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NUR 265 EXAM 3 LATEST UPDATE 2025 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (LATEST UPDATE RATED A+)
GALEN COLLEGE OF NURSING
What is encephalitis? - ANS >>inflammation or infection of the brain What
causes encephalitis? - ANS >>West Nile Virus
Herpes
What are the s/s of encephalitis? - ANS >>High fever, N/V, stiff neck Flu like
symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
What is used to dx encephalitis? - ANS >>lumbar puncture EEG
CT (looks for mass)
What are N/I for encephalitis? - ANS >>Neuro checks Monitor for s/s
of ICP
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
Suction only resp compromised
HOB 30-45
Decrease stimuli
What is the tx for encephalitis? - ANS >>acyclovir
What are complications from encephalitis? - ANS >>ICP that leads to herniation of brain tissue or death
What is myasthenia gravis? - ANS >>Autoimmune disorder that is characterized by weakness in the
muscles
What causes myasthenia gravis? - ANS >>lack of Ach receptor sites, leads to lack of nerve impulses
What are s/s of myasthenia gravis? - ANS >>difficulty holding up head or brushing teeth double
vision
ptosis
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
How is myasthenia gravis diagnosed? - ANS >>tensillon test. s/s
improve with Edrophonium .
How does edrophonium work? - ANS >>w/in 30-60sec of 1st dose, most show lots of improvement,
lasts 4-5mins
What are n/i for myasthenia gravis? - ANS >>assess adls, speech & facial weakness resp
support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
What is tx for myasthenia gravis? - ANS >>plasmapherisis anticholinesterases
(pyridostigmine) immunosuppressants
What is cholinergic crisis? - ANS >>too much cholinesterase inhibitor drug What are
s/s of cholinergic crisis? - ANS >>fasciculations
hypersalivation
sweating
bronchospasms
mailto:https://www.stuvia.com/en-us/user/techgrades
, mailto:https://www.stuvia.com/en-us/user/techgrades
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? - ANS >>atropine DO NOT
GIVE ANTICHOLINESTERASE
What is myasthenic crisis? - ANS >>too little cholinesterase inhibitor drug What is the
priority with myasthenic crisis? - ANS >>resp function
What are s/s of myasthenic crisis? - ANS >>increase HR, RR, BP decrease u/o
no cough or swallow reflex
dry
What time should ChE inhibitor be given? - ANS >>45-1hr before meals to avoid aspiration
mailto:https://www.stuvia.com/en-us/user/techgrades
NUR 265 EXAM 3 LATEST UPDATE 2025 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (LATEST UPDATE RATED A+)
GALEN COLLEGE OF NURSING
What is encephalitis? - ANS >>inflammation or infection of the brain What
causes encephalitis? - ANS >>West Nile Virus
Herpes
What are the s/s of encephalitis? - ANS >>High fever, N/V, stiff neck Flu like
symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
What is used to dx encephalitis? - ANS >>lumbar puncture EEG
CT (looks for mass)
What are N/I for encephalitis? - ANS >>Neuro checks Monitor for s/s
of ICP
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
Suction only resp compromised
HOB 30-45
Decrease stimuli
What is the tx for encephalitis? - ANS >>acyclovir
What are complications from encephalitis? - ANS >>ICP that leads to herniation of brain tissue or death
What is myasthenia gravis? - ANS >>Autoimmune disorder that is characterized by weakness in the
muscles
What causes myasthenia gravis? - ANS >>lack of Ach receptor sites, leads to lack of nerve impulses
What are s/s of myasthenia gravis? - ANS >>difficulty holding up head or brushing teeth double
vision
ptosis
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
How is myasthenia gravis diagnosed? - ANS >>tensillon test. s/s
improve with Edrophonium .
How does edrophonium work? - ANS >>w/in 30-60sec of 1st dose, most show lots of improvement,
lasts 4-5mins
What are n/i for myasthenia gravis? - ANS >>assess adls, speech & facial weakness resp
support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
What is tx for myasthenia gravis? - ANS >>plasmapherisis anticholinesterases
(pyridostigmine) immunosuppressants
What is cholinergic crisis? - ANS >>too much cholinesterase inhibitor drug What are
s/s of cholinergic crisis? - ANS >>fasciculations
hypersalivation
sweating
bronchospasms
mailto:https://www.stuvia.com/en-us/user/techgrades
, mailto:https://www.stuvia.com/en-us/user/techgrades
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? - ANS >>atropine DO NOT
GIVE ANTICHOLINESTERASE
What is myasthenic crisis? - ANS >>too little cholinesterase inhibitor drug What is the
priority with myasthenic crisis? - ANS >>resp function
What are s/s of myasthenic crisis? - ANS >>increase HR, RR, BP decrease u/o
no cough or swallow reflex
dry
What time should ChE inhibitor be given? - ANS >>45-1hr before meals to avoid aspiration
mailto:https://www.stuvia.com/en-us/user/techgrades
