A health-care provider administers edrophonium (Tensilon) to a school-age child with new onset of muscle weakness. The child is able to hold her eyes open for the duration of the drug's half-life
Which information does the nurse plan to teach the child and parents?
A.
Muscle weakness will progress in an ascending fashion.
B.
Pain control will be an important aspect of the child's care.
C.
This disease is a result of a previous viral infection.
D.
Weakness and fatigue will probably be worse during the day.
ANS: D
A positive result to a Tensilon test is diagnostic for myasthenia gravis, an autoimmune disease uncommon in children. Muscle weakness is the main symptom, and the weakness is particularly pronounced in muscles used for eye movement, chewing, swallowing, and breathing. Weakness is usually worse during the day or during times of stress. It is not painful, muscle weakness does not progress in ascending fashion as in Guillain-Barré syndrome, and the cause is unknown.
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