The nurse is assessing a patient with myasthenia gravis. Which findings would the nurse attribute to this disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Visual problems may be an early symptom.
2. Routine exercise provides an improvement in muscle strength.
3. There may be difficulty swallowing.
4. Muscle strength improves greatly with physical therapy.
5. There may be poor articulation in speaking.
1,3,5
Rationale 1: The manifestations of myasthenia gravis correspond to the muscles involved. Initially, the eye muscles are affected and the patient experiences either diplopia (unilateral or bilateral double vision) or ptosis (drooping of the eyelid).
Rationale 2: Although treatments such as glucocorticoid and immunosuppressant therapy may result in an increase in muscle strength, exercise tends to fatigue muscles.
Rationale 3: Patients may have periods of dysphagia (difficulty swallowing).
Rationale 4: Although treatments such as glucocorticoid and immunosuppressant therapy may result in an increase in muscle strength, exercise tends to fatigue muscles, while rest improves function.
Rationale 5: Patients may have periods of dysarthria (problems with speech).
You might also like to view...
Which of the following effects are considered to be evidence that a urinary tract infection (UTI) has been treated effectively? Select all that apply
a. Relief of urgency b. Relief of frequency c. Relief of dysuria d. Absence of urine odor e. Urine ranges in color from light yellow to dark amber
The nurse enters the room of a patient whose cardiac monitor alarm is sounding. Which action should the nurse take first?
A) Greet the patient. B) Turn off the alarm. C) Look at the monitor. D) Check for lead placement.
The nurse is teaching a class on stroke prevention. Which of the following statements is accurate about studies conducted on telehealth decision-making and diagnosing of strokes?
a. Several studies show telehealth decision making and diagnosing of strokes are just as effective and may be more cost effective. b. Studies conducted on telehealth decision making and diagnosing of strokes have been inconclusive. c. Studies show telehealth decision making and diagnosing of strokes are less effective and less cost effective. d. Several studies show telehealth decision making and diagnosing of strokes are just as effective but less cost effective.
Of the doses on hand, you would select ______________________ to administer the dose ordered
Ordered: Fluconazole susp 25 mg po qid. A. Fluconazole 50 mg/tablet B. Fluconazole 100 mg/tablet C. Fluconazole infusion 2 mg/mL D. Fluconazole susp 10 mg/mL