| A | B |
|---|
| priority assessments a nurse should perform on a client with Myasthenia Gravis | difficulty breathing, diminished breath sounds, respiratory paralysis and failure, difficulty chewing, dysphagia |
| What equipment is necessary at the bedside of a client with Myasthenia Gravis? | Suctioning and emergency equipment are necessary at the bedside. |
| What client education should a nurse provide to a client with Myasthenia Gravis? | Instruct the client to conserve strength, avoid stress, infection, fatigue and OTC meds. Instruct the client to wear a medic alert bracelet. |
| What are the s/s of myasthenic crisis? | Increased pulse, respirations, blood pressure, dyspnea, anoxia, cyanosis, bowel, bladder incontinence, decreased urine output, absent cough and swallow reflex. |
| What symptoms will a nurse anticipate in a client with cholinergic crisis? | Abdominal cramps, Nausea, vomiting, diarrhea, blurred vision, pallor, facial muscle twitching, hypotension, pupillary miosis. |
| What is the antidote to edrophonium injection? | Atropine sulfate. |
| What diet should be provided to a client with Parkinson’s disease? | Increased fluid intake, High calorie, high protein, high fiber, soft diet with small frequent feedings. |
| What instructions should a nurse provide regarding posture for a client with Parkinson’s disease? | Proper posture by holding hands behind the back to keep the neck and spine erect. Provide a firm mattress and position the client in prone without pillow. |
| What instructions would a nurse provide to a client with Parkinson’s disease regarding mobility? | instruct client to rock back and forth to initiate movement, encourage client to lift feet when walking and to avoid prolonged sitting, instruct client to wear low heeled shoes |
| What foods/medications should a client with Parkinson’s disease avoid? | Foods with Vitamin B6, they block the effects of antiparkinson’s medications, Avoid MAOI’s, they will precipitate hypertensive crisis. |
| What facial changes may happen in a client with parkinson’s disease? | blank facial expression, mask like facies, drooling. |
| What are some potential problems that can develop as a result of Parkinson’s disease? | Falls, self-care deficit, failure of body systems and depression. |
| What are some of the signs of meningeal irritation? | Nuchal rigidity, positive kernig’s sign and Brudzinski’s sign. |
| What is the mode of transmission for meningitis? | Direct contact, including droplet, areas of high density population and crowded areas. |
| What position should a client with meningitis placed in? | Elevate the head of the bed 30degrees and avoid neck flexion and extreme hip flexion. |
| What safety precautions are necessary for a client with meningitis? | Assess for seizure, seizure precautions, isolation for bacterial meningitis, respiratory isolation for pneumococcal meningitis, urine and stool precautions for viral meningitis. |
| What type of skin changes may be seen in a client with meningococcal meningitis? | Red, macular rash. |
| What is the vector/agent that carries the west Nile virus? | Mosquito. |
