NURSING EXAM 3 WITH COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS(DETAILED ANSWERS) ALREADY GRADED
A+ 100% GUARANTEED TO PASS CONCEPTS!!!
What is used to dx encephalitis? - CORRECT ANSWER-lumbar puncture
EEG
CT (looks for mass)
What are N/I for encephalitis? - CORRECT ANSWER-Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
What is the tx for encephalitis? - CORRECT ANSWER-acyclovir
What are complications from encephalitis? - CORRECT ANSWER-ICP that leads
to herniation of brain tissue or death
,What is myasthenia gravis? - CORRECT ANSWER-Autoimmune disorder that is
characterized by weakness in the muscles
What causes myasthenia gravis? - CORRECT ANSWER-lack of Ach receptor sites,
leads to lack of nerve impulses
What are s/s of myasthenia gravis? - CORRECT ANSWER-difficulty holding up
head or brushing teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
What is encephalitis? - CORRECT ANSWER-inflammation or infection of the
brain
What causes encephalitis? - CORRECT ANSWER-West Nile Virus
Herpes
What are the s/s of encephalitis? - CORRECT ANSWER-High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
,pupil changes (dilate & less responsive to light)
How is myasthenia gravis diagnosed? - CORRECT ANSWER-tensillon test.
s/s improve with Edrophonium .
How does edrophonium work? - CORRECT ANSWER-w/in 30-60sec of 1st dose,
most show lots of improvement, lasts 4-5mins
What are n/i for myasthenia gravis? - CORRECT ANSWER-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? - CORRECT ANSWER-plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants
What is cholinergic crisis? - CORRECT ANSWER-too much cholinesterase
inhibitor drug
What are s/s of cholinergic crisis? - CORRECT ANSWER-fasciculations
hypersalivation
, sweating
bronchospasms
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? - CORRECT ANSWER-atropine
DO NOT GIVE ANTICHOLINESTERASE
What is myasthenic crisis? - CORRECT ANSWER-too little cholinesterase
inhibitor drug
What is the priority with myasthenic crisis? - CORRECT ANSWER-resp function
What are s/s of myasthenic crisis? - CORRECT ANSWER-increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry
What time should ChE inhibitor be given? - CORRECT ANSWER-45-1hr before
meals to avoid aspiration