A client with myasthenia gravis has the priority client problem of inadequate nutrition. What assessment finding indicates that the priority goal for this client problem has been met?
a. Ability to chew and swallow without aspiration
b. Eating 75% of meals and between-meal snacks
c. Intake greater than output 3 days in a row
d. Weight gain of 3 pounds in 1 month
ANS: D
Weight gain is the best indicator that the client is receiving enough nutrition. Being able to chew and swallow is important for eating, but adequate nutrition can be accomplished through enteral means if needed. Swallowing without difficulty indicates an intact airway. Since the question does not indicate what the client's meals and snacks consist of, eating 75% may or may not be adequate. Intake and output refers to fluid balance.
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