A patient with myasthenia gravis is being treated with corticosteroids. What symptom would indicate an undesirable side effect of the corticosteroid therapy?
A) Increased weakness with activity
B) Persistent ptosis
C) Inability to swallow
D) Stool positive for guaiac
D
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A patient's uvula raises midline when she says "ahh," and she has a positive gag reflex. The nurse has just tested which cranial nerves?
a. IX and X b. IX and XII c. X and XII d. XI and XII
Eight hours after presentation to the emergency department with reports of substernal chest pain, a client's laboratory results demonstrate myoglobin levels of 55 ng/mL. What does the nurse do next?
a. Prepare the client for an emergency coro-nary bypass graft surgery. b. Administer nitroglycerin to prevent further myocardial cell death. c. Assess the client to identify another po-tential cause of the chest pain. d. Provide client education related to com-plications of myocardial infarctions.
The nurse is teaching a client who has sickle cell disease and was admitted for splenomegaly and abdominal pain. Which instruction does the nurse include in the client's discharge teaching?
a. "Avoid drinking large amounts of fluids." b. "Eat six small meals daily instead of large meals." c. "Engage in aerobic exercise 3 days a week." d. "Receive a yearly influenza vaccination."
The parents learn that their newborn has the CFTR gene located on chromosome 7. During counseling, what should the parents be told about the ways that this genetic alteration may be expressed as the child grows?
Select all that apply. 1. The child develops normally without any clinical manifestations associated with cystic fibrosis. 2. The patient is placed on a lung transplant list. 3. The patient receives bilateral mastectomies. 4. The patient is counseled about the increased risk of developing Alzheimer disease. 5. The child exhibits some mild signs and symptoms associated with cystic fibrosis.