During shift report, the nurse learns that a pt with MG deteriorated toward the end of the shift and the physician was called. A tensilon test indicated the pt was having a myasthenic crisis. What is the priority problem for this pt?
a. potential for inadequate oxygenation
b. potential for decreased ability to perform ADLs
c. potential for aspiration
d. potential for increase in BP, pulse, and respirations
Answer: a. potential for inadequate oxygenation
You might also like to view...
A client is directed to reduce the intake of simple sugar to 5% of the total number of calories consumed per day. If the client consumes 1800 calories per day, how many of these calories should the nurse inform the client can be simple sugar?
a. 75 b. 90 c. 115 d. 145
A nurse is teaching a group of nursing students about neurotransmitters. Which statement by a student about acetylcholine indicates a need for further teaching?
a. "It activates three cholinergic receptor subtypes." b. "It has effects in the parasympathetic, sympathetic, and somatic nervous sys-tems." c. "It is used at most junctions of the peri-pheral nervous system." d. "Its transmission is terminated by reuptake into the cholinergic nerve terminal."
An adult who has adrenal gland hyperfunction is prescribed to receive 2 g of mitotane (Lysodren) orally immediately. The drug on hand is mitotane 500 mg/scored tablet. How many tablets should you prepare to give?
What is the answer?
During a family therapy session Mrs. S says to her daughter "I would like to know why you took the piece of pie that was left after dinner last night. You knew I wanted it." Later Mr. S told his daughter "I know exactly why you did that." The nurse therapist should consider the possibility that the family has
A. clear boundaries. B. diffuse boundaries. C. disengaged boundaries. D. no boundary problems.