A nurse at a long-term care facility is caring for a client with myasthenia gravis. What important teaching should the nurse provide for this client?
A) Wear Medic-Alert tag whenever he has to go out alone.
B) Avoid exposure to temperature extremes and infections.
C) Have regular eye examinations to check intraocular pressure.
D) Avoid any form of exercise or activity to conserve energy.
B
Feedback:
The nurse should instruct the client with myasthenia gravis to avoid exposure to temperature extremes and infections because these may trigger myasthenic crisis, leading to respiratory distress, muscular weakness, dysphagia, fever, and general malaise. The nurse should instruct the client to wear a Medic-Alert tag at all times, not only when going out alone. Regular eye examinations to check intraocular pressure are important in clients with Parkinson's disease and not myasthenia gravis. The nurse should instruct the client to maintain as regular a passive and active exercise regimen as possible to develop muscle strength and prevent contractures, muscle atrophy, and other disuse deformities. A regular exercise schedule must be maintained and energy conserved for essential activities.
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