Exam 4: NSG 4100 / NSG4100
(Latest Update ) Nursing
Practice - Adult Health III |
Questions & Answers | Grade A |
100% Correct (Verified Solutions) -
Galen
Question:
Assessment findings of myasthenia gravis
Answer:
• Diplopia
• Ptosis
• Face and Throat Muscle Weakness (Swallowing difficulty)
• Dysphonia
• Generalized Weakness
• Myasthenic Crisis-Neuromuscular Respiratory Failure
,Question:
Antibodies directed at the acetylcholine receptor sites impair the transitions
of impulses across the myoneural junction
Answer:
Myasthenia Gravis
Question:
Myasthenic Crisis
Answer:
an acute exacerbation of disease caused by inadequate amount of meds,
infection fatigue or stress.
Question:
Spinal Cord Injury
Answer:
trauma to the vertebral column
,Question:
CM of spinal cord injury
Answer:
• Spinal shock occurs immediately and is characterized by temporary loss of
reflexes below the level of injury
• Muscles flaccid; skeletal/autonomic reflexes lost
• End of spinal shock: reflexes return, and flaccidity replaced by spasticity
• Neurogenic shock may occur after SCI due to peripheral vasodilation
• Hypotension, bradycardia, and circulatory collapse can occur (life-
threatening); high spinal cord injuries can affect respiratory muscles, leading
to ventilatory failure
Question:
Autonomic Dysreflexia
Answer:
(potentially life threatening emergency!) HOB elevate 90 degrees, loosen
constrictive clothing, assess for full bladder or bowel impaction, (trigger)
administer antihypertensives (may cause stroke, MI, seizure)
Question:
Autonomic Dysreflexia
Answer:
patients with spinal cord injuries are at risk for developing autonomic
dysreflexia (T-7 or above)
, Question:
• Inflammatory demyelinating disease of the peripheral nervous system or a
lower motor neuron disorder
• Segmental demyelination that is T-cell and B-cell mediated
• Also known as acute idiopathic polyneuropathy or polyradiculoneuropathy
• Common secondary to viruses (Campylobacter Jejuni, Cytomegalovirus,
Epstein-Barr, Mycoplasma Pneumonia, H-Influenza, HIV)
Answer:
Guillain-Barre Syndrome
Question:
CM of Guillain-Barre syndrome
Answer:
• Muscle weakness that begins in the lower extremities and spreads to the
proximal spinal neurons
• Progressive ascending weakness or paralysis may affect respiratory muscles
Question:
Rule of Nines (adult)
Answer:
Head 9%, Back 18%, Chest 9%, Abdomen 9%, Arms 9% each, Groin 1%,
Upper Leg 9% each, Lower Leg 9% each.
(Latest Update ) Nursing
Practice - Adult Health III |
Questions & Answers | Grade A |
100% Correct (Verified Solutions) -
Galen
Question:
Assessment findings of myasthenia gravis
Answer:
• Diplopia
• Ptosis
• Face and Throat Muscle Weakness (Swallowing difficulty)
• Dysphonia
• Generalized Weakness
• Myasthenic Crisis-Neuromuscular Respiratory Failure
,Question:
Antibodies directed at the acetylcholine receptor sites impair the transitions
of impulses across the myoneural junction
Answer:
Myasthenia Gravis
Question:
Myasthenic Crisis
Answer:
an acute exacerbation of disease caused by inadequate amount of meds,
infection fatigue or stress.
Question:
Spinal Cord Injury
Answer:
trauma to the vertebral column
,Question:
CM of spinal cord injury
Answer:
• Spinal shock occurs immediately and is characterized by temporary loss of
reflexes below the level of injury
• Muscles flaccid; skeletal/autonomic reflexes lost
• End of spinal shock: reflexes return, and flaccidity replaced by spasticity
• Neurogenic shock may occur after SCI due to peripheral vasodilation
• Hypotension, bradycardia, and circulatory collapse can occur (life-
threatening); high spinal cord injuries can affect respiratory muscles, leading
to ventilatory failure
Question:
Autonomic Dysreflexia
Answer:
(potentially life threatening emergency!) HOB elevate 90 degrees, loosen
constrictive clothing, assess for full bladder or bowel impaction, (trigger)
administer antihypertensives (may cause stroke, MI, seizure)
Question:
Autonomic Dysreflexia
Answer:
patients with spinal cord injuries are at risk for developing autonomic
dysreflexia (T-7 or above)
, Question:
• Inflammatory demyelinating disease of the peripheral nervous system or a
lower motor neuron disorder
• Segmental demyelination that is T-cell and B-cell mediated
• Also known as acute idiopathic polyneuropathy or polyradiculoneuropathy
• Common secondary to viruses (Campylobacter Jejuni, Cytomegalovirus,
Epstein-Barr, Mycoplasma Pneumonia, H-Influenza, HIV)
Answer:
Guillain-Barre Syndrome
Question:
CM of Guillain-Barre syndrome
Answer:
• Muscle weakness that begins in the lower extremities and spreads to the
proximal spinal neurons
• Progressive ascending weakness or paralysis may affect respiratory muscles
Question:
Rule of Nines (adult)
Answer:
Head 9%, Back 18%, Chest 9%, Abdomen 9%, Arms 9% each, Groin 1%,
Upper Leg 9% each, Lower Leg 9% each.
