Advanced Med Surg Final EXAM| ALL QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+ | VERIFIED
ANSWERS | LATEST VERSION 2025 | BRAND NEW
VERSION!!!
A patient with myasthenia gravis is admitted to the hospital with respiratory
insufficiency and severe weakness. When is a diagnosis of cholinergic crisis made?
a. The patient's respiration is impaired because of muscle weakness.
b. Administration of edrophonium (Tensilon) increases muscle weakness.
c. Administration of edrophonium (Tensilon) results in improved muscle
contractility.
d. EMG reveals decreased response to repeated stimulation of muscles. - CORRECT
ANSWER-b.
The reduction of the acetylcholine (ACh) effect in myasthenia gravis (MG) is
treated with anticholinesterase drugs, which prolong the action of ACh at the
neuromuscular synapse, but too much of these drugs will cause a cholinergic crisis
with symptoms very similar to those of MG. To determine whether the patient's
manifestations are due to a deficiency of ACh or to too much anticholinesterase
drug, the anticholinesterase drug edrophonium chloride (Tensilon) is
administered. If the patient is in cholinergic crisis, the patient's symptoms will
worsen; if the patient is in a myasthenic crisis, the patient will improve.
,During care of a patient in myasthenic crisis, maintenance of what is the nurse's
first priority for the patient?
a. Mobility
b. Nutrition
c. Respiratory function
d. Verbal communication - CORRECT ANSWER-c.
The patient in myasthenic crisis has severe weakness and fatigability of all skeletal
muscles, affecting the patient's ability to breathe, swallow, talk, and move.
However, the priority of nursing care is monitoring and maintaining adequate
ventilation.
When providing care for a patient with ALS, the nurse recognizes what as one of
the most distressing problems experienced by the patient?
a. Painful spasticity of the face and extremities
b. Retention of cognitive function with total degeneration of motor function
c. Uncontrollable writhing and twisting movements of the face, limbs, and body
d. Knowledge that there is a 50% chance the disease has been passed to any
offspring - CORRECT ANSWER-b.
In ALS there is gradual degeneration of motor neurons with extreme muscle
wasting from lack of stimulation and use. However, cognitive function is not
impaired and patients feel trapped in a dying body. Chorea manifested by
writhing, involuntary movements is characteristic of HD. As an autosomal
,dominant genetic disease, HD also has a 50% chance of being passed to each
offspring.
In providing care for patients with chronic, progressive neurologic disease, what is
the major goal of treatment that the nurse works toward?
a. Meet the patient's personal care needs.
b. Return the patient to normal neurologic function.
c. Maximize neurologic functioning for as long as possible.
d. Prevent the development of additional chronic diseases. - CORRECT ANSWER-c.
Many chronic neurologic diseases involve progressive deterioration in physical or
mental capabilities and have no cure, with devastating results for patients and
families. Health care providers can only attempt to alleviate physical symptoms,
prevent complications, and assist patients in maximizing function and self-care
abilities for as long as possible.
The nurse determines that teaching about management of migraine headaches
has been effective when the patient says which of the following?
a. "I can take the (Topamax) as soon as a headache starts."
b. "A glass of wine might help me relax and prevent a headache."
c. "I will lie down someplace dark and quiet when the headaches begin."
d. "I should avoid taking aspirin and sumatriptan (Imitrex) at the same time." -
CORRECT ANSWER-C.
, It is recommended that the patient with a migraine rest in a dark, quiet area.
Topiramate (Topamax) is used to prevent migraines and must be taken for several
months to determine effectiveness. Aspirin or other nonsteroidal
antiinflammatory medications can be taken with the triptans. Alcohol may
precipitate migraine headaches.
A patient who is having an acute exacerbation of multiple sclerosis has a
prescription for methylprednisolone (Solu-Medrol) 160 mg IV. The label on the
vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse
administer? - CORRECT ANSWER-2.56. With a concentration of 125 mg/2 mL, the
nurse will need to administer 2.56 mL to obtain 160 mg of methylprednisolone.
The nurse will assess a 67-year-old patient who is experiencing a cluster headache
for
a. nuchal rigidity.
b. unilateral ptosis.
c. projectile vomiting.
d. throbbing, bilateral facial pain. - CORRECT ANSWER-B.
Unilateral eye edema, tearing, and ptosis are characteristic of cluster headaches.
Nuchal rigidity suggests meningeal irritation, such as occurs with meningitis.
Although nausea and vomiting may occur with migraine headaches, projectile
vomiting is more consistent with increased intracranial pressure (ICP). Unilateral
sharp, stabbing pain, rather than throbbing pain, is characteristic of cluster
headaches.
