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NUR 265 Exam 3 Latest Update Questions and Answers A Graded
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NUR 265 Exam 3 Latest Update 2023/2024 87 Questions and Answers A+ Graded What is encephalitis? What causes encephalitis? What are the s/s of encephalitis? What is used to dx encephalitis? What are N/I for encephalitis? What is the tx for encephalitis? What are complications from enceph...

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  • March 5, 2024
  • 35
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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NUR 265 Exam 3 Latest Update 2023/2024 87
Questions and Answers A+ Graded

1). What is encephalitis?

 Ans: inflammation or infection of the brain


2). What causes encephalitis?

 Ans: West Nile Virus
Herpes


3). What are the s/s of encephalitis?

 Ans: High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)


4). What is used to dx encephalitis?

 Ans: lumbar puncture
EEG
CT (looks for mass)


5). What are n/i for encephalitis?

 Ans: Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli


6). What is the tx for encephalitis?

 Ans: acyclovir




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, 7). What are complications from encephalitis?

 Ans: ICP that leads to herniation of brain tissue or death


8). What is myasthenia gravis?

 Ans: Autoimmune disorder that is characterized by weakness in the muscles


9). What causes myasthenia gravis?

 Ans: lack of Ach receptor sites, leads to lack of nerve impulses


10). What are s/s of myasthenia gravis?

 Ans: difficulty holding up head or brushing teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste


11). How is myasthenia gravis diagnosed?

 Ans: tensillon test.
s/s improve with Edrophonium .


12). How does edrophonium work?

 Ans: w/in 30-60sec of 1st dose, most show lots of improvement, lasts 4-5mins


13). What are n/i for myasthenia gravis?

 Ans: assess adls, speech & facial weakness
resp support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility




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, 14). What is tx for myasthenia gravis?

 Ans: plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants


15). What is cholinergic crisis?

 Ans: too much cholinesterase inhibitor drug


16). What are s/s of cholinergic crisis?

 Ans: fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia


17). What is tx for cholinergic crisis?

 Ans: atropine
DO NOT GIVE ANTICHOLINESTERASE


18). What is myasthenic crisis?

 Ans: too little cholinesterase inhibitor drug


19). What is the priority with myasthenic crisis?

 Ans: resp function


20). What are s/s of myasthenic crisis?

 Ans: increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry




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, 21). What time should che inhibitor be given?

 Ans: 45-1hr before meals to avoid aspiration


22). What can tensilon test cause?

 Ans: cardiac dysrhythmias, have atropine on hand


23). What is nursing priority with myasthenic crisis?

 Ans: maintain airway, may require to intubate


24). What is guillain-barre?

 Ans: an uncommon acute inflammatory disorder that affects axons and/or myelin
sheath (neurons can't impulse)


25). Where does guillain barre syndrome start

 Ans: -Starts in feet and hands (numbness, tingling)


26). What are causes of guillain barre?

 Ans: bacterial infection
influenza
epstein barr
zika


27). What are s/s of guillain barre?

 Ans: loss of reflexes
hypotension
labile BP
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
tachycarida




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