NUR 308 Chapter 21 Review Questions and Correct Answers
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Course
NUR 308
Institution
NUR 308
When the nurse explains the pathophysiology of myasthenia gravis to a patient, which is the best explanation? A. Degeneration of cholinergic neurons and a deficit in acetylcholine lead to neuritic plaques and neurofibrillary tangles B. A decreased amount of acetylcholine to cholinergic receptors pr...
NUR 308 Chapter 21 Review Questions
and Correct Answers
When the nurse explains the pathophysiology of myasthenia gravis to a patient, which is
the best explanation?
A. Degeneration of cholinergic neurons and a deficit in acetylcholine lead to neuritic
plaques and neurofibrillary tangles
B. A decreased amount of acetylcholine to cholinergic receptors produces weak
muscles and reduced nerve impulses
C. Myelin sheaths of nerve fibers in the brain and spinal cord develop lesions or plaques
D. An imbalance of dopamine and acetylcholine leads to degeneration of neurons in
midbrain and extrapyramidal motor tasks ✅B. A decreased amount of acetylcholine to
cholinergic receptors produces weak muscles and reduced nerve impulses
The nurse is teaching a patient recently diagnosed with multiple sclerosis about the
disease. Which statement is not correct concerning multiple sclerosis?
A. The disease has period of exacerbations and remissions
B. Goals of treatment are to decrease the inflammation in the nervous system
C. Patients experience muscle weakness, vision problems, and fatigue
D. Multiple sclerosis is an autoimmune disorder that cause plaque to develop in the
spinal cord ✅B. Goals of treatment are to decrease the inflammation in the nervous
system
A patient has spasticity following a spinal cord injury/ The nurse anticipates that which
drug will be prescribed to treat the patient's spasticity?
A. Neostigmine
B. Ropinirole
C. Cyclobensaprine
D. Pyridostigmine ✅C. Cyclobenzaprine
The nurse anticipates that the health care provider will prescribe which medication to
treat a patient with relapsing remitting multiple sclerosis?
A. Ambenonium
B. Pyridostigmine
C. Mitoxantrone
D. Glatiramer Acetate ✅D. Glatiramer Acetate
The nurse is providing medication instructions to a patient with acute muscle spasms
who has been prescribed cyclobenzaprine. Which statement indicates to the nurse that
the patient understands the instructions?
A. I plan to take this medication with a glass of milk
B. Cyclobenzaprine should be taken once daily at bedtime
C. I will only drink one glass of wine per day
, D. I will be able to take this drug with grapefruit juice ✅A. I plan to take this medication
with a glass of milk
Which instructions will the nurse include in the teaching plan for a patient who is taking
pyridistigmine? Select all that apply
A. Pyridistigmine must be taken on time
B. Take the prescribed dose every other day
C. Underdosing can result in myasthenic crisis
D. Overdosing can result in cholinergic crisis
E. Report the adverse effect of tachycardia to the health care provider ✅A, C, D
A patient is beginning to take cyclobenzaprine for treatment of acute back spasms.
Which interventions will the nurse include in the care of this patient? Select all that
apply.
A. Advise the patient to take this drug on an empty stomach
B. Inform the patient not to abruptly stop taking the muscle relaxant. The dose should
be tapered down.
C. Tell the patient to report dizziness and double vision to the health care provider
D. Advise the patient to avoid alcohol
E. Taking narcotics at the same time can cause serious side effects ✅B, C, D, E
The nurse is reviewing a patient's medication history for a patient who has just been
prescribed cyclobenzaprine for treatment of back spasms. The nurse plans to contact
the health care provider if the patient is taking which of these?
A. Atorvastatin
B. Conjugated estrogen
C. Valerian
D. Pinicillin G Procaine ✅C. Valerian
The nurse is caring for a patient who has been diagnosed with myasthenia gravis. The
patient is experiencing muscle weakness, dyspnea, bradycardia, and diaphoresis. The
nurse anticipates that the health care provider will order which medication to distinguish
between myasthenic crisis and cholinergic crisis?
A. Adrenocorticotropic hormone
B. Diazepam
C. Edrophonium
D. Mitoxantrone ✅C. Edrophonium
The patient is receiving treatment for MG with pyridostigmine (Mestinon). The nurse is
assessing the patient. While clinical manifestations would be noted if the medication is
working?
A. Increased salivation
B. Maintenance of muscle strength
C. Miosis
D. tachycardia ✅B. Maintenance of muscle strength
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