The nurse is caring for a patient who is being tested for possible myasthenia gravis (MG). What are the most common early symptoms of myasthenia gravis that the nurse should document in the medical record? (Select all that apply.)
a. Weakness
b. Nausea
c. Numbness of the extremities
d. Confusion
e. Tremor
f. Ptosis
ANS: A, F
The hallmark of MG is increased muscle weakness during activity and improvement in muscle strength after rest. Patients often present with drooping of the eyelids (ptosis). Numbness and tingling of the extremities is characteristic of multiple sclerosis (MS), not MG. Tremor and confusion are not characteristic of MG.
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An obese patient states, "My goal is to reduce my weight from 280 pounds to 230 pounds in the first 6 months." The nurse should respond with which statement?
a. "That is a realistic goal for your weight-reduction program." b. "Because most weight loss occurs in the first 6 months, you should aim for 200 pounds." c. "Weight loss of more than 20 pounds in 6 months could be dangerous." d. "Safe and maintainable weight loss should be about 10% of your body weight in 6 months."
During the immediate postburn period, the nurse conducts a rapid but thorough assessment. Which finding indicates a potential complication?
1. Coughing 2. Presence of eschar 3. Urine output of 30 mL in the hour since the burn occurred 4. Edema in the burned area
The hospital has established a wellness center that provides health education programs. To advertise this new service, the hospital conducts what type of marketing?
a. Mass marketing b. Social marketing c. Product-variety marketing d. Exchange marketing
Several nurses have been given the task of developing a rotation schedule that provides adequate staffing of all shifts. This is an example of which type of group?
1. Self-help group 2. Task group 3. Teaching group 4. Therapy group