NUR 265 EXAM 3 NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

1 | P a g e NUR 265 EXAM 3 NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ How is myasthenia gravis diagnosed? - ANSWER- tensillon test. s/s improve with Edrophonium . How does edrophonium work? - ANSWER- w/in 30-60sec of 1st dose, most show lots of improvement, lasts 4-5mins What are n/i for myasthenia gravis? - ANSWER- assess adls, speech & facial weakness resp support keep oxygen equipment & suction at bedside for r/f of resp distress promote mobility What is tx for myasthenia gravis? - ANSWER- plasmapherisis anticholinesterases (pyridostigmine) immunosuppressants 2 | P a g e What is cholinergic crisis? - ANSWER- too much cholinesterase inhibitor drug What are s/s of cholinergic crisis? - ANSWER- fasciculations hypersalivation sweating bronchospasms increase bronchial secretions bradycardia What is tx for cholinergic crisis? - ANSWER- atropine DO NOT GIVE ANTICHOLINESTERASE What is myasthenic crisis? - ANSWER- too little cholinesterase inhibitor drug What is the priority with myasthenic crisis? - ANSWER- resp function What are s/s of myasthenic crisis? - ANSWER- increase HR, RR, BP 3 | P a g e decrease u/o no cough or swallow reflex dry What time should ChE inhibitor be given? - ANSWER- 45-1hr before meals to avoid aspiration What can tensilon test cause? - ANSWER- cardiac dysrhythmias, have atropine on hand What is nursing priority with myasthenic crisis? - ANSWERmaintain airway, may require to intubate What is Guillain-Barre? - ANSWER- an uncommon acute inflammatory disorder that affects axons and/or myelin sheath (neurons can't impulse) where does Guillain Barre Syndrome start - ANSWER- -Starts in feet and hands (numbness, tingling) What are causes of Guillain Barre? - ANSWER- bacterial infection influenza 4 | P a g e epstein barr zika What are s/s of guillain barre? - ANSWER- loss of reflexes hypotension labile BP muscle weakness or paralysis (decreased DTR) numbness ataxia blurred or double vision palpitations pain tachycarida What are complications from guillain barre? - ANSWER- resp & cardiac problems decreased mobility, DVTs What is tx for guillain barre? - ANSWER- plasmapheresis asap IV immunoglobulin if can't do plasma right away https://learnexams.com/search/study?query=