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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Serum creatinine is a specific marker of renal function and provides an accurate assessment of kidney function, making it the best indicator for evaluating renal health in clients with SLE.
B. Urine-specific gravity indicates the concentration of urine but does not directly assess renal function.
C. Blood urea nitrogen (BUN) can indicate renal function but is less specific than serum creatinine and can be influenced by other factors like hydration status.
D. Serum sodium levels are not a direct indicator of renal function; they are more related to fluid balance and electrolyte status.

A. Frothy pink drainage B. Greenish-yellow drainage C. Dark amber drainage D. Coffee-ground drainage

Correct Answer is D

Explanation

A. Frothy pink drainage is more characteristic of recent or active bleeding rather than an upper gastrointestinal bleed.
B. Greenish-yellow drainage typically indicates bile or gastric secretions rather than blood.
C. Dark amber drainage might suggest older, degraded blood but is less specific to an active upper GI bleed.
D. Coffee-ground drainage is indicative of older, partially digested blood and is expected in cases of upper gastrointestinal bleeding due to the breakdown of blood in the stomach.

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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?

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Naxlex Comprehensive Predictor Exams

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