A mother of three young children who has a 3-year history of myasthenia gravis has had to stop helping in the children's classrooms in the morning because of fatigue. What should the nurse say to help the patient best cope with the problem?
a. "You need to realize that you may not be able to do the things you used to do."
b. "Time your medication so that its action is peaking during the time you need the most energy."
c. "Getting plenty of sleep the night before you are scheduled to help will give you the stamina you need."
d. "If you wait to take your medication after you finish helping in the classroom, you may find that your energy level is better."
ANS: B
The patient should be instructed to schedule activities at times when medication is at peak action so that muscle strength is increased. A. C. These statements may also be true but medication is needed to get through an activity. D. Taking the medication after the activity will help with strength after, not during, the activity.
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