Nurb 435 Test 3

Front 1

Chronic, progressive, degenerative disorder of the CNS characterized by dissemenated demyelination of nerve fibers of the brain and spinal cord.

Back 1

Multiple Sclerosis

Front 2

Lhermitte's sign

Back 2

Transient sensory symptom described as an electrical shock radiating down the spine or into the limbs with flexion of the neck.

Front 3

Diagnosis of MS?

Back 3

History, clinical manifestations, and presents of multiple lesions over time (MRI)

Front 4

What types of drugs are used to treat MS?

Back 4

Prednisone

Immunosupressive drugs

Front 5

Disease characterized by slowness of movement (bradykinesia), rigidity, tremor at rest, and impaired postural reflexes

Back 5

Parkinson's disease

Front 6

Triad of Parkinsons?

Back 6

Tremor
Rigidity
Bradykinesia

Front 7

Diagnosis of Parkinsons

Back 7

Triad plus positive response to parkinsonian drugs

Front 8

Most common medications used to treat Parkinsons?

Back 8

Levodopa

(also levodopa with carbidopa: Sinemet)

Front 9

Surgery for Parkisons?

Back 9

Ablation
Deep brain stimulation
Transplantation (fetal tissue to produce dopamine producing cells)

Front 10

An imbalance of dopamine and Ach is associated with?

Back 10

Parkinsons

Front 11

Autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups?

Back 11

Myasthenia Gravis

Front 12

MG most often involves which muscles?

Back 12

Ocular
chewing
Swallowing
Speaking
Breathing

Front 13

Acute exacerbatinon of muscle weakness triggered by infection, surgery, emotional distress, drug overdose?

Back 13

Myasthenic crisis

(concern is swallowing and breathing)

Front 14

Tensilon test?

Back 14

Patient shows improved muscle contractiltiy after injection of tensilon (anticholinesterase) if the patient has MG

Front 15

Anticholinesterase drugs used to treat MG?

Back 15

Prostigmin
Mestinon

Front 16

Which classes of drugs are used to treat MG?

Back 16

Anticholinesterase
Alternate-day corticosteroids
Immunosuppresants

Front 17

ADL's in patients with MG

Back 17

Plan to avoid fatigue

More energy in morning and after rest periods

Front 18

Rare progressive neurologic disorder characterized by loss of motor neurons that results in death in 2-6 years

Back 18

ALS

Lou Gherig's disease

Front 19

Key distinction between delirium and dementia?

Back 19

Perosn who exhibits sudden cognitive impairment, disorientation, or clouded sensorium is more likely to have delirium

Front 20

What is Memantine used for?

Back 20

To treat middle to late stages of Alzheimers

Protects against excessive glutamate, which is released by cells damaged by AD

Front 21

Which drugs are used to treat dementia in AD patients?

Back 21

Cholinesterase inhibitors

Aricept
Exelon
Razadyne

Front 22

Disorder characterized by a disruption of the motor branches of the facial nerve CN VII

Back 22

Bells Palsy

Front 23

Treatment of Bells Palsy?

Back 23

Moist heat
Gental massage
Electrical stimulation
Exercises

Front 24

What virus is associated with Bells Palsy?

Back 24

Herpes

(acyclovir treats)

Front 25

Medication for Bells Palsy

Back 25

Predisone

Front 26

Disease that affects the peripheral nerevous system and results in loss of myelin and edema and inflammation fo the affected nerves, causing a loss of neurotransmission to the periphery?

Back 26

Guillain-Barre syndrome

Front 27

Guillian Barre is often preceded by?

Back 27

Immune system stimulation from a viral infection, trauma, surgery, immunizations, or HIV

Front 28

Most serious complication of Guillian Barre?

Back 28

Respiratory failure

Front 29

Diagnosis of Guillian Barre?

Back 29

CSF is normal or low protein content initially and elevates after 7-10 days

Front 30

Medication of Guillian Barre?

Back 30

IV administration of high-dose immunoglobulin

Front 31

Nursing assesment of Guillian Barre?

Back 31

Monitor the ascending paralysis: respiratory function, ABG's, gag, corneal, and swallowing reflexes

Front 32

Blood flow required for optimum brain functioning?

Back 32

750-1000 ml

Front 33

Penecambria?

Back 33

Around the core area of ischemia is a border zone of reduced blood flow, where ischemia is potentially reversible

Front 34

Symptoms of a transient ischemic attack?

Back 34

Blurred vision
Ringing in the ears
HA
Tingling

(these subside with no long-term effects)

Front 35

Most frequently used medication to prevent platelet aggregation

Back 35

Aspirin

Front 36

Other medications beside aspirin that prevent platelet aggregation?

Back 36

Ticlid
Plavix
Persantine

Front 37

Person is describing the "worst headache of their life," as the nurse you suspect?

Back 37

Subarachnoid hemorrhage

Front 38

What is Retivase?

Back 38

Eats clot

Front 39

What should you know prior to administering Retivase?

Back 39

Must be given within 3 hours
Must do CT scan to rule out hemorrhage
Cannot do surgery or start IV for 48hrs

Front 40

Symptoms of right brain stroke?

Back 40

Paralyzed left side
Spatial-perceptual
Denial
Impulsive
Decrease attention span
Time

Front 41

Symptoms of left brain stroke?

Back 41

Paralyzed right side
Impaired speech
Slow movements
Aware of defecits, depression and anxiety

Front 42

What medication do you give for low ANC

Back 42

Aranesp- growth colony stimulating hormone

Front 43

Nursing management Wilm's tumor?

Back 43

Don't palpate abdomen
Strict I & O
NG tube
Dressing Post-op

Front 44

How do you calculate ANC?

Back 44

(Neutrophils + Bands) X WBC X 10

Front 45

How do you calculate BSA?

Back 45

CM X KG / 3600, then take square root

Front 46

Nuraing management for Parkinson?

Back 46

Promote independence
Rock to unfreeze, imagine stepping over line

Front 47

Concerns for ALS?

Back 47

Aspiration pneumonia
Fear going to whither away

Front 48

TNM?

Back 48

T umor size
N odes (spread to lymph)
M etastisis