NEW- EXAM #3- MED SURG II

True or False: Guillain-Barré Syndrome occurs when the body's immune system attacks the myelin sheath on the nerves in the central nervous system.

A patient with Guillain-Barré Syndrome has a feeding tube for nutrition. Before starting the scheduled feeding, it is essential the nurse? Select all that apply:

You’re educating a patient about treatment options for Guillain-Barré Syndrome. Which statement by the patient requires you to re-educate the patient about treatment?

Which tests below can be ordered to help the physician diagnose Guillain-Barré Syndrome? Select all that apply:

 You're teaching a group of nursing students about Guillain-Barré Syndrome and how it can affect the autonomic nervous system. Which signs and symptoms verbalized by the students demonstrate they understood the autonomic involvement of this syndrome? Select all that apply:

You're about to send a patient for a lumbar puncture to help rule out Guillain-Barré Syndrome. Before sending the patient you will have the patient?

True or False: Patients with multiple sclerosis have different signs and symptoms because this disease can affect various areas of the peripheral nervous system.

True or False: Multiple Sclerosis tends to affect men more than women and occurs during the ages of 50-70 years.

A patient is suspected of having multiple sclerosis. The neurologist orders various test. The patient's MRI results are back and show lesions on the cerebellum and optic nerve. What signs and symptoms below would correlate with this MRI finding in a patient with multiple sclerosis?

Select all the signs and symptoms associated with cholinergic crisis:

Which meal option would be the most appropriate for a patient with myasthenia gravis?

Select all the signs and symptoms below that can present in myasthenia gravis:

You're providing teaching to a group of patients with myasthenia gravis. Which of the following is not a treatment option for this condition?

You are developing a care plan for a patient with SIADH. Which of the following would be a potential nursing diagnosis for this patient?

A patient with a mild case of diabetes insipidus is started on Diabinese. What would you include in your patient teaching with this patient?

Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic Hormone (SIADH)?

A patient with SIADH is undergoing IV treatment of a hypertonic IV solution of 3% saline and IV Lasix. Which of the following nursing findings requires intervention?

The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH.

Where is the anti-diuretic hormone PRODUCED in the body?

Where is the anti-diuretic hormone SECRETED in the body?

Which of the following below is NOT a sign or symptom of Addisonian Crisis?

A patient was recently discharged home after being treated for Addison’s Disease. The patient states they were unable to get their prescription for Prednisone filled after they were discharged from the hospital. The patient complains of pain in their abdomen, legs, and lowers back and is very weak. On assessment, you note the patient’s blood pressure is 70/32, blood glucose 63, sodium 118, and potassium level 6.0. Which medication do you anticipate will be ordered by the doctor for this patient?

 patient is admitted to the ER. The patient is unconscious on arrival. However, the patient’s family is with the patient and reports that before the patient became unconscious she was complaining of severe pain in the abdomen, legs, and back, and has been experiencing worsening confusion. In addition, they also report the patient has not been taking any medications. The patient was recently discharged from the hospital for treatment of low cortisol and aldosterone levels. On assessment, you note the patient’s blood pressure is 70/45. What disorder is this patient most likely experiencing?

The ______ ______secretes ACTH which causes the ______ ______ to produce cortisol.

Which of the following abnormal electrolyte imbalances is EXPECTED with Addisonian Crisis?

Which of the following is not a typical sign and symptom of Cushing’s Syndrome?

A patient with Cushing’s syndrome will be undergoing an adrenalectomy. Which of the following will be included in the patient’s discharge teaching after the procedure?

 In Cushing’s disease, the _______ is secreting too much ACTH (Adrenocorticotropic hormone) which is causing an increase in cortisol production.

Which of the following is a nursing PRIORITY when caring for a patient in Addisonian Crisis?

A patient arrives to the ER and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly “water” weight. In addition, they report the patient hasn’t been able to urinate or eat within the past week as well and was recently diagnosed with small cell lung cancer. On assessment, you note the patient’s HR is 115 and BP 180/92. Patient sodium level is 90. Which of the following conditions do you suspect the patient is most likely presenting with?

A 25 year-old presents to the ER with unexplained paralysis from the hips downward. The patient explains that a few days ago her feet were feeling weird and she had trouble walking and now she is unable to move her lower extremities. The patient reports suffering an illness about 2 weeks ago, but has no other health history. The physician suspects Guillain-Barré Syndrome and orders some diagnostic tests. Which finding below during your assessment requires immediate nursing action?

You're patient is recovering from a myasthenic crisis and you are providing education to the patient about the causes of this condition. Which statement by the patient demonstrates they understood the teaching about how to prevent this condition?

The rehabilitation nurse is caring for a client with a history of multiple sclerosis (MS) for 10 years. Recently, the nurse has seen a significant decline in the client's function. When re-evaluating the client's plan of care,e the nurse considers the client's physiological changes associated with the decline.

Arrange the following degenerative changes in the order in which they occur.