A client is hospitalized with myasthenia gravis and the nursing diagnosis Ineffective Breathing Pattern related to neuromuscular weakness has been identified
In planning care for this client, the nurse will identify which of the following interventions as having priority? 1. Airway suctioning as required
2. Provide frequent rest periods
3. Monitor arterial blood gases
4. Assist with ADLs
Airway suctioning as required
Rationale: Respiratory failure is a serious complication for the client hospitalized with myasthenia gravis. Remembering the ABCs, patent airway is the first concern. Assessment of the arterial blood gases, while important, does not have priority in this situation. Energy conservation interventions, such as frequent rest periods and assistance with ADLs, while appropriate for neuromuscular weakness symptoms, do not have priority over maintaining a patent airway.
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True False