A middle-aged female patient has been admitted to the outpatient treatment unit of the hospital for an edrophonium (Tensilon) test

Shortly after the administration of the medication, the patient reports that her muscle strength is significantly weaker than before the test. The nurse who is participating in the test should recognize that this finding is suggestive of what diagnosis? A) Alzheimer's disease
B) Anticholinergic crisis
C) Myasthenia gravis
D) Cholinergic crisis


D
Feedback:
If the edrophonium test makes the patient even weaker, the diagnosis is cholinergic crisis.

Nursing

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The most important reason to protect the preterm infant from cold stress is that:

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Your patient has a pacemaker electrode and a central venous (CV) line in the right antecubital area and an arteriovenous (AV) shunt in his left lower arm

You determine that the most appropriate site to measure the blood pressure is which of the following? a. left arm, above the AV shunt b. right thigh c. right arm if performed quickly to prevent interference with the electrode or CV line d. right arm below the electrode and CV line

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As part of a written standard protocol for the unit, a nurse adds that irrigation of an occluded cannula is not recommended. What is the rationale against performing this procedure?

a. It may damage a venous valve. b. It may introduce an air embolus into the line. c. It may cause the patient pain. d. It may force blood clots into the main bloodstream.

Nursing

Termination of a therapeutic nurse-patient relationship with a patient has been successful when the nurse:

a. avoids upsetting the patient by shifting focus to other patients before the discharge. b. gives the patient a personal telephone number and permission to call after discharge. c. discusses with the patient changes that have happened during the relationship and evaluates the outcomes. d. offers to meet the patient for coffee and conversation three times a week after discharge.

Nursing