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lovely_nat
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The health care team is caring for a pt w/ advanced Alzheimer disease a new Nx has never cared for a pt w/ advanced alzheimer's disease what key points should you use to teach this new Nx?
Teach the new Nx that an Alzheimer's pt is at high risk for injury due to impaired memory and judgement
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Most common cause of dementia in an elderly pt?
Alzheimer's disease
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What is the most important thing to keep at the bed side of a pt w/ multiple sclerosis (ms)?
Suction machine and catheters (because these pt's can't swallow)
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Which drug is used to test for a pt w/ Myasthenia gravis disease (mg)?
Endrophonium (Tensilon)
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What Nx intervention will prevent a pt for Autonomic Dysreflexia?
Monitor the patency of the indwelling catheter
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Pt is under going a test for Myasthenia gravis disease what is the medication will be used?
Endrophonium (Tensilon)
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To minimize a complication of Myasthenia gravis disease in a pt the Nx should assess which of the following?
Respiratory status (because they cant breath)
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Pt has Myasthenia gravis disease the pt is taking Mestinon (pyridostigmine) what is a s/e that the pt can experience?
Abdominal cramps (common)
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Pt w/ Parkinson disease when teaching about Carbidopa-Levodopa (Sinemet) what should you include?
be aware that your urine it will appear darker than usual
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Pt is taking Carbidopa-Levodopa (Sinement) for a year which clinical manifestation will be most critical to report?
Plasmatic eye winking
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A client who cares for a parent w/ Alzheimer's feels guilty because at times they wish their parent will die. what will be an appropriate response by the Nx?
Being responsible for your parents care must often be difficult
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The MD has prescribed Levodopa the Nx should?
advice the pt to rise slowly from the sitting position
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Pt has parkinson's disease and it's taking Congentin (Benztropine) the Nx should know to monitor for?
Intake & Output
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The MD prescribed Cognex (Tacrine) the Nx should monitor for adverse reactions such as?
jaundince
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The Nx is making initial rounds on a pt w/ fracture in crutchfield tonges what would be at the bedside?
Torque wrench
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Pt has spasticity, MD prescribes Dantrolene given PO to a MS pt to control spasm, how long does it take to work?
1-2 wks
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Nx assessing 39 yo pt w/ MS what s/s would nx expect to find?
vision changes
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Pt has quadriplegia w/ spinal shock what should the Nx suspect?
Absence of reflexes along w/ flaccid limb
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When monitoring for most common adverse reactions of Dantrolene what would the Nx monitor for?
Muscle weakness
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(SATA) Nx is caring for a pt with complete T5 spinal cord injury, notes flushed skin, daphoresis above T5 and BP 162/96 pt reports severe pounding headache, what would the Nx do?
- Elevate head of the bed 90 degree's
- Loosen constrictive clothing
- Administer antihypertensive medications
- Assessing for bladder and fecal impaction
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