The nurse is assessing a client with myasthenia gravis (MG). Which of the following describes a situation that is characteristic of this disease? Select all that apply
1. Visual problems may be an early symptom.
2. Immunosuppressant therapy may be prescribed.
3. Ptosis may be either unilateral or bilateral.
4. Exercise increases muscle strength.
5. Tremors respond well to anticholinergic drug therapy.
1. Visual problems may be an early symptom.
2. Immunosuppressant therapy may be prescribed.
3. Ptosis may be either unilateral or bilateral.
Rationale: Visual problems may be an early symptom. The manifestations of myasthenia gravis correspond to the muscles involved. Initially, the eye muscles are affected. Immunosuppressant therapy may be prescribed. Treatments such as glucocorticoid and immunosuppressant therapy may result in an increase in muscle strength. Ptosis may be either unilateral or bilateral. The client experiences either diplopia (double vision) or ptosis (drooping of the eyelid unilaterally or bilaterally). Exercise increases muscle strength. Exercise tends to fatigue muscles, while rest will improve function. Tremors respond well to anticholinergic drug therapy. Anticholinergics are the oldest class of medications used to treat the tremors experienced in Parkinson's disease.
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1. Focusing on weight management activities. 2. Participating in rehabilitation to promote maximum physical functioning. 3. Encouraging to have needed vaccinations during the next care provider visit. 4. Requesting prescriptions from the care provider to ensure adequate pain management.
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1. "You will not know for sure for at least a few more days.". 2. "There is a medication called Plan B, which is emergency contraception.". 3. "Are you sure the rapist did not use a condom?" 4. "The baby could always be given up for adoption.".