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Exam (elaborations)

NURS 6032 Exam 2 WITH complete verified solutions

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NURS 6032 Exam 2 WITH complete verified solutions

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NURS 6032 Exam 2 WITH complete
verified solutions

acetylcholinesterase
enzyme responsible for the immediate breakdown of acetylcholine
in the synaptic cleft; prevents overstimulation of cholinergic
receptor sites
how does inflammation develop in asthma
allergen activates mast cells

mediator cell invitation (histamine, leukotriene)

infiltration of inflammatory cells (eosinophils, leukocytes)

cytokine, leukotriene, interleukin response results in inflammation
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Why would you prescribe a beta agonist? select all.

a. increase HR

,b. asthma

c. COPD

d. increase cardiac output
a, b, c, d
What adverse effects could you see with beta blockers? select all.

a. bradycardia

b. hypotension

c. bronchoconstriction

d. decreased glycogenolysis
a, b, c, d
Anticholinergic effects mimic adrenergic effects. T or F?
true
Cholinergic effects mimic adrenergic effects. T or F?
false
What are the main components of Alzheimer disease patho? select
all.

a. shrinking cerebral cortex decreasing acetylcholine levels

b. neuritic plaques

c. tau tangles

d. decreased dopamine
a, b, c
Tx for Alzheimer's disease includes increasing the acetylcholine
levels. T or F?
true
Medications that inhibit acetylcholinesterase in Alzheimer's disease
includes? select all.

,a. tacrine

b. donepezil

c. namenda

d. beta blockers
a, b
An acetylcholinesterase inhibitor overdose would include the
following symptoms? select all.

a. diarrhea

b. bronchoconstriction

c. bradycardia

d. drooling
a, b, c, d
Myasthenia gravis is characterized by?

a. decreased dopamine within the motor tracks

b. antibodies attacking the myelin sheaths of the nervous system

c. decreased cerebral cortex

d. the body attacking its own nicotinic M receptors
d
To increase the activation of nicotinic M system, one would
prescribe?

a. acetylcholinesterase inhibitor

b. beta agonist

c. cholinergic inhibitor

, d. beta blocker
a
What are some of the symptoms of myasthenia gravis? select all.

a. muscle weakness

b. difficulty swallowing

c. difficulty breathing

d. dropping eyelids (ptosis)
a, b, c, d
What are the mechanisms of actions of seizure meds? select all.

a. suppression of Na influx

b. increased potassium efflux

c. antagonism of glutamate (excitatory transmitter)

b. increase GABA (inhibitory transmitter)
a, b, c, d
The appropriate seizure tx regimen for a pt is always immediately
clear. T or F?
false
Seizures doses are set and do not require monitoring. T or F?
false
A 4 y.o is in the ED after having a 30 sec. tonic clonic seizure with a
temp of 104.7. What AED is indicated long term?

a. dilantin

b. lamictal

c. keppra

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