The nurse is caring for a patient diagnosed with Myasthenia Gravis (MG) prescribed plasmapheresis for treatment. Which statement by the nurse includes accurate education? "Plasmapheresis....
removes the client's blood and returns high dose corticosteroids to the patient.
removes the autoantibodies responsible for Myasthenia Gravis."
treats the thymus gland dysfunction responsible for Myasthenia Gravis.
assists in the immune suppression along with corticosteroids.
The Correct Answer is B
A. removes the client's blood and returns high-dose corticosteroids to the patient: Plasmapheresis involves the removal of plasma from the blood, but it does not involve returning high-dose corticosteroids. It removes harmful substances (such as autoantibodies) from the plasma that contribute to disease symptoms, but it does not involve corticosteroid therapy directly.
B. removes the autoantibodies responsible for Myasthenia Gravis: In Myasthenia Gravis (MG), autoantibodies attack the acetylcholine receptors at the neuromuscular junction, leading to muscle weakness. Plasmapheresis is used to remove these autoantibodies from the bloodstream, helping to temporarily improve symptoms by reducing the immune system’s attack on the body’s own tissues.
C. treats the thymus gland dysfunction responsible for Myasthenia Gravis: Plasmapheresis does not directly treat the thymus gland. In some cases, thymectomy (removal of the thymus gland) may be indicated for MG, but plasmapheresis specifically addresses the immune response, not the thymus.
D. assists in the immune suppression along with corticosteroids: While plasmapheresis can temporarily reduce the autoimmune response, it does not function as a form of immune suppression like corticosteroids. Corticosteroids are immunosuppressive medications, but plasmapheresis itself is a physical process that removes harmful autoantibodies from the blood
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Atorvastatin at bedtime to reduce my cholesterol levels.: is a statin used to lower cholesterol levels and reduce the risk of further cardiovascular events. It is commonly recommended to take statins in the evening because cholesterol synthesis occurs mostly at night. The client is following proper instructions here.
B. Metoprolol to decrease my heart's need for oxygen.: Metoprolol is a beta-blocker that reduces the heart's demand for oxygen by lowering the heart rate, blood pressure, and the force of contraction. This helps in reducing the risk of further complications after a myocardial infarction (MI).
C. Sublingual nitroglycerin each day to prevent chest pain.: This indicates the need for further education. Sublingual nitroglycerin is typically used as needed for acute chest pain or angina and should not be taken regularly each day for prevention. For long-term prevention, other medications like beta-blockers or calcium channel blockers are usually prescribed, not sublingual nitroglycerin. Taking nitroglycerin every day without chest pain could cause unnecessary side effects, such as hypotension or tolerance to the medication.
D. Clopidogrel to prevent clots from forming.: Clopidogrel is an antiplatelet medication that helps to prevent blood clots from forming by inhibiting platelet aggregation. It is often prescribed following a myocardial infarction to reduce the risk of further clot formation and to improve cardiovascular outcomes.
Correct Answer is D
Explanation
A. Variant angina: Also known as Prinzmetal's angina, this type of angina is caused by a spasm in the coronary arteries, which can temporarily restrict blood flow to the heart. While it can be severe, it is typically not associated with an impending myocardial infarction (MI). It often occurs at rest and is usually relieved with medications like nitrates or calcium channel blockers.
B. Chronic stable angina: This is the most common type of angina and occurs with physical exertion or emotional stress, typically following a predictable pattern. The pain is generally relieved with rest or nitroglycerin and is not usually associated with an impending myocardial infarction. Chronic stable angina is more of a symptom of underlying coronary artery disease (CAD) rather than an emergency situation.
C. Nocturnal angina: This occurs during sleep or while at rest, and it may be associated with coronary artery disease, but it is generally not an indicator of an impending MI. It can sometimes be relieved by sleeping in an upright position or using medications such as nitrates.
D. Unstable angina: This type of angina is the most concerning because it occurs unexpectedly and can happen at rest, with minimal physical activity, or at night. The pain is more severe, lasts longer, and may not be relieved by rest or nitroglycerin. Unstable angina is considered a medical emergency and is closely related to an impending myocardial infarction (MI). It signifies that a plaque in the coronary artery is unstable and may rupture, leading to a clot formation, which can completely block the artery and result in a heart attack.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.