NUR 2755 Multidimensional Care IV
MDC IV – Exam 1
What type of paralysis does myasthenia gravis cause?
Correct Answer:
Descending paralysis
What are the s/s of myasthenia gravis?
Correct Answer:
Ptosis, diplopia, extremity weakness worse with exercise, respiratory difficulty
A patient has myasthenia gravis. What education should the patient be given based on medication?
Correct Answer:
Take meds before activity, up to 1 hr before
Too much Ach=
Correct Answer:
cholinergic crisis
- / 3
Too little Ach=
Correct Answer:
myasthenia crisis
What medication do we give to correct a myasthenia crisis?
Correct Answer:
endrophonium
What medication do we give to correct a cholinergic crisis?
Correct Answer:
Atropine
What is bells palsy often confused with?
Correct Answer:
Stroke
What type of CT should we give a stroke patient and why?
Correct Answer:
W/O contrast as we need the scan quickly
How to we diagnose myasthenia gravis?
Correct Answer:
Tensillion test 2 / 3
What is a hemorrhagic stroke?
Correct Answer:
A stroke caused by bleeding into the brain from trauma or ruptured blood vessel
S/S one is having hemorrhagic stroke?
Correct Answer:
Headache
What actions should be taken with a patient with a hemorrhagic stroke?
Correct Answer:
Control BP
What is a precursor to an ischemic stroke?
Correct Answer:
transient ischemic attack
What is a cause of an ischemic stroke?
Correct Answer:
A fib
- / 3