The nurse is providing care to a patient with mysasthenia gravis (MG). The nurse would plan this care based on which characteristics of the disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Immunosuppressant therapy may be prescribed.
2. Exercise increases muscle strength.
3. Visual problems may be an early symptom.
4. Initial drug treatment often involves cholinesterase inhibitors.
5. Ptosis may be either unilateral or bilateral.
1,3,4,5
Rationale 1: Treatments such as glucocorticoid and immunosuppressant therapy may result in an increase in muscle strength.
Rationale 2: Exercise tends to fatigue muscles, while rest improves function.
Rationale 3: The manifestations of myasthenia gravis correspond to the muscles involved. Initially, the eye muscles are affected.
Rationale 4: Cholinesterase inhibitor therapy is often the initial drug treatment for MG.
Rationale 5: The patient experiences either diplopia (double vision) or ptosis (drooping of the eyelid unilaterally or bilaterally).
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