CORRECT ANSWERS |ALREADY GRADED A+ | VERIFIED
ANSWERS | LATEST VERSION 2025 | BRAND NEW
VERSION!!!
A patient with myasthenia gravis is admitted to the hospital with respiratory
insufficiency and severe weakness. When is a diagnosis of cholinergic crisis made?
a. The patient's respiration is impaired because of muscle weakness.
b. Administration of edrophonium (Tensilon) increases muscle weakness.
c. Administration of edrophonium (Tensilon) results in improved muscle
contractility.
d. EMG reveals decreased response to repeated stimulation of muscles. - CORRECT
ANSWER-b.
The reduction of the acetylcholine (ACh) effect in myasthenia gravis (MG) is
treated with anticholinesterase drugs, which prolong the action of ACh at the
neuromuscular synapse, but too much of these drugs will cause a cholinergic crisis
with symptoms very similar to those of MG. To determine whether the patient's
manifestations are due to a deficiency of ACh or to too much anticholinesterase
drug, the anticholinesterase drug edrophonium chloride (Tensilon) is
administered. If the patient is in cholinergic crisis, the patient's symptoms will
worsen; if the patient is in a myasthenic crisis, the patient will improve.
,During care of a patient in myasthenic crisis, maintenance of what is the nurse's
first priority for the patient?
a. Mobility
b. Nutrition
c. Respiratory function
d. Verbal communication - CORRECT ANSWER-c.
The patient in myasthenic crisis has severe weakness and fatigability of all skeletal
muscles, affecting the patient's ability to breathe, swallow, talk, and move.
However, the priority of nursing care is monitoring and maintaining adequate
ventilation.
When providing care for a patient with ALS, the nurse recognizes what as one of
the most distressing problems experienced by the patient?
a. Painful spasticity of the face and extremities
b. Retention of cognitive function with total degeneration of motor function
c. Uncontrollable writhing and twisting movements of the face, limbs, and body
d. Knowledge that there is a 50% chance the disease has been passed to any
offspring - CORRECT ANSWER-b.
In ALS there is gradual degeneration of motor neurons with extreme muscle
wasting from lack of stimulation and use. However, cognitive function is not
impaired and patients feel trapped in a dying body. Chorea manifested by
writhing, involuntary movements is characteristic of HD. As an autosomal
,dominant genetic disease, HD also has a 50% chance of being passed to each
offspring.
In providing care for patients with chronic, progressive neurologic disease, what is
the major goal of treatment that the nurse works toward?
a. Meet the patient's personal care needs.
b. Return the patient to normal neurologic function.
c. Maximize neurologic functioning for as long as possible.
d. Prevent the development of additional chronic diseases. - CORRECT ANSWER-c.
Many chronic neurologic diseases involve progressive deterioration in physical or
mental capabilities and have no cure, with devastating results for patients and
families. Health care providers can only attempt to alleviate physical symptoms,
prevent complications, and assist patients in maximizing function and self-care
abilities for as long as possible.
The nurse determines that teaching about management of migraine headaches
has been effective when the patient says which of the following?
a. "I can take the (Topamax) as soon as a headache starts."
b. "A glass of wine might help me relax and prevent a headache."
c. "I will lie down someplace dark and quiet when the headaches begin."
d. "I should avoid taking aspirin and sumatriptan (Imitrex) at the same time." -
CORRECT ANSWER-C.
, It is recommended that the patient with a migraine rest in a dark, quiet area.
Topiramate (Topamax) is used to prevent migraines and must be taken for several
months to determine effectiveness. Aspirin or other nonsteroidal
antiinflammatory medications can be taken with the triptans. Alcohol may
precipitate migraine headaches.
A patient who is having an acute exacerbation of multiple sclerosis has a
prescription for methylprednisolone (Solu-Medrol) 160 mg IV. The label on the
vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse
administer? - CORRECT ANSWER-2.56. With a concentration of 125 mg/2 mL, the
nurse will need to administer 2.56 mL to obtain 160 mg of methylprednisolone.
The nurse will assess a 67-year-old patient who is experiencing a cluster headache
for
a. nuchal rigidity.
b. unilateral ptosis.
c. projectile vomiting.
d. throbbing, bilateral facial pain. - CORRECT ANSWER-B.
Unilateral eye edema, tearing, and ptosis are characteristic of cluster headaches.
Nuchal rigidity suggests meningeal irritation, such as occurs with meningitis.
Although nausea and vomiting may occur with migraine headaches, projectile
vomiting is more consistent with increased intracranial pressure (ICP). Unilateral
sharp, stabbing pain, rather than throbbing pain, is characteristic of cluster
headaches.
