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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Polyphagia (excessive hunger) is typically associated with diabetes mellitus, not diabetes insipidus. Diabetes insipidus primarily affects fluid balance rather than blood sugar levels.
B. Dehydration is a common finding in diabetes insipidus due to the inability to concentrate urine, leading to excessive fluid loss and potential dehydration.
C. Hyperglycemia is associated with diabetes mellitus rather than diabetes insipidus. Diabetes insipidus does not directly affect blood glucose levels.
D. Bradycardia (slow heart rate) is not a typical finding in diabetes insipidus. The primary concern in diabetes insipidus is fluid imbalance rather than heart rate issues.
Correct Answer is D
Explanation
A. A febrile reaction is typically characterized by fever and chills but does not usually cause red-tinged urine.
B. Acute pain is not a specific reaction associated with blood transfusions and does not match the described symptoms.
C. An allergic reaction is more likely to cause hives or itching rather than fever and red-tinged urine.
D. Hemolytic transfusion reactions are associated with fever, chills, and red-tinged urine due to the breakdown of red blood cells and are a serious complication that requires immediate attention.
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