The nurse is planning how to organize care for a client admitted with an exacerbation of myasthenia gravis, and decides it would be best to:
1. Adhere to the client's usual at-home schedule as closely as possible.
2. Complete all care in the morning and encourage rest in the afternoon.
3. Spread care throughout the shift, with rest periods periodically.
4. Follow the usual routine to schedule and complete care.
3
Rationale: The nerve cell tires quickly in the client diagnosed with myasthenia gravis, so care should be spread throughout the day, doing a little bit at a time, with rest periods in between to allow the nerve cell to recover. The client's home schedule might differ considerably from the needs of hospitalization, and providing all care at once would stress the client. Individualizing care is important to all clients, but especially the client with myasthenia gravis.
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A) The patient B) It is unclear C) The hospital D) The specialist
The patient who is stuporous, but reacts by withdrawing from painful stimuli, is said to be:
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A patient diagnosed with systemic lupus erythematosus exhibits a facial rash. What instruction should the nurse provide regarding skin care? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Avoid being out of doors during the hours of greatest sun intensity. 2. Use sunscreen if sun exposure is possible. 3. Apply hydrocortisone cream 1% to the rash 4 to 6 times per day. 4. Wash the rash with antibacterial soap three times a day. 5. Swim in a chlorinated pool for relief of burning.