Exam 4: NSG 4100 / NSG4100
(Latest Update 2025 / 2026) Nursing Practice - Adult Health III | Questions & Answers | Grade A | 100% Correct (Verified Solutions) - Galen
Question:
Assessment findings of myasthenia gravis
Answer:
• Diplopia
• Ptosis
• Face and Throat Muscle Weakness (Swallowing difficulty)
• Dysphonia
• Generalized Weakness
• Myasthenic Crisis-Neuromuscular Respiratory Failure 1 / 4
Question:
Antibodies directed at the acetylcholine receptor sites impair the transitions of impulses across the myoneural junction
Answer:
Myasthenia Gravis
Question:
Myasthenic Crisis
Answer:
an acute exacerbation of disease caused by inadequate amount of meds, infection fatigue or stress.
Question:
Spinal Cord Injury
Answer:
trauma to the vertebral column
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Question:
CM of spinal cord injury
Answer:
• Spinal shock occurs immediately and is characterized by temporary loss of reflexes below the level of injury • Muscles flaccid; skeletal/autonomic reflexes lost
• End of spinal shock: reflexes return, and flaccidity replaced by spasticity
• Neurogenic shock may occur after SCI due to peripheral vasodilation • Hypotension, bradycardia, and circulatory collapse can occur (life- threatening); high spinal cord injuries can affect respiratory muscles, leading to ventilatory failure
Question:
Autonomic Dysreflexia
Answer:
(potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure)
Question:
Autonomic Dysreflexia
Answer:
patients with spinal cord injuries are at risk for developing autonomic dysreflexia (T-7 or above) 3 / 4
Question:
• Inflammatory demyelinating disease of the peripheral nervous system or a lower motor neuron disorder • Segmental demyelination that is T-cell and B-cell mediated • Also known as acute idiopathic polyneuropathy or polyradiculoneuropathy • Common secondary to viruses (Campylobacter Jejuni, Cytomegalovirus, Epstein-Barr, Mycoplasma Pneumonia, H-Influenza, HIV)
Answer:
Guillain-Barre Syndrome
Question:
CM of Guillain-Barre syndrome
Answer:
• Muscle weakness that begins in the lower extremities and spreads to the proximal spinal neurons • Progressive ascending weakness or paralysis may affect respiratory muscles
Question:
Rule of Nines (adult)
Answer:
Head 9%, Back 18%, Chest 9%, Abdomen 9%, Arms 9% each, Groin 1%, Upper Leg 9% each, Lower Leg 9% each.
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