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NUR 265 Exam 1 – Questions & Accurate Answers

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NUR 265 Exam 1 – Questions & Accurate Answers

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NUR 265
Course
NUR 265

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What is encephalitis? inflammation or infection of the brain


What causes encephalitis? West Nile Virus
Herpes


What are the s/s of encephalitis? 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? lumbar puncture
EEG
CT (looks for mass)


What are N/I for encephalitis? Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli


What is the tx for encephalitis? acyclovir


What are complications from ICP that leads to herniation of brain tissue or death
encephalitis?

,What is myasthenia gravis? Autoimmune disorder that is characterized by
weakness in the muscles


What causes myasthenia gravis? lack of Ach receptor sites, leads to lack of nerve
impulses


What are s/s of myasthenia gravis? 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? tensillon test.
s/s improve with Edrophonium .


How does edrophonium work? w/in 30-60sec of 1st dose, most show lots of
improvement, lasts 4-5mins


What are n/i for myasthenia gravis? 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? plasmapherisis
anticholinesterases (pyridostigmine)
immunosuppressants


What is cholinergic crisis? too much cholinesterase inhibitor drug


What are s/s of cholinergic crisis? fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia

, What is tx for cholinergic crisis? atropine
DO NOT GIVE ANTICHOLINESTERASE


What is myasthenic crisis? too little cholinesterase inhibitor drug


What is the priority with myasthenic resp function
crisis?


What are s/s of myasthenic crisis? increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry


What time should ChE inhibitor be 45-1hr before meals to avoid aspiration
given?


What can tensilon test cause? cardiac dysrhythmias, have atropine on hand


What is nursing priority with maintain airway, may require to intubate
myasthenic crisis?


What is Guillain-Barre? an uncommon acute inflammatory disorder that
affects axons and/or myelin sheath (neurons can't
impulse)


where does Guillain Barre Syndrome -Starts in feet and hands (numbness, tingling)
start


What are causes of Guillain Barre? bacterial infection
influenza
epstein barr
zika

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