NURS 232 PEDS EXAM 3 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What is encephalitis? -(answer)inflammation or infection of the brain
What causes encephalitis? -(answer)West Nile Virus
Herpes
What are the s/s of encephalitis? -(answer)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? -(answer)lumbar puncture
EEG
CT (looks for mass)
What are N/I for encephalitis? -(answer)Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
What is the tx for encephalitis? -(answer)acyclovir
What are complications from encephalitis? -(answer)ICP that leads to herniation of brain tissue or death
,NURS 232 PEDS EXAM 3 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What is myasthenia gravis? -(answer)Autoimmune disorder that is characterized by weakness in the
muscles
What causes myasthenia gravis? -(answer)lack of Ach receptor sites, leads to lack of nerve impulses
What are s/s of myasthenia gravis? -(answer)difficulty holding up head or brushing teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
How is myasthenia gravis diagnosed? -(answer)tensillon test.
s/s improve with Edrophonium .
How does edrophonium work? -(answer)w/in 30-60sec of 1st dose, most show lots of improvement,
lasts 4-5mins
What are n/i for myasthenia gravis? -(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? -(answer)plasmapherisis
,NURS 232 PEDS EXAM 3 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
anticholinesterases (pyridostigmine) immunosuppressants
What is cholinergic crisis? -(answer)too much cholinesterase inhibitor drug
What are s/s of cholinergic crisis? -(answer)fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? -(answer)atropine
DO NOT GIVE ANTICHOLINESTERASE
What is myasthenic crisis? -(answer)too little cholinesterase inhibitor drug
What is the priority with myasthenic crisis? -(answer)resp function
What are s/s of myasthenic crisis? -(answer)increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry
What time should ChE inhibitor be given? -(answer)45-1hr before meals to avoid aspiration
, NURS 232 PEDS EXAM 3 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What can tensilon test cause? -(answer)cardiac dysrhythmias, have atropine on hand
What is nursing priority with myasthenic crisis? -(answer)maintain airway, may require to intubate
What is Guillain-Barre? -(answer)an uncommon acute inflammatory disorder that affects axons and/or
myelin sheath (neurons can't impulse)
where does Guillain Barre Syndrome start -(answer)-Starts in feet and hands (numbness, tingling)
What are causes of Guillain Barre? -(answer)bacterial infection
influenza
epstein barr
zika
What are s/s of guillain barre? -(answer)loss of reflexes
hypotension
labile BP
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What is encephalitis? -(answer)inflammation or infection of the brain
What causes encephalitis? -(answer)West Nile Virus
Herpes
What are the s/s of encephalitis? -(answer)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? -(answer)lumbar puncture
EEG
CT (looks for mass)
What are N/I for encephalitis? -(answer)Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
What is the tx for encephalitis? -(answer)acyclovir
What are complications from encephalitis? -(answer)ICP that leads to herniation of brain tissue or death
,NURS 232 PEDS EXAM 3 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What is myasthenia gravis? -(answer)Autoimmune disorder that is characterized by weakness in the
muscles
What causes myasthenia gravis? -(answer)lack of Ach receptor sites, leads to lack of nerve impulses
What are s/s of myasthenia gravis? -(answer)difficulty holding up head or brushing teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
How is myasthenia gravis diagnosed? -(answer)tensillon test.
s/s improve with Edrophonium .
How does edrophonium work? -(answer)w/in 30-60sec of 1st dose, most show lots of improvement,
lasts 4-5mins
What are n/i for myasthenia gravis? -(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? -(answer)plasmapherisis
,NURS 232 PEDS EXAM 3 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
anticholinesterases (pyridostigmine) immunosuppressants
What is cholinergic crisis? -(answer)too much cholinesterase inhibitor drug
What are s/s of cholinergic crisis? -(answer)fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? -(answer)atropine
DO NOT GIVE ANTICHOLINESTERASE
What is myasthenic crisis? -(answer)too little cholinesterase inhibitor drug
What is the priority with myasthenic crisis? -(answer)resp function
What are s/s of myasthenic crisis? -(answer)increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry
What time should ChE inhibitor be given? -(answer)45-1hr before meals to avoid aspiration
, NURS 232 PEDS EXAM 3 LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
What can tensilon test cause? -(answer)cardiac dysrhythmias, have atropine on hand
What is nursing priority with myasthenic crisis? -(answer)maintain airway, may require to intubate
What is Guillain-Barre? -(answer)an uncommon acute inflammatory disorder that affects axons and/or
myelin sheath (neurons can't impulse)
where does Guillain Barre Syndrome start -(answer)-Starts in feet and hands (numbness, tingling)
What are causes of Guillain Barre? -(answer)bacterial infection
influenza
epstein barr
zika
What are s/s of guillain barre? -(answer)loss of reflexes
hypotension
labile BP
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
