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.

Answer and Explanation

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

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Correct Answer is ["10"]

Explanation

Step 1: Identify what’s given

Infusion rate = 8 mg/hour
One bag = 80 mg in 200 mL
We want to know how many hours the 80 mg will last at 8 mg/hour.

Step 2: Calculate time

Total dose in the bag ÷ infusion rate:

80 mg ÷ 8 mg/hour = 10 hours

Final Answer: 10 hours

A. You have had some heart muscle damage but it involved a small area." B. "This is no different than the angina attacks that you have had in the past." C. "You have had a very serious heart attack and will need open heart surgery." D. The cardiac catheterization will diagnose this problem and correct it."

Correct Answer is A

Explanation

A. NSTEMI (Non-ST-Elevation Myocardial Infarction) refers to a heart attack where there is partial blockage or damage to the heart muscle but less severe than in STEMI (ST-Elevation Myocardial Infarction). The damage in NSTEMI typically affects a smaller area of the heart muscle, and it may not involve a full-thickness injury like in STEMI. This response provides the client with a clear, understandable explanation of their condition.

B. This statement is incorrect because NSTEMI is not the same as angina. Angina is chest pain due to temporary lack of blood flow to the heart, while NSTEMI involves actual damage to the heart muscle due to a more significant reduction in blood flow, even if the heart attack is less severe than a STEMI.

C. While NSTEMI is a serious condition, it does not automatically require open heart surgery. Treatment often involves medications (like antiplatelets or anticoagulants) and procedures like angioplasty or stenting to address the blockage, not necessarily surgery.

D. This response is somewhat misleading. Cardiac catheterization may be used to assess the severity and location of the blockage, but it is not always used to directly correct the problem. Procedures such as angioplasty or stent placement may follow the catheterization, but not all patients with NSTEMI will need immediate intervention.

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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....

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Naxlex Comprehensive Predictor Exams

The client is prescribed pantoprazole 8 mg/hr after a bolus dose is given. The standard concentration from the pharmacy is 80 mg in 200 mL. How many hours will one bag take to infuse? (Use a leading zero if it applies. Do not use a trailing zero. Round to the nearest hour.)

Correct Answer is ["10"]

Explanation

The client tells the nurse, "My physician told me that I had an NSTEMI. I thought all heart attacks were the same. Can you explain this to me?" What would be the nurse's best response?

Correct Answer is A

Explanation

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