A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?

Raw vegetables with dip

Granola bars

Macaroni and cheese

Dried fruit

Answer and Explanation

The Correct Answer is C

A.   Raw vegetables can be challenging for individuals with myasthenia gravis because they require significant chewing and can lead to fatigue of the jaw muscles. Additionally, raw vegetables can be difficult to swallow if there is significant weakness.
B.   Granola bars can be hard and require extensive chewing. For a person with myasthenia gravis, the effort needed to chew and swallow these bars can lead to increased fatigue and difficulty managing meals.
C.   Macaroni and cheese is a softer food that requires less chewing compared to raw vegetables or granola bars. It can be easier for individuals with myasthenia gravis to manage because it is soft and less likely to cause fatigue. Additionally, it can be enriched with nutrients and is easier to swallow, making it a more appropriate choice for a nutritional plan for someone with MG.
D.   Dried fruit is typically tough and chewy, which can be difficult for someone with myasthenia gravis to handle. The chewing effort required can lead to muscle fatigue and discomfort.

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Correct Answer is C

Explanation

. Shellfish allergies are related to potential reactions to iodinated contrast media used in imaging studies, such as CT scans, rather than to spirometry. Spirometry does not involve contrast media or shellfish, so this question is not pertinent for this test.
B.A Metal implants are typically a concern for imaging tests like MRI, which involve strong magnetic fields. Spirometry, however, does not involve any imaging or use of magnetic fields, so metal implants do not affect spirometry results. Thus, this question is not relevant for spirometry preparation.
C. This is a relevant question for spirometry testing. Bronchodilators are medications used to open the airways and improve breathing. They can affect spirometry results if taken shortly before the test. For accurate assessment, the nurse needs to know if the client has used any bronchodilators, as they might need to adjust the testing protocol or account for the medication's effects on lung function.
D. Spirometry does not typically involve enclosed spaces that would trigger claustrophobia, as it is a breathing test usually performed with the client sitting comfortably in an open space. Claustrophobia is more relevant to imaging studies like MRIs or CT scans, where the client might be in a confined space.

A. "My acid reflux is much better since I started taking omeprazole." B. "I take my fluticasone inhaler on a schedule, even if I'm not having symptoms." C. "I use my albuterol inhaler when I have an asthma attack." D. "I take metoprolol to control my blood pressure."

Correct Answer is D

Explanation

A. This statement is relevant to the patient's health but does not indicate a need for further action by the nurse. Omeprazole is a common medication for acid reflux.
B. This statement is appropriate for patients with asthma. Fluticasone is a maintenance inhaler used to prevent asthma attacks, and taking it regularly as prescribed is important.
C. This statement is correct. Albuterol is a quick-relief inhaler used to treat asthma attacks.
D. This statement indicates a potential interaction with the patient's asthma medications. Beta-blockers like metoprolol can worsen asthma symptoms in some patients. The nurse should discuss this with the patient's doctor to determine if the benefits of metoprolol outweigh the risks for this individual.

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A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?

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