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RNSG 1443 Final Exam Review Questions And Answers Latest Update
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RNSG 1443 Final Exam Review Questions And Answers Latest Update
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Solution 2024/2025Pepper
RNSG 1443 Final Exam Review Questions And
Answers Latest Update
What should be included in the pre-op checklist? ANS✔✔ no nail polish,
jewelry, dentures, contacts
get consent formed signed
IV start
NPO
tell patient to NOT shave
Role of circulating nurse in the OR ANS✔✔ guardian of the pt
get consent
non sterile member
count items
chart
gather supplies
Role of scrub nurse in the OR ANS✔✔ guardian of the sterile field
sterile member
count items
pass to surgeon
Typical MS patient ANS✔✔ woman, young-middle aged
, Solution 2024/2025
Pepper
What is MS? ANS✔✔ When the body attacks its own nerve cells, destroys
myelin sheaths and replaces them with plaques
When will an MS patient experience s/s? ANS✔✔ Depends on the type.
Relapsing-Remitting = recovery with each remission
Primary-Progressive = slow steady progression
Secondary-Progressive (start with relaps-remit then turns into progressive)
Progressive-Relapsing (progression with exacerbation and no remission)
What are the S/S of MS? ANS✔✔ First sign = muscle weakness in extremities
(like a dragging foot)
weakness, tremors, Lhermitte's Sign, double vision, dysphagia, flaccid
bladder
What exacerbates MS S/S? ANS✔✔ heat, infection, stress, environmental
triggers
How is MS diagnosed? ANS✔✔ MRI will show plaques on myelin sheaths, rule
out other causes
Describe the nursing interventions for a patient with MS ANS✔✔ avoid
extreme heat
take naps during the day
teach pt to self cath
encourage exercise
, Solution 2024/2025
Pepper
What is Myasthenia Gravis? ANS✔✔ Autoimmune neurmuscular disorder
where body attacks it's acetylcholine receptors, preventing muscles from
moving
What are the signs of myasthenia gravis? ANS✔✔ facial muscle weakness
good muscle strength in morning that weakens throughout the day
dysphagia
ptosis (drooping eyelid)
weak voice
respiratory failure!
How is myasthenia gravis diagnosed? ANS✔✔ Tensillon test (adminsiter
Edrophonium and if symptoms improve, test result is +)
CT/MRI will show enlarged/tumorous thymus
What is the antidote for the tensillon test? ANS✔✔ Atropine
What are some nursing interventions for a patient with myasthenia gravis?
ANS✔✔ complete activities in the morning
monitor/maintain resp status
prevent aspiration
What causes a myasthenic crisis? ANS✔✔ increased stress: infection, etc
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