NUR 265 Exam 3 Questions With 100% Verified Answers.
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Course
NUR 265
Institution
NUR 265
NUR 265 Exam 3 Questions With 100%
Verified Answers.
What is encephalitis? - answerinflammation or infection of the brain
What causes encephalitis? - answerWest Nile Virus
Herpes
What are the s/s of encephalitis? - answerHigh fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobi...
NUR 265 Exam 3 Questions With 100%
Verified Answers.
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
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
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
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
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