A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?
Confusion
Increased urinary output
Increased intracranial pressure
Weakness
The Correct Answer is D
A. Confusion is not a typical manifestation of myasthenia gravis but could be related to other issues or conditions.
B. Increased urinary output is not directly associated with myasthenia gravis and is not a primary symptom to monitor.
C. Increased intracranial pressure is not characteristic of myasthenia gravis and is unrelated to the condition.
D. Weakness is a hallmark symptom of myasthenia gravis, resulting from impaired communication between nerves and muscles. It is crucial to monitor and assess for changes in muscle strength and fatigue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An HbA1c of 8.5% indicates poor glycemic control and higher average blood glucose levels over the past 2 to 3 months. This value is above the recommended target for most individuals with diabetes.
B. An HbA1c of 6.3% reflects good glucose control and is generally within the target range for many individuals with diabetes, typically aiming for below 7%.
C. An HbA1c of 7.8% indicates that the client’s glucose levels are higher than the recommended target but not as poor as 8.5%. It suggests that glucose control could be improved.
D. An HbA1c of 10% is indicative of very poor glucose control and requires significant adjustment in diabetes management.
Correct Answer is C
Explanation
A. The Mantoux test (TB skin test) is used for screening and indicates exposure to TB but cannot confirm active disease.
B. A chest x-ray can show signs suggestive of TB, such as lung lesions, but it does not confirm the presence of the bacteria.
C. A sputum culture for acid-fast bacillus is the most reliable test for confirming active pulmonary TB as it identifies the presence of Mycobacterium tuberculosis in the sputum.
D. A sputum smear can detect acid-fast bacilli but is less definitive than a culture, which confirms the diagnosis.
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