Exam 4: NSG 4100 NSG4100

Exam 4: NSG 4100 / NSG4100

(Latest Update 2025 / 2026) Nursing Practice - Adult Health III | Questions & Answers | Grade A | 100% Correct (Verified Solutions) - Galen

Question:

Assessment findings of myasthenia gravis

Answer:

• Diplopia

• Ptosis

• Face and Throat Muscle Weakness (Swallowing difficulty)

• Dysphonia

• Generalized Weakness

• Myasthenic Crisis-Neuromuscular Respiratory Failure 1 / 4

Question:

Antibodies directed at the acetylcholine receptor sites impair the transitions of impulses across the myoneural junction

Answer:

Myasthenia Gravis

Question:

Myasthenic Crisis

Answer:

an acute exacerbation of disease caused by inadequate amount of meds, infection fatigue or stress.

Question:

Spinal Cord Injury

Answer:

trauma to the vertebral column

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Question:

CM of spinal cord injury

Answer:

• Spinal shock occurs immediately and is characterized by temporary loss of reflexes below the level of injury • Muscles flaccid; skeletal/autonomic reflexes lost

• End of spinal shock: reflexes return, and flaccidity replaced by spasticity

• Neurogenic shock may occur after SCI due to peripheral vasodilation • Hypotension, bradycardia, and circulatory collapse can occur (life- threatening); high spinal cord injuries can affect respiratory muscles, leading to ventilatory failure

Question:

Autonomic Dysreflexia

Answer:

(potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure)

Question:

Autonomic Dysreflexia

Answer:

patients with spinal cord injuries are at risk for developing autonomic dysreflexia (T-7 or above) 3 / 4

Question:

• Inflammatory demyelinating disease of the peripheral nervous system or a lower motor neuron disorder • Segmental demyelination that is T-cell and B-cell mediated • Also known as acute idiopathic polyneuropathy or polyradiculoneuropathy • Common secondary to viruses (Campylobacter Jejuni, Cytomegalovirus, Epstein-Barr, Mycoplasma Pneumonia, H-Influenza, HIV)

Answer:

Guillain-Barre Syndrome

Question:

CM of Guillain-Barre syndrome

Answer:

• Muscle weakness that begins in the lower extremities and spreads to the proximal spinal neurons • Progressive ascending weakness or paralysis may affect respiratory muscles

Question:

Rule of Nines (adult)

Answer:

Head 9%, Back 18%, Chest 9%, Abdomen 9%, Arms 9% each, Groin 1%, Upper Leg 9% each, Lower Leg 9% each.

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