Med Surg 2 Final Study Guide WITH COMPLETE SOLUTIONS

MED SURG 2 FINAL The nurse is caring for a client in acute renal failure. Which assessment findings by the nurse indicates hypervolemia in this client? Select all that apply. ANSWER: S3 gallop, lung crackles, tachycardia, a 2-3 pound weight gain, and hypertension. A nurse caring for a client with Guillain-Barré syndrome (GBS) notifies the health care provider of the client's deteriorating condition. What assessment findings indicate a worsening of Guillain-Barré syndrome? ANSWER: thick green respiratory sputum what is vital to watch in BGS ANSWER: Monitor Respiratory Status Treatments for GBS ANSWER: plasmapheresis - separates blood and gives it back. IV immunoglobulin therapy- fix immune system corticosteroids.- better breathing What nursing interventions can we do for GBS ANSWER: -Keeping the head of bed elevated -watching for shortness of breath, impaired cough - auscultation of lung sounds -assessing blood oxygen saturation, arterial blood gases. Whats GBS ANSWER: Neurological autoimmune disease which damages the peripheral nervous system causing muscle weakness and sometimes paralysis. which ascends through the body affecting the peripheral nervous system. respiratory infection- may cause serious complications. The evening nursing is caring for a client with a new onset of myasthenia gravis. The nurse expects to find which of the following assessment observations? ANSWER: Blurred vision and unclear speech patterns (first symptoms usually seen) whats (MG) Myasthenia gravis ANSWER: chronic autoimmune neuromuscular disease causes: -weakness in skeletal muscles, breathing, and eye movement. -Vision changes -difficulty swallowing - breathing -ptosis- eyelid droop - speech - peripheral weakness may worsen as the day progresses. Treatment for MG ANSWER: -cholinesterase inhibitors -nerve cell communication.