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 A
Explanation
A. Increase the amount of dopamine and reduce the amount of acetylcholine:
This is the correct answer. Parkinson's disease is characterized by a deficiency of dopamine, so medications aim to increase dopamine levels. Additionally, reducing the activity of acetylcholine helps to restore the balance between these neurotransmitters.
B. Increase the amount of dopamine and acetylcholine:
This is not accurate. Increasing both dopamine and acetylcholine would not address the underlying imbalance seen in Parkinson's disease.
C. Reduce the amount of dopamine and increase the amount of acetylcholine:
This is incorrect. Parkinson's disease involves a reduction in dopamine levels, so reducing dopamine further would worsen the symptoms. Additionally, increasing acetylcholine is not the therapeutic goal in Parkinson's disease.
D. Reduce the amount of dopamine and acetylcholine:
This is not the correct approach. Decreasing both dopamine and acetylcholine would exacerbate the symptoms of Parkinson's disease, as the primary issue is the deficiency of dopamine.
Correct Answer is ["C","D","E"]
Explanation
A. Decreasing physical activity: This is not a helpful intervention for preventing constipation. Physical activity, such as regular exercise, is beneficial for promoting bowel regularity.
B. Decreasing fluid intake: This is not a helpful intervention for preventing constipation. An adequate fluid intake is crucial for maintaining bowel regularity.
C. Nutritional diet high in fiber: This is a correct choice. Consuming a diet rich in fiber helps add bulk to the stool and promotes regular bowel movements, preventing constipation.
D. Increasing fluid intake: This is a correct choice. Staying well-hydrated is important for maintaining bowel regularity. Fluids help soften the stool and aid in its passage.
E. Increasing daily activity: This is a correct choice. Regular physical activity helps stimulate bowel movements and can contribute to preventing constipation.
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