Term
| The disease process that results from the breakdown of the myelin sheath is |
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Definition
|
|
Term
| Neostigmine (Prostigmin): side effect |
|
Definition
|
|
Term
|
Definition
Salivation,
Lacrimation,
Urination,
Diarrhea,
Gastrointestinal cramping,
Emesis |
|
|
Term
| The antidote for Neostigmine, Pyridostigmine and Edrophonium is |
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Definition
|
|
Term
| The disease process that results from a reduced number of ACh receptors is |
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Definition
|
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Term
| Current thought is that myesthenia gravis is caused by a |
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Definition
|
|
Term
| In MG, the muscles are strongest |
|
Definition
|
|
Term
| The classic sign of MG is |
|
Definition
| ptosis, drooping eyelids. |
|
|
Term
| Leading cause of death from MG is |
|
Definition
|
|
Term
| Insufficient medication for treating MG can result in |
|
Definition
| myesthenic crisis, indicated by sudden onset of muscle weakness. |
|
|
Term
| Overmedication for MG can result in |
|
Definition
|
|
Term
| The difference in symptoms of myesthenic crisis and cholinergic crisis is |
|
Definition
| salivation in cholinergic crisis. |
|
|
Term
| Atropine would be used as |
|
Definition
| an antidote for cholinergic crisis. |
|
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Term
| A patient is asked to look upward for a few minutes. After a while, the eyelids droop closed. After a brief rest, the patient can open his eyelids again. This indicates |
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Definition
|
|
Term
| A key point in timing myesthenia gravis treatment meds is to |
|
Definition
| time the medication according to need for maximum muscle strength. |
|
|
Term
| Dietary concerns for MG patients includes |
|
Definition
| increased caloric intake. |
|
|
Term
| Inappropriate emotional outbursts may be a sign of |
|
Definition
| ALS (Lou Gehrig's disease). |
|
|
Term
| Med used for muscle cramps associated with ALS. |
|
Definition
|
|
Term
| The drug that helps reduce motor neuron damage in ALS is |
|
Definition
|
|
Term
| Riluzole may help the ALS patient |
|
Definition
| live a few months longer. |
|
|
Term
| Drugs used to treat muscle spasticity in ALS are |
|
Definition
|
|
Term
| Early symptoms of ALS include |
|
Definition
- progressive muscle weakness
- decreased coordination of limbs and trunk
- muscle twitching |
|
|
Term
| Late symptoms of ALS include |
|
Definition
- communication problems
- compromised pulmonary function |
|
|
Term
| Guillain-Barré syndrome (GBS) is also called |
|
Definition
acute inflammatory
polyneuropathy. |
|
|
Term
Acute inflammatory
polyneuropathy is also called |
|
Definition
| Guillain-Barré syndrome (GBS). |
|
|
Term
|
Definition
| abrupt onset of symmetrical paresis that progresses to paralysis. |
|
|
Term
| The disease process of Guillain-Barré syndrome involves |
|
Definition
| an inflammatory reaction that destroys the myelin sheath of spinal and cranial nerves. |
|
|
Term
| Symptomatically, what sets Guillain-Barré syndrome apart from other neurogenic disorders is |
|
Definition
| it progresses symmetrically, either upward or downward. |
|
|
Term
|
Definition
| Interferon therapy for for treatment of MS. |
|
|
Term
|
Definition
| steroid treatments for MS. |
|
|
Term
|
Definition
| immunosuppressants for MS. |
|
|
Term
| Dilantin and Tegretal are |
|
Definition
| anticonvulsants used for MS and trigeminal neuralgia. |
|
|
Term
| Symmetrel and zovirax are |
|
Definition
| antiviral agents used for MS. |
|
|
Term
| Valium, Zanaflex and Baclofen are |
|
Definition
|
|
Term
| Rydidostigmine, neostigmine, prednisone and mestimon are |
|
Definition
| anticholinesterase agents for MG. |
|
|
Term
| Baclofen, valium and quinine are |
|
Definition
| antispasmotics for amniotrophic lateral sclerosis (ALS). |
|
|
Term
| Trigeminal neuralgia involves the |
|
Definition
| 5th cranial (trigeminal) nerve. |
|
|
Term
Trigeminal neuralgia affects
A) sensory
B) motor
C) both
D) neither |
|
Definition
|
|
Term
| Tic douloreaux affects which part(s) of the body? |
|
Definition
| - face (forehead, nose, cheek, gums, jaw) |
|
|
Term
| The hallmark sign of trigeminal neuralgia is |
|
Definition
|
|
Term
| Areas that the trigeminal neuralgia patient are affected by the most are called |
|
Definition
|
|
Term
| A skinny, dirty, hairy, crying, quiet person with bad breath probably has |
|
Definition
|
|
Term
| Baclofen, clonazepam, gabapentin, and valproic acid users must monitor |
|
Definition
| CBCs for bone marrow suppression. |
|
|
Term
| Nursing interventions for corneal-affected trigeminal neuralgia patients would include |
|
Definition
| use of eye patches and artificial tears. |
|
|
Term
| Which cranial nerve is affected by Bell's palsy? |
|
Definition
|
|
Term
| The first sign of Bell's palsy may be |
|
Definition
|
|
Term
A client is having a lumbar puncture performed. The nurse would place the client in which position for the procedure?
