A client with myasthenia gravis is experiencing a cholinergic crisis. Which symptoms are associated with this condition? (Select all that apply.)
Bradycardia
Rash
Vomiting
Fever
Drooling
Correct Answer : A,C,E
A. Bradycardia
Bradycardia (slow heart rate) is a symptom of cholinergic crisis. Excessive stimulation of acetylcholine receptors can lead to bradycardia.
B. Rash
Rash is not typically associated with cholinergic crisis. Instead, it may be associated with other conditions or drug reactions.
C. Vomiting
Vomiting is a symptom of cholinergic crisis. Excessive stimulation of the gastrointestinal tract by acetylcholine can lead to increased gastrointestinal motility and nausea/vomiting.
D. Fever
Fever is not typically associated with cholinergic crisis. Instead, it may suggest an infection or other inflammatory condition.
E. Drooling
Drooling is a symptom of cholinergic crisis. Excessive stimulation of salivary glands by acetylcholine can lead to increased salivation and drooling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. Administer morphine 1-2 mg IV
Administering morphine is not a preventive measure for spinal headaches. It may be considered for pain relief if the patient experiences discomfort after the effects of spinal anesthesia wear off.
B. Ambulate the client as soon as she gets feelings back
Ambulating the patient too soon after spinal anesthesia is generally not recommended. Staying in bed initially helps prevent complications like spinal headaches.
C. Increase fluid intake
Adequate hydration is important after spinal anesthesia to help maintain cerebrospinal fluid volume. Increasing fluid intake can reduce the risk of developing a spinal headache.
D. Encourage the patient to stay flat in bed
Remaining in a flat or slightly elevated position helps minimize cerebrospinal fluid leakage from the puncture site, reducing the likelihood of developing a spinal headache. This position is typically recommended for a specific duration after spinal anesthesia.
E. Position the client in high Fowler's position
Placing the patient in high Fowler's position (sitting upright) may increase the risk of cerebrospinal fluid leakage, potentially leading to a spinal headache. This position is not recommended for preventing spinal headaches after spinal anesthesia.
Correct Answer is C
Explanation
A. A learning disorder and muscle paralysis
This description does not align with the typical symptoms of ADHD. ADHD is characterized by core symptoms of inattention, hyperactivity, and impulsivity. Muscle paralysis is not a recognized symptom of ADHD.
B. Nervousness and sleeplessness
While some individuals with ADHD may experience difficulties with sleep, nervousness and sleeplessness are not the primary symptoms of ADHD. ADHD is more characterized by difficulties with attention, hyperactivity, and impulsivity.
C. Hyperactivity and decreased attention span
This is the correct choice. Hyperactivity and a decreased attention span are core symptoms of ADHD. Children with ADHD often display impulsive behaviors, have difficulty sustaining attention, and may be overly active.
D. Hyperactivity and nervousness
While hyperactivity is a common symptom of ADHD, nervousness is not typically described as a core symptom. ADHD is more characterized by impulsivity, hyperactivity, and attention difficulties.
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