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NSG223
NSG223/ NSG 223 EXAM 3: (NEW 2025/ 2026
UPDATE) MEDICAL-SURGICAL NURSING II REVIEW|
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)
1. MS teaching: Exercise! - walking, use assistive device if needed
2. Baclofen (Lioresal or Gablofen): Reduces spasticity in MS. Oral
or intrathecal injection;
3. Baclofen side effects: Drowsiness, dizziness, hypotension, ^
blood sugar
4. Baclofen teaching: Used for MS. Cannot drink alcohol or
sedatives. Not safe for pregnancy
5. Myasthenia Gravis S/S's: diplopia and ptosis (drooping) and
weakness of facial and throat muscles
6. Acetylcholinesterase inhibitor test / Tensilon test: Diagnostic
tool used to diagnose MG. Has to be positive. Improves s/s in
Myasthenic crisis
NSG223
,7. Plasmapheresis and IVIG: Controls symptoms of MG. Not a
permanent cure.
IVIG = Immunoglobulin = helps take antibodies
8. thymectomy: MG treatment. surgical removal of the thymus gland.
Done in pt's younger than 65 and diagnosed within the
past 3 years. Best candidate is a 60 year old that was diagnosed a
year ago
9. Pyridostigmine (Mestinon): MG treatment. take on time! 30 min - 1
hr BEFORE MEALS. Chewing and swallowing muscles will have most
access to acetylcholine.
Feed soft foods and watch them eat!
10. Neostigmine (Bloxiverz): MG treatment. improves skeletal muscle
tone, GI muscle
tone, and relaxes brachial muscles - IM or SQ med
11 Myasthenic and Cholinergic Crisis: Respiratory muscles get too
weak to move enough air in and out of lungs. Ventilator is necessary to
help them breathe.
, Avoid sedatives and tranquilizers
12. Cholinergic Crisis: Too much acetylcholine!
13. Cholinergic Crisis S/S's: constricted pupils
14. Cholinergic Crisis Treatment: Give Atropine
(anticholinergic antidote) and hold MG medications
15. Tensilon test in cholinergic crisis: Worsens symptoms
16. Myasthenic Crisis cause: Pt is under medicated
17. Myasthenic Crisis S/S's: Dilated pupils
18. Plasmapheresis: used to treat MG exacerbations -
improves symptoms, does not cure
19. MG consult: speech therapist
20. Guillain-Barre: Rapid demyelination of nerves - may
produce respiratory failure 31. Guillain-Barre Syndrome (GBS)
S/S's: •upwards muscle weakness in legs that travel to upper body
and gets worse over time
•areflexia (best deep tendon reflexes)
•symmetrical weakness
NSG223
NSG223/ NSG 223 EXAM 3: (NEW 2025/ 2026
UPDATE) MEDICAL-SURGICAL NURSING II REVIEW|
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)
1. MS teaching: Exercise! - walking, use assistive device if needed
2. Baclofen (Lioresal or Gablofen): Reduces spasticity in MS. Oral
or intrathecal injection;
3. Baclofen side effects: Drowsiness, dizziness, hypotension, ^
blood sugar
4. Baclofen teaching: Used for MS. Cannot drink alcohol or
sedatives. Not safe for pregnancy
5. Myasthenia Gravis S/S's: diplopia and ptosis (drooping) and
weakness of facial and throat muscles
6. Acetylcholinesterase inhibitor test / Tensilon test: Diagnostic
tool used to diagnose MG. Has to be positive. Improves s/s in
Myasthenic crisis
NSG223
,7. Plasmapheresis and IVIG: Controls symptoms of MG. Not a
permanent cure.
IVIG = Immunoglobulin = helps take antibodies
8. thymectomy: MG treatment. surgical removal of the thymus gland.
Done in pt's younger than 65 and diagnosed within the
past 3 years. Best candidate is a 60 year old that was diagnosed a
year ago
9. Pyridostigmine (Mestinon): MG treatment. take on time! 30 min - 1
hr BEFORE MEALS. Chewing and swallowing muscles will have most
access to acetylcholine.
Feed soft foods and watch them eat!
10. Neostigmine (Bloxiverz): MG treatment. improves skeletal muscle
tone, GI muscle
tone, and relaxes brachial muscles - IM or SQ med
11 Myasthenic and Cholinergic Crisis: Respiratory muscles get too
weak to move enough air in and out of lungs. Ventilator is necessary to
help them breathe.
, Avoid sedatives and tranquilizers
12. Cholinergic Crisis: Too much acetylcholine!
13. Cholinergic Crisis S/S's: constricted pupils
14. Cholinergic Crisis Treatment: Give Atropine
(anticholinergic antidote) and hold MG medications
15. Tensilon test in cholinergic crisis: Worsens symptoms
16. Myasthenic Crisis cause: Pt is under medicated
17. Myasthenic Crisis S/S's: Dilated pupils
18. Plasmapheresis: used to treat MG exacerbations -
improves symptoms, does not cure
19. MG consult: speech therapist
20. Guillain-Barre: Rapid demyelination of nerves - may
produce respiratory failure 31. Guillain-Barre Syndrome (GBS)
S/S's: •upwards muscle weakness in legs that travel to upper body
and gets worse over time
•areflexia (best deep tendon reflexes)
•symmetrical weakness
