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 C
Explanation
A. Pancrelipase is used for enzyme replacement therapy in chronic pancreatitis, not acute pancreatitis. In acute pancreatitis, the focus is on rest and managing symptoms rather than enzyme supplementation.
B. Initiating a low-residue diet is not appropriate during the acute phase of pancreatitis. Clients are typically NPO or on a clear liquid diet initially to allow the pancreas to rest and heal.
C. Pantoprazole is a proton pump inhibitor that reduces gastric acid production and is commonly used to prevent stress ulcers and manage symptoms in clients with acute pancreatitis. Reducing gastric acid helps in managing complications associated with pancreatitis.
D. Ambulation is generally encouraged once the client is stable but is not a primary prescription for acute pancreatitis. The initial focus is on managing symptoms and ensuring adequate rest.
Correct Answer is A
Explanation
A. Pain management is crucial after amputation, and the client should be informed that postoperative pain may gradually decrease, though some level of discomfort can persist.
B. A tingling sensation is not always expected, and the client should be prepared for a range of sensations postoperatively, including phantom pain.
C. Phantom pain is a real phenomenon experienced by many individuals following an amputation; it is not purely psychological.
D. Pain management strategies should be discussed, and the client should be aware that pain may not disappear immediately and may require ongoing management.
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