter 66: Management of Patients With Neurologic Dysfunction - Page 1960 Question 15See full question The neurologic ICU nurse is admitting a patient following a craniotomy using the supratentorial approach. How should the nurse best position the patient? You Selected: • Maintain head of bed (HOB) elevated at 30 to 45 degrees. Correct response: • Maintain head of bed (HOB) elevated at 30 to 45 degrees. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 66: Management of Patients With Neurologic Dysfunction, p. 1954. Chapter 66: Management of Patients With Neurologic Dysfunction - Page 1954 Question 16 See full question A nurse is collaborating with the interdisciplinary team to help manage a patient's recurrent headaches. What aspect of the patient's health history should the nurse identify as a potential contributor to the patient's headaches? You Selected: • The patient takes vasodilators for the treatment of angina. Correct response: • The patient takes vasodilators for the treatment of angina. Explanation: observes that the patient is positioned like part B of the accompanying image. Based on this initial observation, what would the nurse predict about this patient's prognosis? You Selected: • fatal Correct response: • poor Explanatio n: Reference: □ Smeltzer, S.C., and Bare, B. Brunner & Suddarth's Textbook of Medical Surgical- Nursing, 12th ed. Philadelphia: Lippincott Williams & Wilkins, 2010, Chapter 61: Management of Patients With Neurologic Dysfunction, pp. 1859- 1861. Chapter 66: Management of Patients With Neurologic Dysfunction - Page 1859-1861 Question 21See full question A clinic nurse is caring for a patient diagnosed with migraine headaches. During the patient teaching session, the patient questions the nurse regarding alcohol consumption. What would the nurse be correct in telling the patient about the effects of alcohol? You Selected: • Alcohol causes vasodilation of the blood vessels. Correct response: • Alcohol causes vasodilation of the blood vessels. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 66: Management of Patients With Neurologic Dysfunction, p. 1970. Chapter 66: Management of Patients With Neurologic Dysfunction - Page 1970 Question 22See full question A patient is recovering from intracranial surgery performed approximately 24 hours ago and is complaining of a headache that the patient rates at 8 on a 10- point pain scale. What nursing action is most appropriate? You Selected: • Administer morphine sulfate as ordered. Correct response: • Administer morphine sulfate as ordered. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 66: Management of Patients With Neurologic Dysfunction, p. 1955. Chapter 66: Management of Patients With Neurologic Dysfunction - Page 1955 Question 23See full question A nurse is providing education about migraine headaches to a community group. The cause of migraines has not been clearly demonstrated, but is related to vascular disturbances. A member of the group asks about familial tendencies. The nurse's correct reply will be which of the following? You Selected: • "There is a strong familial tendency." Correct response: • "There is a strong familial tendency." Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 66: Management of Patients With Neurologic Dysfunction, p. 1967. Chapter 66: Management of Patients With Neurologic Dysfunction - Page 1967 Question 24See full question A patient has a poor prognosis after being involved in a motor vehicle accident resulting in a head injury. As the patient's ICP increases and condition worsens, the nurse knows to assess for indications of approaching death. These indications include which of the following? You Selected: • Loss of brain stem reflexes Correct response: • Loss of brain stem reflexes Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 66: Management of Patients With Neurologic Dysfunction, p. 1952. Chapter 66: Management of Patients With Neurologic Dysfunction - Page 1952 Question 25See full question The nurse is caring for a patient whose recent health history includes an altered LOC. What should be the nurse's first action when assessing this patient? You Selected: • Assessing the patient's verbal response Correct response: Assessing the patient's verbal response MedSurg Quiz 4 – 68 69 70 Question 1See full question A patient with a spinal cord injury has experienced several hypotensive episodes. How can the nurse best address the patient's risk for orthostatic hypotension? You Selected: • Monitor the patient's BP before and during position changes. Correct response: • Monitor the patient's BP before and during position changes. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2018. Chapter 68: Management of Patients With Neurologic Trauma - Page 2018 Question 2See full question A patient sustained a head trauma in a diving accident and has a cerebral hemorrhage located within the brain. What type of hematoma is this classified as? You Selected: • An intracerebral hematoma Correct response: Correct response: • Bradycardia and hypertension Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2010. Chapter 68: Management of Patients With Neurologic Trauma - Page 2010 Question 7See full question A patient who suffered a spinal cord injury is experiencing an exaggerated autonomic response. What aspect of the patient's current health status is most likely to have precipitated this event? You Selected: • The patient's urinary catheter became occluded. Correct response: • The patient's urinary catheter became occluded. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2017. Chapter 68: Management of Patients With Neurologic Trauma - Page 2017 Question 8See full question The nurse recognizes that a patient with a SCI is at risk for muscle spasticity. How can the nurse best prevent this complication of an SCI? You Selected: • Perform passive ROM exercises as ordered. Correct response: • Perform passive ROM exercises as ordered. