NUR 254 EXAM 1 2026
What are nursing priorities for Duschens? - ANSWER-keep as active as
possible, keep out of the wheelchair as long as possible
What do we do for a pt with SMD/Duschens? - ANSWER-ASSISTIVE
DEVICE, not wheelchair
What is Myasthenia gravis? - ANSWER-chronic progressive disorder of PNS
makes space between nerve and muscle longer, muscle contraction is hindered,
ACH is hindered
S/S of MG? - ANSWER-diplopia/ unilateral ptosis
weakness (heart, muscle)
"limp noodle"
bowel/bladder incontinence
myasthenic crisis (no acetylcholine in system)
cholinergic crisis (too much acetylcholine in the body, body gives up)
What is a myasthenic crisis? - ANSWER-myasthenic crisis
,absolutely NO acetylcholine is getting to receptors
NO MEDS in the system of a myasthenia gravis pt
-complete respiratory failure
-cardiac collapse
FATAL (if not treated
What is a cholinergic crisis? - ANSWER-WAY TOO MUCH acetylcholine in
the system
myasthenia gravis pt has been OVERmedicated
body stops responding to the ACH in the system
-paralysis
-cardiac collapse
-respiratory failure
What are the Dx for MG? - ANSWER-tensilon test (SPECIFICALLY FOR
THIS DISEASE)
pulmonary funciton test
EMG
What are s/s of CP? - ANSWER-delayed gross motor development
poor head control
,stiff arms, limp body
feeding difficulties
What is mild cognitive impairment? - ANSWER-50-75 IQ
mental age of 8-12
can marry and child bear w support
can self support
slow to walk and talk
What is moderate cognitive impairment? - ANSWER-35-50 IQ
trainable, can work in a factory, grocery store
cannot live on own
delays in motor development
3-7 y/o
What is severe cognitive impairment? - ANSWER-very marked delay in motor
development
, repetitive skills (blocks)
nursing home/adult care
What is profound cognitive impairment? - ANSWER-minimal ability to
function
nursing home care 24/7
What is spina bifida? - ANSWER-spinal cord contents protrude through
vertebrae an there is a tuft of hair
dimple, hair over defect maybe
What is spina bifida occulta? - ANSWER-Mildest form with no dural
membrane or cord protrusion and often asymptomatic
s/s is a dimple on baby's back that didn't close all the way
What is spina bifida meningocele? - ANSWER-Herniation of meninges through
the skin
sac is removed
MININMAL deficits
What is spina bifida myelomeningocele? - ANSWER-Severe form of spina
bifida
What are nursing priorities for Duschens? - ANSWER-keep as active as
possible, keep out of the wheelchair as long as possible
What do we do for a pt with SMD/Duschens? - ANSWER-ASSISTIVE
DEVICE, not wheelchair
What is Myasthenia gravis? - ANSWER-chronic progressive disorder of PNS
makes space between nerve and muscle longer, muscle contraction is hindered,
ACH is hindered
S/S of MG? - ANSWER-diplopia/ unilateral ptosis
weakness (heart, muscle)
"limp noodle"
bowel/bladder incontinence
myasthenic crisis (no acetylcholine in system)
cholinergic crisis (too much acetylcholine in the body, body gives up)
What is a myasthenic crisis? - ANSWER-myasthenic crisis
,absolutely NO acetylcholine is getting to receptors
NO MEDS in the system of a myasthenia gravis pt
-complete respiratory failure
-cardiac collapse
FATAL (if not treated
What is a cholinergic crisis? - ANSWER-WAY TOO MUCH acetylcholine in
the system
myasthenia gravis pt has been OVERmedicated
body stops responding to the ACH in the system
-paralysis
-cardiac collapse
-respiratory failure
What are the Dx for MG? - ANSWER-tensilon test (SPECIFICALLY FOR
THIS DISEASE)
pulmonary funciton test
EMG
What are s/s of CP? - ANSWER-delayed gross motor development
poor head control
,stiff arms, limp body
feeding difficulties
What is mild cognitive impairment? - ANSWER-50-75 IQ
mental age of 8-12
can marry and child bear w support
can self support
slow to walk and talk
What is moderate cognitive impairment? - ANSWER-35-50 IQ
trainable, can work in a factory, grocery store
cannot live on own
delays in motor development
3-7 y/o
What is severe cognitive impairment? - ANSWER-very marked delay in motor
development
, repetitive skills (blocks)
nursing home/adult care
What is profound cognitive impairment? - ANSWER-minimal ability to
function
nursing home care 24/7
What is spina bifida? - ANSWER-spinal cord contents protrude through
vertebrae an there is a tuft of hair
dimple, hair over defect maybe
What is spina bifida occulta? - ANSWER-Mildest form with no dural
membrane or cord protrusion and often asymptomatic
s/s is a dimple on baby's back that didn't close all the way
What is spina bifida meningocele? - ANSWER-Herniation of meninges through
the skin
sac is removed
MININMAL deficits
What is spina bifida myelomeningocele? - ANSWER-Severe form of spina
bifida