A) supine, in semi-Fowler's
B) Prone, in slight Trendelenburg's
C) Prone, with a pillow under the abdomen
D) side-lying, with legs pulled up and head bent down onto the chest |
|
Definition
| D) side-lying, with legs pulled up and head bent down onto the chest |
|
|
Term
A client has just undergone computerized tomography (CT) scanning with a contrast medium. The nurse determines that the client understands postprocedure care if the client verbalizes that he will:
A) drink extra fluids for the day.
B) Hold medications for at least 4 hours.
C) Eat lightly for the remainder of the day.
D) Rest quietly for the remainder of the day. |
|
Definition
| A) drink extra fluids for the day. |
|
|
Term
A nurse is planning care for the client with hemiparesis of the right arm and leg. The nurse incorporates in the care plan placement of objects:
A) within the client's reach, on the right side
B) Within the client's reach, on the left side
C) just out of the clients reach, on the left side
D) just out of the client's reach, on the right side. |
|
Definition
| B) Within the client's reach, on the left side |
|
|
Term
A client has experienced an episode of myasthenic crisis. The nurse collects data to determine whether the client has precipitating factors such as
A) Too little exercise
B) Omitted doses of medication
C) increased doses of medication
D) Increased intake of fatty foods |
|
Definition
B) Omitted doses of medication |
|
|
Term
| A nurse has given suggestions to the client with trigeminal neuralgia about strategies to minimize episodes of pain. the nurse determines that the client needs additional information if the client made which of the following statements? A) "I will wash my face with cotton pads." B) "I'll have to start chewing on the unaffected side." C) "I should rinse my mouth if toothbrushing is painful." D) "I will try to eat my food either very warm or very cold." |
|
Definition
| D) "I will try to eat my food either very warm or very cold." |
|
|
Term
A client has an impairment of cranial nerve II. Specific to this impairment, the nurse would plan to do which of the following to ensure client safety?
A) Speak loudly to the client.
B) Test the temperature of the shower water.
C) Check the temperature of the food on the dietary tray.
D) provide a clear path for ambulation without obstacles. |
|
Definition
| D) provide a clear path for ambulation without obstacles. |
|
|
Term
A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following would indicate that this crisis exists?
A) Ataxia
B) Mouth sores
C) Hypotension
D) Hypertension |
|
Definition
|
|
Term
A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for signs ad symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs?
A) Vitamin K
B) Atropine sulfate
C) protamine sulfate
D) Acetylcysteine (Mucomyst) |
|
Definition
|
|
Term
A client with myasthenia gravis becomes increasingly weaker. The physician prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or to increasing severity of the disease (myasthenic crisis). An injection of edrophonium (Tensilon) is administered. Which of the following would indicate that the client is in cholinergic crisis?
A) No change in the condition
B) Complaints of muscle spasms
C) A improvement of the weakness
D) A temporary worsening of the condition |
|
Definition
| D) A temporary worsening of the condition |
|
|
Term
| Phenytoin (Dilantin) has been prescribed for a client for seizure control. The nurse provides instructions regarding the medication to the client. Which statement by the client would indicate an understanding of the instructions? A) "I will use a soft toothbrush to brush my teeth." B) "It's all right to break the capsules to make it easier for me to swallow them." C) "If I forget to take my medication, I can wait until the next dose and eliminate that dose." D) "If my throat becomes sore, it's a normal effect of the medication and it's nothing to be concerned about." |
|
Definition
| A) "I will use a soft toothbrush to brush my teeth." |
|
|
Term
| A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which laboratory result would indicate that the client is experiencing an adverse reaction to the medication? A) Na = 140 B) Uric acid = 5.0 C) WBC = 3000 D) BUN = 15 |
|
Definition
|
|
Term
A nurse is caring for a client receiving morphine sulfate subcutaneously for pain. Because morphine sulfate has been prescribed for this client, which nursing action would be included in the plan of care?
A) Encourage fluid intake.
B) Monitor the client's temperature.
C) Maintain the client in a supine position
D) Encourage the client to cough and deep breathe. |
|
Definition
| D) Encourage the client to cough and deep breathe. |
|
|
Term
A client with trigeminal neuralgia tells the nurse that acetaminophen (Tylenol) is taken on a frequent daily basis for relief of generalized discomfort. The nurse reviews the client's laboratory results and determines that which of the following indicates toxicity associated with the medication?
A) Na = 140
B) PT = 12
C) PLTC = 4000,000
D) Direct bilirubin = 2 |
|
Definition
|
|
Term
| Onset for Guillain-Barré syndrome lasts |
|
Definition
|
|
Term
| The plateau stage of Guillain-Barré syndrome lasts |
|
Definition
|
|
Term
| The remyelination stage of Guillain-Barré syndrome lasts |
|
Definition
|
|
Term
| Name the three stages of Guillain-Barré syndrome. |
|
Definition
1. Onset
2. Plateau
3. Remyelination |
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|
