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Pt with Alzheimer's disease; during a team conference a nx stated that she never tx a pt with alzheimer's disease. What should you teach new nx
pt is at high risk for injury due to impaired memory and judgment
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Most common cause of dementia in a elder pt
Azheimer's disease
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Most important thing to keep in bedside for pt with multiple sclerosis (ms)?
Suction machine and catheters
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Which drug is used to test for a pt with MG
edrophonium (tensilon)
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Which nx intervention will prevent a pt for autonomic dysreflexia
monitor patency of indwelling catheter
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A pt is under going a test for MG, what med will be used?
edrophonium (tensilon)
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To minimize complication for MG in a pt, nx should assess which of the following
respiratory status
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Pt has MG, pt is taking mestinon, what s/e can pt experience
abdominal cramps
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When teaching a pt Levadopa, what should nx teach about med
makes urine darker
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Taking levadopa for a year, which clinical manifestation should nx report
spasmodic eye winking
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A pt who cares for a parent with Alzheimer feels guilty bc at times they wish their parent would
die…what would be appropriate response by nx
“being responsible for parents care must often be difficult”
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The Dr has rx laradopa (levadopa), the nx should
rise slowly from a sitting position
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Pt with parkinson’s is taking cogentin, the nx understands that the priority nursing action
intake and output
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The DR rx cognex for a pt with dementia, what adverse reaction should nx monitor
jaundice
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The nx is making rounds for a pt with a c5 facture, what is gna be at the bedside?
Torque wrench
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Dantroline 25mg given PO daily to a MS pt, how long does it take for it to work
1 to 2 weeks
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The nx is assessing a 38y/o pt with MS, what will nx expect to find
vision changes
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Pt who is quadroplegia is in spinal shock, what should nx expect?
Absence of reflex with flaccid spasticity
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Common adverse reaction for dantroline, what would nx monitor for
muscle weakness
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SATA: Nx is caring for a pt with a complete T5 spinal fracture, flush skin, diaphoresis, elevated bp, and reports severe pounding h/a –
- Elevate HOB 90 degrees
- Loosen constricted clothing
- Assess for bladder distension and bowel impaction
- Administer anti-HTN meds
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