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NURSING CARE FINAL QUESTIONS AND ACCURATE ANSWERS UPDATED

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NURSING CARE FINAL QUESTIONS AND ACCURATE ANSWERS UPDATED

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Ambulatory Care Nursing
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Ambulatory care nursing

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NURSING CARE FINAL QUESTIONS AND
ACCURATE ANSWERS UPDATED 2026-2027

# Term Definition



1 Myasthenia gravis Signs, symptoms, &
assessment
Autoimmunedisorder, antibodies
attackacetylcholine receptors preventing it from attaching
and stimulatingmuscle contraction. Muscle weakness (like
face/lungs), stronger in morning, difficulty swallowing
Pyridostigmine(mestinon) inhibits breakdown of Ach



2 ALS/Lou Gehrig’s disease
Interventions and teaching plan Progressive neurologicdisorder, loss of motor neurons.
Chemical and electrical messages in brain don't reach
muscle. Usually starts inthe lower extremities and works
up. Remains cognitivelyintact; no cure Reduce risk
ofaspiration, decrease pain/weakness, decr.
injury, providediversional activities


3 Huntington's Disease Diagnosis, disease
Geneticallytransmitted disease (testing available)
process, and education
Abnormal excessive involuntary movements, twisting
movements of face and body, impaired gait, depression,
anxiety,agitation. No cure. Usuallyrequire 4000-5000
calories per day

4 Parkinson's Disease Etiology
Lack of dopamine in the substantia nigra of the midbrain
disrupts normal balance between dopamine and ACh. DA
helps function posture control, support, and voluntary
movement.

5 Signs and symptoms of a patient with
Chronic, gradually progressive
Parkinson’s Disease
neurodegenerative disease of basal ganglia;
characterized by bradykinesia, rigidity, tremor at rest,
and gait disturbance. Shuffling gait, arms are flexed,
postural reflexes are lost, and possible chance of speech
problems.

6 Assessment and care of a patient with
Parkinson’s Disease Tremors: Can involve the tongue, lips, and jaw. More
prominent at rest Rigidity: Increased resistance to ROM
Bradykinesia: Slowing down in movement Postural
Instability: Unable to stop going; “Pull test”

, 7 Tension/Stress Headache
Most common type, bilateral frontal/occ. location that
presses or tightens. Mild to mod intensity, episodic or
chronic Dull pressure associated with neck pain; no
triggers or warning signs Migraine may accompany;
photophobia or phonophobia; physical activity doesn’t
worsen it.



# Term Definition



8 Migraine Headache
Recurring headache characterized by unilateral throbbing
pain. W/ or w/o aura Triggers may include: bright lights,
sound, hormone fluctuations, certain smells, poor sleep,
and stress. May switch sides. Photo/phonophobias, poor
concentration, fatigue, thirst/cravings.


9 Aura
A complex of neurologic symptoms that occur before a
headache for some patients. Visual distortions, bright
lights, zigzags. Premonitory symptoms and aura may
precede headache by hours or days.


10 Cluster Headache
Rarest, clusters around the same time, many occur at
night, triggers: alcohol and strong odors Severe intense
pulsing, stabbing pain that ranges from a few minutes to
hours; around the eye radiating to temple Swelling,
tearing, pallor, nasal congestion, restlessness, agitation,
and pupil constriction


11 Headache treatments
Tension: Aspirin, Tylenol, NSAIDs alone or in combo w/
caffeine, sedative, or muscle relaxant. Migraine: NSAIDs,
aspirin, caffeine analgesics triptans, botox, beta blockers.
Cluster: Triptans are standard, High-Flow O2 non
rebreather masks for 10m and 5m breaks.


12 Triptans Levidopa Carbidopa
Cause vasoconstriction and reduce neurogenic
inflammation Med for Parkinson's; converts into DA and
carbidopa inhibits an enzyme that breaks down the
levodopa before it reaches the brain

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Institution
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Course
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