HONDROS NUR 212 EXAMS 2 SCRIPT QUESTIONS
AND ANSWERS SET A+
✔✔Age of onset of MS - ✔✔20-40, more common in women
✔✔Can myelin sheath regenerate? what is this called? - ✔✔yes it can, it is called
remission
✔✔Clinical manifestations for MS - ✔✔blurred or double vision
muscle weakness
blowel/bladder dysfunction
paralysis
numbness and tingling
speech impediment
extreme fatigue
✔✔Medications for treatment of MS - ✔✔- B-interferon - self injection (may cause flu-
like symtoms, take acetametaphin) helps regulate body
- dimethyl furmarate - immunosuppresant
- ACTH - corticosteroid
- Bethanechol - cholergenic, used for symptom management
✔✔s/s cholergenic crisis (increased with cholergenic meds, decreased with
anticholergenic meds) - ✔✔S - salivation
L - Lacrimation
U - urination
D - Defecation
G - GI motility
E - Emesis
Cholergenic meds needs tapered
, ✔✔Patient teaching for newly diagnosed MS patient, patient is concerned and asks "am
I going to be like this forever" what is the nurses response? - ✔✔not necessarily, MS
can get better overtime with adherence tomedication
✔✔What kind of vision changes is a MS patient at risk for? - ✔✔Blurred vision
double vision
red-green color distortion
blindness in one eye
✔✔Newly diagnosed patient with MS what should we assess for at home? - ✔✔asses
for fall risk at home
✔✔When should a patient with MS contact their doctor? - ✔✔If symptoms worsen or
any respiratory distress
✔✔myasthenia gravis - ✔✔a chronic autoimmune disease that causes serious
weakness of voluntary muscles, caused by antibodies attacking ACH receptors.
✔✔s/s of myasthenia gravis - ✔✔-diplopia (double vision)
- ptosis (eyelid drooping)
-sleepy appearance
- dysphagia, choking, dysphasia
- weakness improved by rest & worse by exercise
-resp failure
-bladder & bowel incontinence
✔✔What is a positive peek sign? - ✔✔A person is unable to keep their eyes closed after
30 secs
✔✔Myasthenic Crisis - ✔✔an acute exacerbation of myasthenia gravis triggered by
infection, surgery, emotional distress, or overdose or inadequate medication.
✔✔Tensilon test - ✔✔Used to diagnose MG and to differentiate between myasthenic
crisis and cholinergic crisis.
✔✔How does the tensilon test work? - ✔✔IV injection evaluated 3-4 minutes for ptosis
improvement because of inhibited acetylcholinesterase, if improved then patient was
experiencing myasthenic crisis, if cholinergic crisis symptoms will worsen
✔✔antidote if tensilon test is given and results in a cholingic crisis? - ✔✔atropine -
cholinergic antagonist (should be readily available when tensilon test is performed)
✔✔Nursing care for MG? - ✔✔- maintain patent airway (o2, suction, intubation
equipment readily available bedside)
AND ANSWERS SET A+
✔✔Age of onset of MS - ✔✔20-40, more common in women
✔✔Can myelin sheath regenerate? what is this called? - ✔✔yes it can, it is called
remission
✔✔Clinical manifestations for MS - ✔✔blurred or double vision
muscle weakness
blowel/bladder dysfunction
paralysis
numbness and tingling
speech impediment
extreme fatigue
✔✔Medications for treatment of MS - ✔✔- B-interferon - self injection (may cause flu-
like symtoms, take acetametaphin) helps regulate body
- dimethyl furmarate - immunosuppresant
- ACTH - corticosteroid
- Bethanechol - cholergenic, used for symptom management
✔✔s/s cholergenic crisis (increased with cholergenic meds, decreased with
anticholergenic meds) - ✔✔S - salivation
L - Lacrimation
U - urination
D - Defecation
G - GI motility
E - Emesis
Cholergenic meds needs tapered
, ✔✔Patient teaching for newly diagnosed MS patient, patient is concerned and asks "am
I going to be like this forever" what is the nurses response? - ✔✔not necessarily, MS
can get better overtime with adherence tomedication
✔✔What kind of vision changes is a MS patient at risk for? - ✔✔Blurred vision
double vision
red-green color distortion
blindness in one eye
✔✔Newly diagnosed patient with MS what should we assess for at home? - ✔✔asses
for fall risk at home
✔✔When should a patient with MS contact their doctor? - ✔✔If symptoms worsen or
any respiratory distress
✔✔myasthenia gravis - ✔✔a chronic autoimmune disease that causes serious
weakness of voluntary muscles, caused by antibodies attacking ACH receptors.
✔✔s/s of myasthenia gravis - ✔✔-diplopia (double vision)
- ptosis (eyelid drooping)
-sleepy appearance
- dysphagia, choking, dysphasia
- weakness improved by rest & worse by exercise
-resp failure
-bladder & bowel incontinence
✔✔What is a positive peek sign? - ✔✔A person is unable to keep their eyes closed after
30 secs
✔✔Myasthenic Crisis - ✔✔an acute exacerbation of myasthenia gravis triggered by
infection, surgery, emotional distress, or overdose or inadequate medication.
✔✔Tensilon test - ✔✔Used to diagnose MG and to differentiate between myasthenic
crisis and cholinergic crisis.
✔✔How does the tensilon test work? - ✔✔IV injection evaluated 3-4 minutes for ptosis
improvement because of inhibited acetylcholinesterase, if improved then patient was
experiencing myasthenic crisis, if cholinergic crisis symptoms will worsen
✔✔antidote if tensilon test is given and results in a cholingic crisis? - ✔✔atropine -
cholinergic antagonist (should be readily available when tensilon test is performed)
✔✔Nursing care for MG? - ✔✔- maintain patent airway (o2, suction, intubation
equipment readily available bedside)
