NURS 414 TEST BANK ACTUAL EXAM REVIEW COMPLETE
VERSION WITH UPDATED QUESTIONS AND ACCURATE
DETAILED ANSWERS \\VERIFIED ANSWERS \\GRADED A+ LATEST
VERSION 2024-2025
What does the nurse 2
understand that
clients with myasthenia
graves, Guillain- Bare
syndrome, and
amyotrophic lateral
sclerosis (ALS) share in
common?
1.) Deficiencies of
essential
neurotransmitte
rs
2.) Increased risk of
respiratory
complications
3.) Progressively deterioration
until death
4.) Involuntary twitching of
small muscle groups
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A health care provider 1,2,3
determines that a
client has Myasthenia Gravis.
Which clinical findings does
the nurse expect when
completing a health history
and physical assessment?
Select all that apply.
1.) Difficulty swallowing saliva
2.) Drooping of the upper
eyelids
3.) Double vision
4.) Problems with cognition
5.) Intention tremors of the
hands
6.) Non-intention tremors of the
extremities
A client with myasthenia 4
gravis improves and is
discharged from the
hospital.
Discharge medications
include pyridostigmine
(Mestinon) 10 mg orally
every six hours. The nurse
evaluates that the drug
regimen is understood when
the client says, "I should:
1.) "drink milk with each dose of
mestinon"
2.) "take the mestinon
on an empty
stomach"
3.) "count my pulse before
taking the drug"
4.) "set my alarm clock
to take my
medication"
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A client with Guillain-Bare 1,2,4,5
Syndrome has a feeding
tube for nutrition. What
priority actions should the
nurse perform prior to
starting the tube feeding?
Select all that
apply.
1.) Raise the head of bed to 30
degrees
2.) Assess the client's bowel
sounds
3.) Don sterile gloves
4.) Check the tube placement
5.) Check the client's gastric
residual
A client with Guillain-Bare 2
syndrome has been
hospitalized for three days.
Which assessment finding
indicates a need for more
frequent monitoring?
1.) Hyperactive reflexes
2.) Ascending weakness
3.) Skin desquamation
4.) Localized seizures
A client with a 5-year history 2
of myasthenia graves is
admitted to the hospital
because of an
exacerbation. When
assessing the
client, the nurse identifies
ptosis, dysarthria,
dysphagia, and muscle
weakness. The
nurse expects what client
response?
1.) Strength improves
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immediately after meals
2.) Strength decreases
with repeated muscle
use
3.) Weakness improves with
muscle use
4.) Weakness decreases after
hot baths
The family member of a 1
client with newly diagnosed
Guillain-Bare Syndrome
comes out to the nurse's
station and informs the
nurse the client states he is
having difficulty breathing.
What is the first action the
nurse should complete?
1.) inform the family member
the nurse will be in to
assess the client
2.) Call a code, as the
client will need
endotracheal
intubation
3.) Assure the family
member this is a
normal response for
this disease
4.) Notify the health care
provider
A client is experiencing 3
diplopia, ptosis, and mild
dysphagia. Myasthenia
Gravis is diagnosed and an
anticholinergic
medication is prescribed. The
nurse is
planning care with the client
and spouse. What
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