A nurse is performing an assessment on a client who is suspected of having MG. The complaint made by the client that reflects a manifestation commonly seen in clients with this disease is
a. "By the end of the day, my eyelids usually are drooping."
b. "I have a great deal of difficulty getting up after I rest for a while."
c. "I perspire more then I ever have in the past."
d. "When I have a cold, I usually have a strong cough with it."
A
The primary feature of MG is increasing weakness with sustained muscle contraction. After a period of rest the muscles regain their strength. Muscle weakness is greatest after exertion or at the end of the day. Ocular manifestations are most common, with ptosis or diplopia occurring in a majority of clients.
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