NR 325 Week 4 study guide verified to pass 2026/2027
1. MG diagnosis - Administer Edrophonium (Increases Ach @ NMJ) If S/S Improve, it is
MG, If Not, It is a Cholinergic Crisis (Give Atropine)
2. MG nursing care Maintain Patent Airway (O2, Suction & Intubation Supplies @ Bedside)
- Encourage Periods of Rest
-Provide Small/Frequent & High Calorie Meals, Have Pts Sit Upright to Eat &
Thicken Liquids
-Administer Lubricating Eye Drops, Tape Eyes Shut at Night (To
Prevent Cornea Damage)
3. MG meds Anticholinesterase Agents (Pyridostigmine or Neostigmine)
-Immunosuppressants
4. MG - Proce- Plasmapheresis: Removes Antibodies From Plasma
dures/Surgeri
-Thymectomy: Removal of
es
Thymus Stabilize Cervical
5. Head injury
first priority Spine
6. Head Injury Signs Irritability (Early Sign), Headache, Decreased LOC, Pupil Abnormalities,
Abnormal
of Increased ICP Breathing (Cheyne Stokes), Abnormal Posturing, Cushing's Triad (Severe
HTN, Widening Pulse Pressure, Bradycardia)
7. Head Injury Reduce Hypercarbia (Hyperventilate Pts), Avoid Suctioning, Maintain HOB More
In-
terventions to de- Than 30 Degrees, Teach Pt to Avoid: Coughing, Blowing Nose,
Extreme Neck
crease ICP Flexion/Extension, Restrictive Clothing
8. Head Injury Meds - Mannitol: Osmotic Diuretic to Treat Cerebral Edema
-Phenobarbital: Induces Coma, Decreases Metabolic Demands
-Phenytoin: Prevents/Treats Seizures
1/7
, -Morphine: Treats Pain
9. - Craniotomy to Remove Nonviable Brain Tissue, Many Risks
(Infection/Death)
2/7
1. MG diagnosis - Administer Edrophonium (Increases Ach @ NMJ) If S/S Improve, it is
MG, If Not, It is a Cholinergic Crisis (Give Atropine)
2. MG nursing care Maintain Patent Airway (O2, Suction & Intubation Supplies @ Bedside)
- Encourage Periods of Rest
-Provide Small/Frequent & High Calorie Meals, Have Pts Sit Upright to Eat &
Thicken Liquids
-Administer Lubricating Eye Drops, Tape Eyes Shut at Night (To
Prevent Cornea Damage)
3. MG meds Anticholinesterase Agents (Pyridostigmine or Neostigmine)
-Immunosuppressants
4. MG - Proce- Plasmapheresis: Removes Antibodies From Plasma
dures/Surgeri
-Thymectomy: Removal of
es
Thymus Stabilize Cervical
5. Head injury
first priority Spine
6. Head Injury Signs Irritability (Early Sign), Headache, Decreased LOC, Pupil Abnormalities,
Abnormal
of Increased ICP Breathing (Cheyne Stokes), Abnormal Posturing, Cushing's Triad (Severe
HTN, Widening Pulse Pressure, Bradycardia)
7. Head Injury Reduce Hypercarbia (Hyperventilate Pts), Avoid Suctioning, Maintain HOB More
In-
terventions to de- Than 30 Degrees, Teach Pt to Avoid: Coughing, Blowing Nose,
Extreme Neck
crease ICP Flexion/Extension, Restrictive Clothing
8. Head Injury Meds - Mannitol: Osmotic Diuretic to Treat Cerebral Edema
-Phenobarbital: Induces Coma, Decreases Metabolic Demands
-Phenytoin: Prevents/Treats Seizures
1/7
, -Morphine: Treats Pain
9. - Craniotomy to Remove Nonviable Brain Tissue, Many Risks
(Infection/Death)
2/7
