Question 1 of 6
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Which immunization would the nurse expect a patient to receive to help protect against poliomyelitis?
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- SalkThe Salk vaccine is a killed virus vaccine used to prevent the development of poliomyelitis.
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- Hepatitis AThe hepatitis A vaccine is used to prevent the development of hepatitis A.
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- Pneumococcal conjugateThe pneumococcal conjugate vaccine is used to prevent the development of pneumonia.
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- Herpes zosterThe herpes zoster vaccine is used to prevent the development of shingles.
Question 2 of 6
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The nurse is discussing Huntington disease with a newly diagnosed patient. Which statement indicates a need for further education?
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- “My children have a 50% chance of inheriting the gene from me.”This is an accurate statement as Huntington disease is a genetically transmitted disorder.
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- “My voluntary movement will continue to decline.”This is an accurate statement as voluntary movement will deteriorate until the patient is completely incapable of voluntary movement.
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- “Currently, there is no known cure for this disease.”This is an accurate statement and there is no known cure, only therapies used to manage symptoms.
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- “The disease will not affect my intellectual abilities.”Huntington disease is accompanied by a decline in intellectual capacity and emotional disturbances.
Question 3 of 6
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Which lab result could occur in a patient with restless leg syndrome (RLS)?
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- Low ironLow iron levels are common in RLS and iron replacement therapy is indicated.
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- Low white blood cell (WBC) countA low WBC count is more likely caused by cancers or autoimmune disorders.
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- Elevated folateFolate deficiency is more likely in a patient with RLS.
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- Elevated hemoglobinElevated hemoglobin is more likely related to dehydration, cancers, chronic obstructive pulmonary disease, or congenital heart disease.
Question 4 of 6
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Myasthenia gravis (MG) can be localized to the muscles of which body part?
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- MouthMG can affect the muscles around the mouth; however, it is not localized to this particular area.
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- ArmsMG can affect the strength of the arms; however, it is not localized to this particular area.
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- EyeMG can be localized to the muscles of the eye and is then called ocular MG.
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- LegsMG can affect the strength of the legs; however, it is not localized to this particular area.
Question 5 of 6
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Which may occur in a patient as myasthenia gravis (MG) progresses?
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- The heart muscle becomes impaired.MG involves the skeletal muscles; the heart muscles are not affected.
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- Digestion tends to slow.MG involves the skeletal muscles; intestinal muscles are not affected.
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- Mechanical ventilation may be required.As the disease progresses, all skeletal muscles, including respiratory muscles, may be affected; thus mechanical ventilation may be required.
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- Loss of bladder control occurs.MG involves the skeletal muscles; the bladder is not affected.
Question 6 of 6
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Which treatment option is appropriate for a patient with myasthenia gravis (MG)? Select all that apply. One, some, or all responses may be correct.
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- ThymectomyRemoval of the thymus gland, or thymectomy, has been shown to play a role in decreasing antibody production in MG.
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- RituximabRituximab is an immunosuppressant infusion that is used to treat MG.
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- PyridostigminePyridostigmine is an anticholinesterase agent used to treat MG.
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- PlasmapheresisPlasmapheresis, or a plasma exchange, can be an effective treatment for patients experiencing an MG crisis.
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- Sabin vaccineThe Sabin vaccine is used to prevent polio.
