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2024 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST BANK 150+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/CAPSTONE MED SURG TEST BANK$15.99
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2024 MED SURG CAPSTONE PROCTOR EXAM
LATEST TEST BANK 150+ QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES/CAPSTONE MED SURG TEST BANK
Terms in this set (1085)
A patient with myasthenia b.
gravis is admitted to the The reduction of the acetylcholine (ACh) effect in
hospital with respiratory myasthenia gravis (MG) is treated with anticholinesterase
insufficiency and severe drugs, which prolong the action of ACh at the
weakness. When is a neuromuscular synapse, but too much of these drugs will
diagnosis of cholinergic cause a cholinergic crisis with symptoms very similar to
crisis made? those of MG. To determine whether the patient's
manifestations are due to a deficiency of ACh or to too
a. The patient's respiration is much anticholinesterase drug, the anticholinesterase
impaired because of muscle drug edrophonium chloride (Tensilon) is administered. If
weakness. the patient is in cholinergic crisis, the patient's symptoms
b. Administration of will worsen; if the patient is in a myasthenic crisis, the
edrophonium (Tensilon) patient will improve.
increases muscle weakness.
c. Administration of
edrophonium (Tensilon)
results in improved muscle
contractility.
d. EMG reveals decreased
response to repeated
stimulation of muscles.
,During care of a patient in c.
myasthenic crisis, The patient in myasthenic crisis has severe weakness and
maintenance of what is the fatigability of all skeletal muscles, affecting the patient's
nurse's first priority for the ability to breathe, swallow, talk, and move. However, the
patient? priority of nursing care is monitoring and maintaining
adequate ventilation.
a. Mobility
b. Nutrition
c. Respiratory function
d. Verbal communication
When providing care for a b.
patient with ALS, the nurse In ALS there is gradual degeneration of motor neurons
recognizes what as one of with extreme muscle wasting from lack of stimulation
the most distressing and use. However, cognitive function is not impaired and
problems experienced by patients feel trapped in a dying body. Chorea manifested
the patient? by writhing, involuntary movements is characteristic of
HD. As an autosomal dominant genetic disease, HD also
a. Painful spasticity of the has a 50% chance of being passed to each offspring.
face and extremities
b. Retention of cognitive
function with total
degeneration of motor
function
c. Uncontrollable writhing
and twisting movements of
the face, limbs, and body
d. Knowledge that there is a
50% chance the disease has
been passed to any
offspring
,In providing care for c.
patients with chronic, Many chronic neurologic diseases involve progressive
progressive neurologic deterioration in physical or mental capabilities and have
disease, what is the major no cure, with devastating results for patients and families.
goal of treatment that the Health care providers can only attempt to alleviate
nurse works toward? physical symptoms, prevent complications, and assist
patients in maximizing function and self-care abilities for
a. Meet the patient's as long as possible.
personal care needs.
b. Return the patient to
normal neurologic function.
c. Maximize neurologic
functioning for as long as
possible.
d. Prevent the development
of additional chronic
diseases.
The nurse determines that C.
teaching about It is recommended that the patient with a migraine rest in
management of migraine a dark, quiet area. Topiramate (Topamax) is used to
headaches has been prevent migraines and must be taken for several months
effective when the patient to determine effectiveness. Aspirin or other nonsteroidal
says which of the following? antiinflammatory medications can be taken with the
triptans. Alcohol may precipitate migraine headaches.
a. "I can take the (Topamax)
as soon as a headache
starts."
b. "A glass of wine might
help me relax and prevent a
headache."
c. "I will lie down
someplace dark and quiet
when the headaches begin."
d. "I should avoid taking
aspirin and sumatriptan
(Imitrex) at the same time."
, A patient who is having an 2.56. With a concentration of 125 mg/2 mL, the nurse will
acute exacerbation of need to administer 2.56 mL to obtain 160 mg of
multiple sclerosis has a methylprednisolone.
prescription for
methylprednisolone (Solu-
Medrol) 160 mg IV. The
label on the vial reads:
methylprednisolone 125 mg
in 2 mL. How many mL will
the nurse administer?
The nurse will assess a 67- B.
year-old patient who is Unilateral eye edema, tearing, and ptosis are
experiencing a cluster characteristic of cluster headaches. Nuchal rigidity
headache for suggests meningeal irritation, such as occurs with
meningitis. Although nausea and vomiting may occur
a. nuchal rigidity. with migraine headaches, projectile vomiting is more
b. unilateral ptosis. consistent with increased intracranial pressure (ICP).
c. projectile vomiting. Unilateral sharp, stabbing pain, rather than throbbing
d. throbbing, bilateral facial pain, is characteristic of cluster headaches.
pain.
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