7/6/2023 0 Comments Cen practice test enaBacterial meningitis is characterized by acute onset and is commonly caused by Streptococcus pneumoniae, Haemophilus influenzae, Listeria monocytogenes and Neisseria meningitides. Meningitis that is fatal in half of the infected patients is caused by a:ĭ. Antibiotics for infection, antipyretics for fever, and anticonvulsants for possible seizures may all be indicated. Administration of sedatives is not indicated for meningitis since continuing neurologic assessment is critical in order to identify if the level of consciousness decreases. Which of the following would NOT be a treatment for meningitis?ĭ. This will include minimizing suctioning except as absolutely necessary. Stimulation should be avoided in the patient with increased intracranial pressure. Routine suctioning to maintain a patent airway. Methods to reduce increased intracranial pressure include all of the following EXCEPT:ĭ. Ocular symptoms are the most common initial complaint and typically include ptosis, diplopia when looking in one direction for a sustained period of time, and difficulty closing one eye. Myasthenia gravis occurs most frequently in women between the ages of 20 and 30. She notes that she has had some difficulty swallowing recently, but denies any episodes of choking. Pupils are equal and reactive to light and accommodation. A 26-year-old woman presents with eye complaints including ptosis, diplopia and difficulty in keeping one eye closed. The ED physician must be made aware of this change and aggressive treatment must be started. Since the patient has become confused, you can only award 4 points for Orientation her other scores will continue to be normal. Using the Glasgow Coma Scale, her GCS score is:ĭ. She continues to obey commands and continues to be awake and alert. As she waits for a CT scan, she becomes confused. On arrival, she was alert and oriented with pupils equal and reactive. A young woman presents to the emergency department with a headache described as "the worst I've ever had". After the headache subsides, the patient may have a very tender head. During the second phase, vasodilation causes the typical throbbing headache that usually begins on one side of the head. This aura may be visual disturbances including flashing lights or other disturbances. In the prodromal phase, the patient may experience an aura. A vascular migraine headache typically progresses through specific stages. It is likely that this patient is experiencing:ĭ. She is now vomiting when she moves her head. Before the pain began, she complained of seeing flashing lights. A 25-year-old female is brought to the emergency department with complaint of sudden onset right sided headache described as throbbing. This drug can cause lethal hyperkalemia in these patients. Administration of succinylcholine is absolutely contraindicated in a patient with Guillain-Barre syndrome. Which of the following is NOT an appropriate intervention?ī. You are caring for a 30-year-old patient who has been diagnosed with Guillain-Barre syndrome.
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