Complex Disease III - Quiz 3 (Neuro Pt. 2 [PD/AD, MG/MS, GBS/ALS, and more]; Endo [Graves/Hashimoto, Cushings/Addison, DI/SIADH]; Burns [Rule of Nines, Parkland's Formula, etc.])

a. Acetylcholine deficit

c. Tangles

d. Plaques

What is the problem in Alzheimer's Disease? (Select all that apply)

a. Acetylcholine deficit

b. Dopamine deficit

c. Tangles

d. Plaques

d. Donepezil

Which medication do you expect to see ordered for a patient with AD as a cholineesterase inhibitor?

a. Benztropine

b. Cholingon

c. Levodopa/Carbidopa

d. Donepezil

a. Diaphoresis

d. Diarrhea

Which of the following side effects to you expect to see in a patient taking a cholineesterase inhibitor? (Select all that apply)

a. Diaphoresis

b. Urinary retention

c. Dry mouth

d. Diarrhea

b. An anticholinergic

Which medication can be given if a patient accidentally took too much donepezil?

a. A cholinergic

b. An anticholinergic

c. A dopaminergic

d. Naloxone

a. Dopamine

Which neurotransmitter deficit occurs in Parkinson's Disease?

a. Dopamine

b. Serotonin

c. Acetylcholine

d. GABA

a. Myerson’s Sign

c. Mask-like appearance

d. Shuffled gait

e. Bradykinesia

f. Rigidity

g. Tremor with resting

What s/s do you expect to see in patients with Parkinson's disease? (Select all that apply)

a. Myerson’s Sign

b. Tremor that subsides with movement

c. Mask-like appearance

d. Shuffled gait

e. Bradykinesia

f. Rigidity

g. Tremor with resting

b. A salami pizza

A patient taking Selegiline has to be careful eating:

a. Baked chicken

b. A salami pizza

c. Oatmeal

b. Hypertensive crisis

Taking a MAO-B inhibitor and eating tyramine-rich food can lead to:

a. Upset stomach

b. Hypertensive crisis

c. Dyskinesias

d. Orthostatic hypotension

b. T-cells and B-cells attack the myelin sheath

What is happening in patients with MS?

a. Dopamine deficiency in the neural synapse

b. T-cells and B-cells attack the myelin sheath

c. Acetylcholine deficit

a. Gabapentin

b. Interferon

c. Steroid

d. Baclofen

What does the treatment of acute MS episode look like? (Select all that apply)

a. Gabapentin

b. Interferon

c. Steroid

d. Baclofen

d. Not enough acetylcholine

What is happening in Myasthenia Gravis?

a. Attack of the myelin sheath

b. Too much acetylcholine

c. Not enough dopamine

d. Not enough acetylcholine

c. Myasthenia gravis

Ptosis is a problem in patients with:

a. Multiple sclerosis

b. Parkinson’s disease

c. Myasthenia gravis

d. Alzheimer’s disease

b. Pyridostigmine

Treatment for Myasthenia Gravis includes:

a. Interferon

b. Pyridostigmine

c. Donepezil

d. Benztropine

c. Increased thyroid-stimulating hormone (TSH)

A nurse is reviewing the health record of a patient who is being evaluated for Hashimoto's thyroiditis. The nurse should identify that which of the following laboratory results is an expected finding?

a. Decreased thryoid-stimulating hormone (TSH)

b. Increased T3 and T4 level

c. Increased thyroid-stimulating hormone (TSH)

d. Levothyroxine

Which of the following is the treatment for myxedema?

a. PTU

b. Methimazole

c. Aspirin

d. Levothyroxine

a. Tracheostomy tray

c. Humidified oxygen

d. Suction equipement

A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (Select all that apply)

a. Tracheostomy tray

b. Chest tube tray

c. Humidified oxygen

d. Suction equipement

a. Gastric Ulcer

c. Bone fractures

d. Infection

e. Fragile skin

A nurse is planning care for a client who has Cushing’s disease. The nurse should identify that clients who have Cushing’s disease are at increased risk for which of the following? (Select all that apply)

a. Gastric Ulcer

b. Hyperkalemia

c. Bone fractures

d. Infection

e. Fragile skin

a. Low serum sodium

b. Increased urine osmolality

d. Increased urine specific gravity

A nurse is reviewing the health record of a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory findings should the nurse expect? (Select all that apply)

a. Low serum sodium

b. Increased urine osmolality

c. Hypernatremia

d. Increased urine specific gravity

c. To avoid the release of catecholamines leading to hypertension

Why do you think the nurse should avoid palpating the abdomen in patients with Pheochromocytoma?

a. To prevent pain secondary to Murphy's sign

b. To avoid stimulation of the pancreas leading to hypoglycemia

c. To avoid the release of catecholamines leading to hypertension

a. Administer intravenous fluids

A 35-year old male was admitted to the ED with severe burns from a house fire. His total body surface area (TBSA) is estimated to be 40% with 2nd degree burns on his arms and 3rd degree burns on his chest and back. Which of the following interventions should the nurse prioritize in the initial management of this patient?

a. Administer intravenous fluids

b. Prepare for skin graft surgery

c. Initiate pain management

d. Apply dressings with topical antibiotics to the burn areas

a. Oliguria

c. Hypotension

e. Decreased cardiac output

f. Hypothermia

Which of the following findings might be present after a patient sustained a burn injury? (Select all that apply)

a. Oliguria

b. Polyuria

c. Hypotension

d. Decreased amount of cortisol release

e. Decreased cardiac output

f. Hypothermia

b. Briefly soak area in cool water

c. Clean with mild soap

Which of the following is appropriate nursing care for a patient with minor burn injury? (Select all that apply)

a. Desinfect area with alcohol-based desinfection soap

b. Briefly soak area in cool water

c. Clean with mild soap

d. Apply oil-based cream to area immediately

b. 7,600 ml

A patient weighed 100 kg with 19 % TBSA. Calculate the LR fluid resuscitation needed within the first 24h.

a. 2,500 ml

b. 7,600 ml

c. 1,900 ml

a. 19%

A client has partial thickness burns to the anterior legs and perineum. Using the rule of nines, calculate the % of TBSA affected.

a. 19%

b. 20%

c. 28%

c. Yes

A patient weighs 220 pounds. His urine output is 60ml/h. It that ok?

a. No, signs of AKI

b. Hard to say. Depends on other factors

c. Yes

b. Autograft will result in 2 wounds and is a long-term solution

Which statement is correct regarding skin graft?

a. Xenograft is skin taken from a different area of the patient's body

b. Autograft will result in 2 wounds and is a long-term solution

c. Homograft is using patient's own skin

a. True

A holistic approach and care of an interdisciplinary team is most beneficial for patient's recover

a. True

b. False