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2024 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST BANK 150+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES $12.49   Add to cart

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2024 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST BANK 150+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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2024 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST BANK 150+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES A patient with myasthenia gravis is admitted to the hospital with respiratory insufficiency and severe weakness. When is a diagnosis of cholinergic crisis made? a. The patient's res...

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  • September 18, 2024
  • 364
  • 2024/2025
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  • 2024 MED SURG
  • 2024 MED SURG
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024


2024 MED SURG CAPSTONE PROCTOR EXAM LATEST
TEST BANK 150+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES



A patient with myasthenia gravis is admitted to the hospital with respiratory insufficiency

and severe weakness. When is a diagnosis of cholinergic crisis made?




a. The patient's respiration is impaired because of muscle weakness.

b. Administration of edrophonium (Tensilon) increases muscle weakness.

c. Administration of edrophonium (Tensilon) results in improved muscle contractility.

d. EMG reveals decreased response to repeated stimulation of muscles. - Answer✔️✔️-b.

The reduction of the acetylcholine (ACh) effect in myasthenia gravis (MG) is treated with

anticholinesterase drugs, which prolong the action of ACh at the neuromuscular

synapse, but too much of these drugs will cause a cholinergic crisis with symptoms very

similar to those of MG. To determine whether the patient's manifestations are due to a

deficiency of ACh or to too much anticholinesterase drug, the anticholinesterase drug

edrophonium chloride (Tensilon) is administered. If the patient is in cholinergic crisis,

the patient's symptoms will worsen; if the patient is in a myasthenic crisis, the patient

will improve.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
During care of a patient in myasthenic crisis, maintenance of what is the nurse's first

priority for the patient?



a. Mobility

b. Nutrition

c. Respiratory function

d. Verbal communication - Answer✔️✔️-c.

The patient in myasthenic crisis has severe weakness and fatigability of all skeletal

muscles, affecting the patient's ability to breathe, swallow, talk, and move. However, the

priority of nursing care is monitoring and maintaining adequate ventilation.

When providing care for a patient with ALS, the nurse recognizes what as one of the

most distressing problems experienced by the patient?



a. Painful spasticity of the 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

- Answer✔️✔️-b.

In ALS there is gradual degeneration of motor neurons with extreme muscle wasting

from lack of stimulation and use. However, cognitive function is not impaired and

patients feel trapped in a dying body. Chorea manifested by writhing, involuntary

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
movements is characteristic of HD. As an autosomal dominant genetic disease, HD also

has a 50% chance of being passed to each offspring.

In providing care for patients with chronic, progressive neurologic disease, what is the

major goal of treatment that the nurse works toward?



a. Meet the patient's 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. - Answer✔️✔️-c.

Many chronic neurologic diseases involve progressive deterioration in physical or

mental capabilities and have no cure, with devastating results for patients and families.

Health care providers can only attempt to alleviate physical symptoms, prevent

complications, and assist patients in maximizing function and self-care abilities for as

long as possible.

The nurse determines that teaching about management of migraine headaches has

been effective when the patient says which of the following?



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." -

Answer✔️✔️-C.

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
It is recommended that the patient with a migraine rest in a dark, quiet area. Topiramate

(Topamax) is used to prevent migraines and must be taken for several months to

determine effectiveness. Aspirin or other nonsteroidal antiinflammatory medications can

be taken with the triptans. Alcohol may precipitate migraine headaches.

A patient who is having an acute exacerbation of multiple sclerosis has a 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? -

Answer✔️✔️-2.56. With a concentration of 125 mg/2 mL, the nurse will need to

administer 2.56 mL to obtain 160 mg of methylprednisolone.

The nurse will assess a 67-year-old patient who is experiencing a cluster headache for



a. nuchal rigidity.

b. unilateral ptosis.

c. projectile vomiting.

d. throbbing, bilateral facial pain. - Answer✔️✔️-B.

Unilateral eye edema, tearing, and ptosis are characteristic of cluster headaches.

Nuchal rigidity suggests meningeal irritation, such as occurs with meningitis. Although

nausea and vomiting may occur with migraine headaches, projectile vomiting is more

consistent with increased intracranial pressure (ICP). Unilateral sharp, stabbing pain,

rather than throbbing pain, is characteristic of cluster headaches.

While the nurse is transporting a patient on a stretcher to the radiology department, the

patient begins having a tonic-clonic seizure. Which action should the nurse take?

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