The nurse is admitting an adolescent with known myasthenia gravis to the intensive care unit with respiratory failure. Which questions would be most important for the nurse to ask to attempt to find the cause of the problem? (Select all that apply.)
A.
"Could your child have skipped doses of his medication?"
B.
"Do you know if your child uses drugs or drinks alcohol?"
C.
"Has your child been sick or overly fatigued recently?"
D.
"How long has your child been diagnosed with myasthenia gravis?"
E.
"Is it possible that your child took too much medication?"
ANS: A, C
This child appears to be in a myasthenic crisis, which is usually caused by underdosing or skipping medication and illness, infection, or fatigue. The other questions will not help identify the cause of the crisis.
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