Question 1

Which statement by the patient with myasthenia gravis indicates the need for further teaching?

Accepted Answer

A) "My weakness will get worse when I exercise too much." 
B) "It is important that I take my medications 30 minutes before or after eating." 
C) "My eyes will get tired if I read too much." 
D) "I need to wait for 30 minutes after taking medication to eat or drink." 
A) "My weakness will get worse when I exercise too much." 
B) "It is important that I take my medications 30 minutes before or after eating." 
C) "My eyes will get tired if I read too much." 
D) "I need to wait for 30 minutes after taking medication to eat or drink."

Question 2

A patient with trigeminal neuralgia asks if there are any nonpharmacological strategies to treat the pain. What should the nurse suggest to this patient?

Accepted Answer

A) Massage 
B) Apply heat 
C) Apply cold 
D) Acupuncture 
A) Massage 
B) Apply heat 
C) Apply cold 
D) Acupuncture

Question 3

A patient being evaluated for Guillain-Barré syndrome (GBS) presents with bilateral symmetrical muscle weakness and sensory changes of both feet and legs. The nurse correlates which key finding to this disease process?

Accepted Answer

A) Areflexia 
B) Hyperreflexia 
C) Hypothermia 
D) Hyperanalgesia 
A) Areflexia 
B) Hyperreflexia 
C) Hypothermia 
D) Hyperanalgesia

Question 4

The nurse provides education to a patient who is diagnosed with trigeminal neuralgia. Which patient statement indicates the need for additional teaching?

Accepted Answer

A) "Baclofen may be prescribed to decrease pain." 
B) "I should avoid cold weather as it may trigger increased pain." 
C) "I should eat foods that are easily chewed to avoid weight loss." 
D) "Carbamazepine may be prescribed to decrease my risk for seizure activity." 
A) "Baclofen may be prescribed to decrease pain." 
B) "I should avoid cold weather as it may trigger increased pain." 
C) "I should eat foods that are easily chewed to avoid weight loss." 
D) "Carbamazepine may be prescribed to decrease my risk for seizure activity."

Question 5

A patient who weighs 176 lbs. is prescribed intravenous immunoglobulin 2 g/kg to be infused over 3 days. How many grams of the medication should the nurse have sent from the pharmacy? Record your answer as a whole number. ______

Accepted Answer

The answer of A patient who weighs 176 lbs. is...

Question 6

The nurse correlates which clinical manifestations to the patient diagnosed with Guillain-Barré syndrome (GBS)? What should the nurse expect to assess during the acute stage of this syndrome?
Select all that apply.

Accepted Answer

A) Decreased level of consciousness 
B) Hypotension 
C) Difficulty breathing 
D) Dysphagia 
E) Numbness and tingling 
A) Decreased level of consciousness 
B) Hypotension 
C) Difficulty breathing 
D) Dysphagia 
E) Numbness and tingling

Question 7

The nurse is reviewing discharge instructions for a patient with myasthenia gravis. What should the nurse emphasize regarding medications?

Accepted Answer

A) Keep extra doses of medication in the car. 
B) Store extra doses of medication in the refrigerator. 
C) Take an extra dose of medication if a dose is missed . 
D) Pack prescribed medications in a suitcase before departing to ensure they arrive. 
A) Keep extra doses of medication in the car. 
B) Store extra doses of medication in the refrigerator. 
C) Take an extra dose of medication if a dose is missed . 
D) Pack prescribed medications in a suitcase before departing to ensure they arrive.

Question 8

The nurse provides care for a patient diagnosed with myasthenia gravis (MG). Which is the priority when administering the prescribed dose of pyridostigmine (Mestinon)?

Accepted Answer

A) Administering the medication on awakening in the morning 
B) Monitoring the patient for increased secretions 
C) Administering the medication 30 to 60 minutes before each meal 
D) Teaching the patient not to crush or chew the sustained-release form of medication 
A) Administering the medication on awakening in the morning 
B) Monitoring the patient for increased secretions 
C) Administering the medication 30 to 60 minutes before each meal 
D) Teaching the patient not to crush or chew the sustained-release form of medication

Question 9

A patient with Guillain-Barré syndrome (GBS) is receiving plasmapheresis. The nurse monitors this patient for which complication of this treatment?

Accepted Answer

A) Septicemia 
B) Flu-like symptoms 
C) Aseptic meningitis 
D) Acute renal failure 
A) Septicemia 
B) Flu-like symptoms 
C) Aseptic meningitis 
D) Acute renal failure

Question 10

A patient with Guillain-Barré syndrome (GBS) asks how the illness develops. What should the nurse respond about the pathophysiology of the disorder?

Accepted Answer

A) "An infection destroys the nerve endings." 
B) "An infection enters the spinal cord and erodes the nerves at the roots." 
C) "The nerves are killed by infiltration of your body's white blood cells used to fight an infection." 
D) "The covering of nerves that help conduct impulses is damaged." 
A) "An infection destroys the nerve endings." 
B) "An infection enters the spinal cord and erodes the nerves at the roots." 
C) "The nerves are killed by infiltration of your body's white blood cells used to fight an infection." 
D) "The covering of nerves that help conduct impulses is damaged."