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2022. Chapter 68: Management of Patients With Neurologic Trauma - Page 2022 Question 9See full question A male patient presents to the clinic complaining of a headache. The nurse notes that the patient is guarding his neck and tells the nurse that he has stiffness in the neck area. The nurse suspects the patient may have meningitis. What is another well-recognized sign of this infection? You Selected: • Positive Kernig's sign Correct response: • Positive Kernig's sign Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies, p. 2027. Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies - Page 2027 Question 10See full question A middle-aged woman has sought care from her primary care provider and undergone diagnostic testing that has resulted in a diagnosis of MS. What sign or symptom is most likely to have prompted the woman to seek care? You Selected: • Difficulty in coordination Correct response: • Difficulty in coordination Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies, p. 2035. Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies - Page 2035 Question 11See full question 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? You Selected: • EEG Correct response: • EEG Explanatio n: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies, p. 2033. Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies - Page 2033 Question 12See full question The nurse is caring for a 77-year-old woman with MS. She states that she is very concerned about the progress of her disease and what the future holds. The nurse should know that elderly patients with MS are known to be particularly concerned about what variables? Select all that apply. You Selected: • Becoming a burden on the family • Increasing disability • Possible nursing home placement Correct response: • Possible nursing home placement • Increasing disability • Becoming a burden on the family Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, • The patient needs to be assessed for MS. Correct response: • The patient needs to be assessed for MS. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies, p. 2048. Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies - Page 2048 Question 17See full question The nurse is developing a plan of care for a patient with Guillain-Barré syndrome. Which of the following interventions should the nurse prioritize for this patient? You Selected: • Using the incentive spirometer as prescribed Correct response: • Using the incentive spirometer as prescribed Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies, p. 2045. Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies - Page 2045 Question 18See full question The nurse is caring for a patient who is scheduled for a cervical discectomy the following day. During health education, the patient should be made aware of what potential complications? You Selected: • Hematoma at the surgical site Correct response: • Hematoma at the surgical site Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders, p. 2075. Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders - Page 2075 Question 19See full question A male patient presents at the free clinic with complaints of impotency. Upon physical examination, the nurse practitioner notes the presence of hypogonadism. What diagnosis should the nurse suspect? You Selected: • Prolactinoma Correct response: • Prolactinom a Explanatio n: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders, p. 2054. Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders - Page 2054 Question 20See full question • Assessment of nutritional status Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders, p. 2059. Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders - Page 2059 Question 24 See full question A patient diagnosed with a pituitary adenoma has arrived on the neurologic unit. When planning the patient's care, the nurse should be aware that the effects of the tumor will primarily depend on what variable? You Selected: • The specific hormones secreted by the tumor Correct response: • The specific hormones secreted by the tumor Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders, p. 2054. Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders - Page 2054 Question 25See full question A patient who was diagnosed with Parkinson's disease several months ago recently began treatment with levodopa-carbidopa. The patient and his family are excited that he has experienced significant symptom relief. The nurse should be aware of what implication of the patient's medication regimen? You Selected: • Benefits of levodopa-carbidopa often diminish after 1 or 2 years of treatment. Correct response: • Benefits of levodopa-carbidopa often diminish after 1 or 2 years of treatment. Test Bank Questions for CHP 46 47 48 (NO quiz for these, but they were on Exam 2) Med Surge Test 2 – 66 67 68 69 70 46 47 48 Question 1 See full question A patient seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education? You Selected: • “Instead of eating three meals a day, try eating smaller amounts more often.” Correct response: • “Instead of eating three meals a day, try eating smaller amounts more often.” Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 46: Management of Patients With Oral and Esophageal Disorders, p. 1252. Chapter 46: Management of Patients With Oral and Esophageal Disorders - Page 1252 Question 2See full question A nurse is providing oral care to a patient who is comatose. What action best addresses the patient's risk of tooth decay and plaque accumulation? You Selected: • Brushing the patient's teeth with a toothbrush and small amount of toothpaste Correct response: • Brushing the patient's teeth with a toothbrush and small amount of toothpaste Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 46: Management of Patients With Oral and Esophageal Disorders, p. 1237. Chapter 46: Management of Patients With Oral and Esophageal Disorders - Page 1237 Question 3 See full question A patient who underwent surgery for esophageal cancer is admitted to the critical care unit following postanesthetic recovery. Which of the following should be included in the patient's immediate postoperative plan of care? You Selected: • Positioning the patient to prevent gastric reflux Correct response: • Positioning the patient to prevent gastric reflux Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 46: Management of Patients With Oral and Esophageal Disorders, p. 1257. Chapter 46: Management of Patients With Oral and Esophageal Disorders - Page 1257 Question 4See full question An elderly patient comes into the emergency department complaining of an earache. The patient and has an oral temperature of 100.2ºF and otoscopic assessment of the ear reveals a pearly gray tympanic membrane with no evidence of discharge or inflammation. Which action should the triage nurse take next? You Selected: • Palpate the patient's parotid glands to detect swelling and tenderness. Correct response: • Palpate the patient's parotid glands to detect swelling and tenderness. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 46: Management of Patients With Oral and Esophageal Disorders, p. 1241. Chapter 46: Management of Patients With Oral and Esophageal Disorders - Page 1241 Question 5 See full question A nurse is caring for a patient who has just had a rigid fixation of a mandibular fracture. When planning the discharge teaching for this patient, what would the nurse be sure to include? You Selected: • Avoiding chewing food for the specified number of weeks after surgery Correct response: • Avoiding chewing food for the specified number of weeks after surgery Explanation: • Hypertension Correct response: • Hematemes is Explanation : Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 47: Management of Patients With Gastric and Duodenal Disorders, p. 1270. Chapter 47: Management of Patients With Gastric and Duodenal Disorders - Page 1270 Question 10See full question A patient who is obese is exploring bariatric surgery options and presented to a bariatric clinic for preliminary investigation. The nurse interviews the patient, analyzing and documenting the data. Which of the following nursing diagnoses may be a contraindication for bariatric surgery? You Selected: • Deficient Knowledge Related to Risks and Expectations of Surgery Correct response: • Deficient Knowledge Related to Risks and Expectations of Surgery Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 47: Management of Patients With Gastric and Duodenal Disorders, p. 1273. Chapter 47: Management of Patients With Gastric and Duodenal Disorders - Page 1273 Question 11See full question Diagnostic imaging and physical assessment have revealed that a patient with peptic ulcer disease has suffered a perforated ulcer. The nurse recognizes that emergency interventions must be performed as soon as possible in order to prevent the development of what complication? You Selected: • Peritonitis Correct response: • Peritonitis Explanatio n: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 47: Management of Patients With Gastric and Duodenal Disorders, p. 1270. Chapter 47: Management of Patients With Gastric and Duodenal Disorders - Page 1270 Question 12See full question A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply. You Selected: • Atelectasis • Metabolic imbalances • Pneumonia Correct response: • Atelectasis • Pneumonia • Metabolic imbalances Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 47: Management of Patients With Gastric and Duodenal Disorders, p. 1281. Chapter 47: Management of Patients With Gastric and Duodenal Disorders - Page 1281 Question 13See full question A patient with a history of peptic ulcer disease has presented to the emergency department (ED) in distress. What assessment finding would lead the ED nurse to suspect that the patient has a perforated ulcer? You Selected: • The patient has a rigid, “boardlike” abdomen that is tender. Correct response: • The patient has a rigid, “boardlike” abdomen that is tender. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 47: Management of Patients With Gastric and Duodenal Disorders, p. 1270. Chapter 47: Management of Patients With Gastric and Duodenal Disorders - Page 1270 Question 14See full question A nurse is caring for a client who underwent a subtotal gastrectomy 24 hours ago. The client has a nasogastric (NG) tube. The nurse should: You Selected: • irrigate the NG tube gently with normal saline solution if ordered. Correct response: • irrigate the NG tube gently with normal saline solution if ordered. Explanation: Reference: □ Smeltzer, S.C., and Bare, B. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 12th ed. Philadelphia: Lippincott Williams & Wilkins, 2010, Chapter 37: Management of Patients With Gastric and Duodenal Disorders, p. 1062. Chapter 47: Management of Patients With Gastric and Duodenal Disorders - Page 1062 Question 15 See full question A patient has recently received a diagnosis of gastric cancer; the nurse is aware of the importance of assessing the patient's level of anxiety. Which of the following actions is most likely to accomplish this? You Selected: • The patient is encouraged to express fears openly. Correct response: • The patient is encouraged to express fears openly. