A 67-year-old patient diagnosed with myasthenia gravis will likely display which clinical manifestations as a result of autoantibodies ultimately blocking the action of acetylcholine, resulting in destruction of the receptors?
A)
Weakness of the eye muscles; difficulty in swallowing and slurred speech; impaired gait
B)
Tremor of hands/arms; rigidity of the arms; shuffling gait
C)
Short-term memory lapses; problems with orientation; a lack of drive or initiative
D)
Facial droop; slurred speech; weakness on one side of the body
Ans:
A
Feedback:
Myasthenia gravis ultimately results in destruction of receptors in the neuromuscular junction leading to a decrease in neuromuscular function. Answer B relates to s/s of Parkinson disease; answer C relates to Huntington disease; and answer D relates to classic s/s of CVA.
You might also like to view...
A nursing instructor teaches a class of student nurses that the most effective communication style for nurses to practice is
1. Passive. 2. Avoidant. 3. Assertive. 4. Aggressive.
List three reasons why haemostasis is essential in surgical procedures
John North, 53, has a history of type I diabetes mellitus, cigarette smoking (40 pack years), coronary artery disease (CAD) and peripheral vascular disease (PVD). Six weeks ago, he developed a wound on his left heel that measured 4 cm by 2 cm. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a below knee amputation (BKA) of the left lower extremity tomorrow at 10 am. His meds include daily insulin, aspirin 325 mg/day and Pletal (cilostazol) 100 mg b.i.d. He has an advanced directive and no known drug allergies (NKDA). What will be an ideal response?
A nurse is caring for a 60-year-old client who has recently undergone a thyroidectomy. Which of the following postoperative complications is most critical for the nurse to monitor when caring for this client?
A) Bradycardia B) Fever C) Difficulty in breathing D) Peripheral edema
List five things you will do in the care of the person with glaucoma.
What will be an ideal response?