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 D

Explanation

A. Jerking movements of the extremities are not typical of chemotherapy-induced peripheral neuropathy. These movements could indicate other neurological disorders, such as tremors or dyskinesia.

B. Extremities turning blue when exposed to cold suggests a vascular issue, such as Raynaud's phenomenon, rather than neuropathy. Chemotherapy-induced peripheral neuropathy primarily affects sensation and not blood flow.

C. Spasms of the extremities are more indicative of muscle or electrolyte imbalances rather than neuropathy. Peripheral neuropathy typically causes sensory symptoms like tingling or numbness rather than muscle spasms.

D. Tingling or a burning sensation in the extremities, known as paresthesia, is a common symptom of chemotherapy-induced peripheral neuropathy. This condition affects the sensory nerves and can lead to these types of sensations.

A. To provide a means for medication administration B. To prevent fluid from accumulating in the wound C. To eliminate the need for wound irrigations D. To limit the amount of bleeding from the surgical site

Correct Answer is B

Explanation

A. A JP drain is not used for medication administration; its purpose is to remove fluid from the wound area.

B. The primary purpose of a JP drain is to prevent fluid from accumulating in the wound, which helps reduce the risk of infection and promotes healing by allowing continuous drainage of postoperative fluids.

C. While a JP drain helps manage fluid accumulation, it does not eliminate the need for wound irrigations if prescribed as part of the care plan.

D. A JP drain helps manage excess fluid but is not specifically designed to limit bleeding from the surgical site. Bleeding control is generally managed through other measures and monitoring.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms?

Correct Answer is D

Explanation

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation (ORIF). The nurse should understand that the JP drain was placed for which of the following purposes?

Correct Answer is B

Explanation

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