Exam 38: Coordinating Care for Patients With Peripheral Nervous System Disorders

Which statement by the patient with myasthenia gravis indicates the need for further teaching?

A patient with trigeminal neuralgia asks if there are any nonpharmacological strategies to treat the pain. What should the nurse suggest to this patient?

A patient being evaluated for Guillain-Barré syndrome (GBS) presents with bilateral symmetrical muscle weakness and sensory changes of both feet and legs. The nurse correlates which key finding to this disease process?

The nurse provides education to a patient who is diagnosed with trigeminal neuralgia. Which patient statement indicates the need for additional teaching?

A patient who weighs 176 lbs. is prescribed intravenous immunoglobulin 2 g/kg to be infused over 3 days. How many grams of the medication should the nurse have sent from the pharmacy? Record your answer as a whole number. ______

The nurse correlates which clinical manifestations to the patient diagnosed with Guillain-Barré syndrome (GBS)? What should the nurse expect to assess during the acute stage of this syndrome? Select all that apply.

The nurse is reviewing discharge instructions for a patient with myasthenia gravis. What should the nurse emphasize regarding medications?

The nurse provides care for a patient diagnosed with myasthenia gravis (MG). Which is the priority when administering the prescribed dose of pyridostigmine (Mestinon)?

A patient with Guillain-Barré syndrome (GBS) is receiving plasmapheresis. The nurse monitors this patient for which complication of this treatment?

A patient with Guillain-Barré syndrome (GBS) asks how the illness develops. What should the nurse respond about the pathophysiology of the disorder?

Foundations for Medical-Surgical Nursing

Interprofessional Collaboration and Care Coordination

Cultural Considerations

Ethical Concepts

Palliative Care and End-Of-Life Issues

Geriatric Implications for Medical-Surgical Nursing

Oxygen Therapy Management

Fluid and Electrolyte Management

Acidbase Balance

Overview of Infusion Therapies

Pain Management

Complementary and Alternative Care Initiatives

Overview of Cancer Care

Overview of Shock and Sepsis

Priorities for the Preoperative Patient

Priorities for the Intraoperative Patient

Priorities for the Postoperative Patient

Assessment of Immune Function

Coordinating Care for Patients With Immune Disorders

Coordinating Care for Patients With Connective Tissue Disorders

Coordinating Care for Patients With Multidrug-Resistant Organism Infectious Disorders

Coordinating Care for Patients With Hiv

Assessment of Respiratory Function

Coordinating Care for Patients With Infectious Respiratory Disorders

Coordinating Care for Patients With Upper Airway Disorders

Coordinating Care for Patients With Lower Airway Disorders

Coordinating Care for Critically Ill Patients With Respiratory Dysfunction

Assessment of Cardiovascular Function

Coordinating Care for Patients With Cardiac Dysrhythmia

Coordinating Care for Patients With Cardiac Disorders

Coordinating Care for Patients With Vascular Disorders

Coordinating Care for Critically Ill Patients With Cardiovascular Dysfunction

Assessment of Hematological Function

Coordinating Care for Patients With Hematological Disorders

Assessment of Neurological Function

Coordinating Care for Patients With Brain Disorders

Coordinating Care for Patients With Spinal Cord Disorders

Coordinating Care for Critically Ill Patients With Neurological Dysfunction

Assessment of Endocrine Function

Coordinating Care for Patients With Pituitary Disorders

Coordinating Care for Patients With Adrenal Disorders

Coordinating Care for Patients With Thyroid and Parathyroid Disorders

Coordinating Care for Patients With Diabetes Mellitus

Assessment of Visual Function

Coordinating Care for Patients With Visual Disorders

Assessment of Auditory Function

Coordinating Care for Patients With Hearing Disorders

Assessment of Integumentary Function

Coordinating Care for Patients With Skin Disorders

Coordinating Care for Patients With Burns

Assessment of Musculoskeletal Function

Coordinating Care for Patients With Musculoskeletal Disorders

Coordinating Care for Patients With Musculoskeletal Trauma

Assessment of Gastrointestinal Function

Coordinating Care for Patients With Oral and Esophageal Disorders

Coordinating Care for Patients With Stomach Disorders

Coordinating Care for Patients With Intestinal Disorders

Coordinating Care for Patients With Hepatic Disorders

Coordinating Care for Patients With Biliary and Pancreatic Disorders

Assessment of Renal and Urinary Function

Coordinating Care for Patients With Renal Disorders

Coordinating Care for Patients With Urinary Disorders

Assessment of Reproductive Function

Coordinating Care for Female Patients With Reproductive and Breast Disorders

Coordinating Care for Male Patients With Reproductive and Breast Disorders

Coordinating Care for Patients With Sexually Transmitted Infection

Managing Care for the Adult Patient With Obesity

Substance Use Disorders in the Adult Population

Emergency, Trauma, and Environmental Injuries