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NSG 4100 Prerequisite pretest Exam training Questions with Rated A + Marking Scheme Latest 2024/2025
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NSG 4100 Prerequisite pretest Exam training Questions with Rated A + Marking Scheme Latest 2024/2025 Nursing intervention for patients with Huntington's disease that have swallowing difficulties? - correct answer - apply gentle, deep pressure around pt mouth, rub fingers in circles on pts chee...

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  • October 24, 2024
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  • 2024/2025
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NSG 4100 Prerequisite pretest Exam training
Questions with Rated A + Marking Scheme Latest
2024/2025


Nursing intervention for patients with Huntington's disease that have swallowing
difficulties? - correct answer - apply gentle, deep pressure around pt mouth, rub
fingers in circles on pts cheek and then down each side of the pt throat
- develop skills in hemlock maneuver


Nursing intervention for patient with Huntingtons disease with impaired verbal
communication - correct answer - read to pt
- employ feedback and relaxation therapy to decrease stress
- consult with speech therapist to devise communication system
- learn particular pt expression and non-verbal messages
- do not isolate pt by ceasing communication with them


Nursing interventions for pt with Huntington's disease who have acute confusion and
impaired socialization - correct answer - reorient the pt after awaking
- have a clock, calendar, wall poster to assist with orientation
- one-on-one contact
- use music for relaxation
- The pt wears a medical ID bracelet
- Keep PT in the social mainstream
- recruit and train volunteers for social interaction
- do not isolate pt by ceasing communication with them


What happen during Myasthenia Gravis - correct answer An autoimmune disorder
affecting the myoneural junction that is characterized by varying degrees of Muscle
weakness of the voluntary muscle

,With myasthenia gravis, pyridostigmine bromide worked if? - correct answer There is
improved muscle strength, control of fatigue, and improved ADLs
- Medication must be given on time; delayed administration may exacerbate muscle
weakness and make it impossible for pt to take meds orally


What are adverse effects of anticholinergics - correct answer diarrhea, abd cramps,
excessive saliva


Other txs for myasthenia gravis - correct answer - immunosuppressive (decreased
production of antibody)
- corticosteroids (prednisone)
- Cytotoxic meds (Azathioprine)
- IVIG (tx exacerbations)
- Plasmapheresis - tx exacerbations
- Thymectomy - can result in complete remission , but can take up to 3 years to take
affect


what drug should be avoided in myasthenia gravis - correct answer Procaine


What is fibromyalgia - correct answer it is a chronic pain syndrome that involves
chronic fatigue, generalized muscle aching, stiffness, sleep disturbances, and functional
impairment


What are assessment findings of fibromyalgia - correct answer - chronic pain
- chronic fatigue
- generalized muscle aching
- stiffness
- sleep disturbances
- functional impairment

, Predisposing factors for fibromyalgia - correct answer - female gender
- anxiety
- depression
- physical trauma
- emotional stress
- sleep disorders
- viral infections


education for exercise for multiple sclerosis pts - correct answer - promote progressive
resistive exercise are used to strengthen weak muscles
- walking promotes improved gait
- train unaffected muscles to compensate for affected
- Instruct in use of assistive devices to ensure safety and correct use


education to minimize spasticity and contracture for patients with multiple sclerosis -
correct answer - warm packs may be beneficial, but avoid HOT showers
- exposure to extreme cold is avoided (cause increased spasticity)
- daily exercise to minimize joint contractures with focus on hamstrings, gastrocnemius
muscles, hip adductors, biceps, wrist, and finger flexors
- prescribed orthotics
- a stretch-hold-relax routine
- swimming and staitionay bicycling, progressive weight bearing


education for activity and rest for multiple sclerosis pts - correct answer - encourage to
work and exercise to a point just short of fatigue
- avoid strenuous physical activity
- take frequent short rest periods
- air conditioning environment
- fall precautions

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