Neurology Nclex Style Questions And Answers Study Guide Graded A+

A nurse is caring for a client with myasthenia gravis. The client has become increasingly weaker since the nurse's earlier assessment. The physician prepares to identify whether the client is reacting to an overdose of medication (cholinergic crisis) or an increasing severity of the disease (Myasthenic crisis). An injection of edrophonium (Tensilon) is administered. Which of the following would indicate the client is in cholinergic crisis? A. complaints of muscle spasms b. improvement of the client's weakness c. no change in the clients condition d. temporary worsening of the condition {Ans: d. an injection of Tensilon makes the client in cholinergic crisis temporarily worse. Cholinergic crisis indicates an overdose of medication; thus it is reasonable that a worsening of the condition will occur when additional medication is administered.}Which of the following signs and symptoms of increased ICP after head trauma would appear first? 1. Bradycardia 2. Large amounts of very dilute urine 3. Restlessness and confusion 4. Widened pulse pressure {Ans: 3 The earliest symptom of elevated ICP is a change in mental status. Bradycardia, widened pulse pressure, and bradypnea occur later. The client may void large amounts of very dilute urine if there's damage to the posterior