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 47: Management of Patients With Gastric and Duodenal Disorders, p. 1276. Chapter 47: Management of Patients With Gastric and Duodenal Disorders - Page 1276 Question 16 See full question Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 48: Management of Patients With Intestinal and Rectal Disorders, p. 1323. Chapter 48: Management of Patients With Intestinal and Rectal Disorders - Page 1323 Question 20 See full question An elderly client asks the nurse how to treat chronic constipation. What is the best recommendation the nurse can make? You Selected: • Take a stool softener such as docusate sodium (Colace) daily. Correct response: • Take a stool softener such as docusate sodium (Colace) daily. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 48: Management of Patients With Intestinal and Rectal Disorders, p. 1288. Chapter 48: Management of Patients With Intestinal and Rectal Disorders - Page 1288 Question 21See full question A nurse is caring for a patient admitted with symptoms of an anorectal infection; cultures indicate that the patient has a viral infection. The nurse should anticipate the administration of what drug? You Selected: • Acyclovir (Zovirax) Correct response: • Acyclovir (Zovirax) Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 48: Management of Patients With Intestinal and Rectal Disorders, p. 1330. Chapter 48: Management of Patients With Intestinal and Rectal Disorders - Page 1330 Question 22See full question A nurse is caring for a patient with constipation whose primary care provider has recommended senna (Senokot) for the management of this condition. The nurse should provide which of the following education points? You Selected: • “Avoid taking the drug on a long-term basis.” Correct response: • “Avoid taking the drug on a long-term basis.” Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 48: Management of Patients With Intestinal and Rectal Disorders, p. 1288. Chapter 48: Management of Patients With Intestinal and Rectal Disorders - Page 1288 Question 23See full question A nurse caring for a patient with a newly created ileostomy assesses the patient and notes that the patient has had not ostomy output for the past 12 hours. The patient also complains of worsening nausea. What is the nurse's priority action? You Selected: • Report signs and symptoms of obstruction to the physician. Correct response: • Report signs and symptoms of obstruction to the physician. Explanation: You Selected: • The specific hormones secreted by the tumor Correct response: • The specific hormones secreted by the tumor Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders, p. 2054. Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders - Page 2054 Question 28See full question A patient who was diagnosed with Parkinson's disease several months ago recently began treatment with levodopa-carbidopa. The patient and his family are excited that he has experienced significant symptom relief. The nurse should be aware of what implication of the patient's medication regimen? You Selected: • Benefits of levodopa-carbidopa often diminish after 1 or 2 years of treatment. Correct response: • Benefits of levodopa-carbidopa often diminish after 1 or 2 years of treatment. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders, p. 2064. Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders - Page 2064 Question 29See full question A patient sustained a head trauma in a diving accident and has a cerebral hemorrhage located within the brain. What type of hematoma is this classified as? You Selected: • An intracerebral hematoma Correct response: • An intracerebral hematoma Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2000. Chapter 68: Management of Patients With Neurologic Trauma - Page 2000 Question 30See full question The staff educator is precepting a nurse new to the critical care unit when a patient with a T2 spinal cord injury is admitted. The patient is soon exhibiting manifestations of neurogenic shock. In addition to monitoring the patient closely, what would be the nurse's most appropriate action? You Selected: • Prepare for interventions to increase the patient's BP. Correct response: • Prepare for interventions to increase the patient's BP. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2014. Chapter 68: Management of Patients With Neurologic Trauma - Page 2014 Question 31See full question A nurse is caring for a critically ill patient with autonomic dysreflexia. What clinical manifestations would the nurse expect in this patient? You Selected: • Bradycardia and hypertension Correct response: • Bradycardia and hypertension Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2010. Chapter 68: Management of Patients With Neurologic Trauma - Page 2010 Question 32See full question The nurse recognizes that a patient with a SCI is at risk for muscle spasticity. How can the nurse best prevent this complication of an SCI? You Selected: • Perform passive ROM exercises as ordered. Correct response: • Perform passive ROM exercises as ordered. Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 68: Management of Patients With Neurologic Trauma, p. 2022. Chapter 68: Management of Patients With Neurologic Trauma - Page 2022 Question 33See full question A middle-aged woman has sought care from her primary care provider and undergone diagnostic testing that has resulted in a diagnosis of MS. What sign or symptom is most likely to have prompted the woman to seek care? You Selected: • Difficulty in coordination Correct response: • Difficulty in coordination Explanation: Reference: □ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies, p. 2035. Chapter 69: Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies - Page 2035 Question 34See full question A patient with suspected Creutzfeldt-Jakob disease (CJD) is being admitted to