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MSN 377 EXAM 4 QUESTION AND VERIFIED ANSWERS LATEST UPDATE 2024 100% GUARANTEED PASS

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MSN 377 EXAM 4 QUESTION AND VERIFIED ANSWERS LATEST UPDATE 2024 100% GUARANTEED PASS The nurse advises a patient with myasthenia gravis to

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  • August 20, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MSN 377
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MSN 377 EXAM 4 QUESTION AND VERIFIED ANSWERS LATEST UPDATE
2024 100% GUARANTEED PASS


The nurse advises a patient with myasthenia gravis to

A. Perform physically demanding activities early in the day

B. Anticipate the need for weekly plasmapheresis treatments

C. Do frequent weight-bearing exercise to prevent muscle atrophy

D. Protect the extremities from injury due to poor sensory perception

A. Perform physically demanding activities early in the day




To prevent autonomic hyperreflexia, which nursing action will the home health nurse include in the
plan of care for a patient who has paraplegia at the t4 level?

A. Support selection of a high-protein diet

B. Discuss options for sexuality and fertility

C. Assist in planning a prescribed bowel program

D. Use quad coughing to strengthen cough efforts

C. Assist in planning a prescribed bowel program



Which assessment data for a patient who has guillain-barre syndrome will require the nurses most
immediate action?

A. The patients sacral area skin is reddened

B. The patient is continuously drooling saliva

C. The patient complains of severe pain in the feet

D. The patients blood pressure is 150/82


MSN 377 EXAM 4 (2024-2025)

,B. The patient is continuously drooling saliva




The nurse has administered a prescribed iv osmotic diuretic to an unconscious patient. Which
parameter should the nurse monitor to determine the medications effectiveness?

A. Blood pressure

B. Intracranial pressure

C. Oxygen saturation

D. Hemoglobin and hematocrit

B. Intracranial pressure




A patient who is unconscious has ineffective cerebral tissue perfusion and cerebral tissue swelling.
Which nursing intervention will be included in the plan of care?

A. Encourage coughing and deep breathing

B. Position the patient with knees and hips flexed

C. Keep the head of the bed elevated to 30 degrees

D. Cluster nursing interventions to provide rest periods

C. Keep the head of the bed elevated to 30 degrees




Multiple sclerosis

A chronic, progressive degenerative disorder of the cns. Characterized by disseminated demyelination
of nerve fibers in the brain and spinal cord




Myasthenia gravis

An autoimmune disease of the neuromuscular junction. Characterized by the fluctuating weakness of
certain skeletal muscle groups, which increases with muscle use.




MSN 377 EXAM 4 (2024-2025)

, Guillain-barre syndrome

Autoimmune condition that causes acute inflammation of the peripheral nerves in which myelin
sheaths on the axons are destroyed, resulting in decreased nerve impulses, loss of reflex response,
and sudden muscle weakness




Spinal cord injury

Temporary or permanent alteration in the function of the spinal cord, caused by trauma or damage to
the spinal cord




Autonomic hyperreflexia (dysreflexia)

Massive, uncompensated cardiovascular response to stimulation of the sympathetic nervous system

Stimulation of the sensory receptors below the level of the cord lesion

- htn, bradycardia, pounding headache




Neurogenic shock

Unopposed psns stimulation and disruption of sns, causing bradycardia, vasodilation, and
hypotension.

Usually occurs with sci at t6 or above




Spinal shock

Spinal shock presents with total flaccid paralysis and loss of all reflexes below the level of injury.



Intracranial pressure

The amount of pressure inside the skull controlled by the three essential components of pressure in
the skull: brain tissue, blood, csf



MSN 377 EXAM 4 (2024-2025)

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