neuroo

Signs and symptoms of autonomic dysreflexia

-Body does the *extreme* to get message heard -HTN, 200/100 -Pounding Headache -Flushed face -Skin above injury level has red blotches -Sweating above injury level -Blurry vision -Nausea -*Treatment is remove trigger*

early manifestations of increased intracranial pressure.

Behavioral changes, such as restlessness and irritability,

myasthenia gravis crisis

Cholinergic crisis or acetylcholine crisis

Cholinergic Crisis

Increased lacrimation, or tearing of the eyes,

Nurses planning care for a client who has a closed injury from a fall and is receiving mechanical ventilation.Which of the following interventions is Your priority as a nurse?

Maintain a PaCO2 of approximately 35 mm Hg. The greatest risk to this client is injury from increased intracranial pressure. Therefore, the nurse's priority action is to maintain the PaCO2 at 35 to 38 mm Hg to prevent hypercarbia and subsequent vasodilation that can lead to an increase in intracranial pressure.

Clients who have multiple sclerosis have hyperactive deep-tendon reflexes. (true or false)

true

Crepitus, a grating sound, are expected findings for osteoarthritis

true as loosened bone and cartilage move around in the fluid inside the joint.

Osteoarthritis does not cause systemic manifestations (true false)

true they cause.....

an expected finding with osteoarthritis

decreased range of motion of the affected joint is correct.

Osteoarthritis is a degenerative joint disease.

degenerative joint disease. Crepitus, a grating sound, is an expected finding with osteoarthritis as loosened bone and cartilage move around in the fluid inside the joint.

early manifestation of fat embolism

dyspnea

multiple sclerosis patients are at risk for

motor dysfunction, with intention tremors, poor coordination, and loss of balance

Autonomic dysreflexia

patients with spinal cord injuries are at risk for developing autonomic dyreflexia (T-7 or above)

Spongy joint tissue is an expected finding with

rheumatoid arthritis, which is an inflammatory disease, not a degenerative disease.

Osteoarthritis does not cause systemic manifestations. but what does?

Rheumatoid arthritis causes many systemic manifestations, including low-grade fever, weakness, anorexia, and paresthesias.

parkinsons levodopa therapy expectation

Saliva, urine, and sweat can darken in color during carbidopa-levodopa therapy. This is a harmless adverse effect

What test will determine whether the client is having a myasthenic crisis Or a cholinergic crisis

Tensilon test

amyotrophic lateral sclerosis greatest risk for developing what and why? what is my priority intervention as a nurse

The greatest risk to the client is respiratory compromise due to progressive paralysis of respiratory muscles. Therefore, the priority intervention is to monitor the client's oxygen saturation to identify respiratory compromise as soon as possible.

to reduce the manifestations of myasthenia gravis you as a nurse should administer

The nurse should administer immunosuppressants, such as corticosteroids, methotrexate, or rituximab,

A nurse is assessing a client whose quadriplegic following a cervical fracture at vertebral level C5.The client reports a throbbing headache and nausea.The nurse notes the facial flushing and a blood pressure of 220/110 mm Hg. What does this indicate?What should the nurse do?

These assessment findings indicate that the client is experiencing autonomic dysreflexia and is at greatest risk for possible rupture of a cerebral vessel or increased intracranial pressure. The first action the nurse should take is to move the client from a supine to an upright position, which will result in rapid postural hypotension.

Increased lacrimation, or tearing of the eyes, is an expected finding of myasthenia gravis during a cholinergic crisis.

an expected finding of myasthenia gravis during a cholinergic crisis.