MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A client with possible bacterial meningitis is admitted to the ICU. What assessment finding would the nurse expect for a client with this diagnosis?
A
Numbness and tingling in the lower extremities
B
Pain upon ankle dorsiflexion of the foot
C
Neck flexion produces flexion of knees and hips
D
Inability to stand with eyes closed and arms extended without swaying
Explanation: 

Detailed explanation-1: -Assess him for headache, fever, light sensitivity, nausea, vomiting, respiratory changes, and signs and symptoms of increasing intracranial pressure, such as changes in pupillary reaction to light, behavior, or level of consciousness.

Detailed explanation-2: -Nursing Interventions Avoid foods that are too cold or too hot. Chew foods in the affected side. Use cotton pads gently, wash face and for oral hygiene.

Detailed explanation-3: -Risk for Aspiration. Dysphagia or swallowing difficulties are common in patients diagnosed with MG, making the risk for aspiration high. Silent aspiration can also occur in MG due to weak oropharyngeal muscle contractions, resulting in myasthenic crisis and aspiration pneumonia.

There is 1 question to complete.