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Exam 24: Drugs for Neuromuscular Disorders: Myasthenia Gravis, multiple Sclerosis, and Muscle Spasms

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Question 1

Multiple Choice

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The nurse is performing a health history on a patient who has multiple sclerosis.The patient reports episodes of muscle spasticity and recurrence of muscle weakness and diplopia.The nurse will expect this patient to be taking which medication?

A) Adrenocorticotropic hormone (ACTH)
B) Cyclophosphamide (Cytoxan)
C) Cyclobenzaprine (Flexeril)
D) Interferon-B (IFN-B)

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Question 2

Multiple Choice

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The nurse is caring for a patient who has myasthenia gravis (MG) and is receiving pyridostigmine bromide (Mestinon) .The nurse notes ptosis of both eyelids and observes that the patient has difficulty swallowing.What action will the nurse perform next?

A) Contact the provider to request an order for atropine sulfate.
B) Contact the provider to request an order for edrophonium chloride (Tensilon) .
C) Report signs of cholinergic crisis to the provider.
D) Report signs of myasthenic crisis to the provider.

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Question 3

Multiple Choice

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The nurse is preparing to care for a patient who has myasthenia gravis.The nurse will be alert to symptoms affecting which body system in this patient?

A patient has symptoms that are characteristic of multiple sclerosis (MS) .Which diagnostic tests are likely to be ordered to aid in the diagnosis of this patient?

The nurse is preparing to care for a patient who has multiple sclerosis (MS) .The nurse learns that the patient receives cyclophosphamide (Cytoxan) .The nurse knows that this patient is in which stage of MS?

The nurse is performing an admission assessment on a patient who has been taking carisoprodol (Soma) for 3 weeks to treat muscle spasms.The patient reports that the muscle spasms have resolved.The nurse will contact the provider to discuss

A client with myasthenia gravis is experiencing a cholinergic crisis.Which symptoms are associated with this condition? (Select all that apply. )

A 40-year-old woman is diagnosed with myasthenia gravis,and her provider recommends removal of her thymus gland.She asks the nurse why this would be helpful.The nurse will explain that removal of the thymus gland may

A patient experiences severe muscle weakness,and the provider orders edrophonium bromide (Tensilon) .The patient begins to show improved muscle strength within a few minutes after administration of this drug.The nurse anticipates the provider will order which drug?

A patient exhibits ptosis of both eyes,and the provider orders edrophonium (Tensilon) .The nurse notes immediate improvement of the ptosis.The nurse understands that this patient most likely has which disorder?

The nurse is caring for a patient who has recurrent muscle spasms.The provider has ordered metaxalone (Skelaxin) to treat the spasms.The nurse learns that the patient has a history of drug and alcohol abuse.The nurse will contact the provider to discuss switching this patient to which medication?

The nurse provides teaching to a patient who will begin taking cyclobenzaprine (Flexeril) to treat muscle spasms.Which statement by the patient indicates a need for further teaching?

A patient reports weakness of the extremities and diplopia.The nurse knows that these symptoms are characteristic of which condition?

The nurse is preparing to administer methocarbamol (Robaxin) to a patient who is experiencing acute muscle spasms.The nurse notes that the patient's urine has turned black.What will the nurse do?

The nurse is teaching a group of nursing students about multiple sclerosis (MS) .Which statement by the nurse is correct?

The charge nurse observes a nurse administer undiluted intravenous pyridostigmine bromide (Mestinon) at a rate of 0.8 mg/min.The charge nurse will stop the infusion and perform which action?

The nurse is caring for a patient who has multiple sclerosis.The patient is experiencing an acute attack.Which drug does the nurse anticipate the provider will order?

Which muscle relaxant is used in surgery as a skeletal muscle relaxant?

The nurse is caring for a patient who has myasthenia gravis (MG) and takes pyridostigmine bromide (Mestinon) 60 mg every 4 hours.The patient's last dose was 45 minutes prior.The nurse notes severe muscle weakness,excess salivation,fasciculations of facial muscles,and pupil constriction.The nurse will perform which action?

The nurse assumes care of a patient who has myasthenia gravis and notes that a dose of neostigmine (Prostigmin) due 1 hour prior was not given.The nurse will anticipate the patient to exhibit which symptoms?