A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?

Muscle strength shows no change.

Muscle contractions become progressively stronger.

Electrical charge in a muscle increases in intensity.

A pill-rolling tremor appears.

Answer and Explanation

The Correct Answer is B

A.   If there is no change in muscle strength after the Tensilon test, it indicates a negative result for myasthenia gravis.
B.   Muscle contractions become progressively stronger is a positive result for myasthenia gravis. Tensilon temporarily improves muscle strength in patients with this condition.
C.   Electrical charge in a muscle increases in intensity is not a relevant parameter for the Tensilon test.
D.   A pill-rolling tremor appears is a symptom of Parkinson's disease, not myasthenia gravis.

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Correct Answer is ["A","C","E"]

Explanation

A. The client is experiencing apnea and has decreased oxygen saturation, indicating a need for supplemental oxygen.
B. Restraining a client during a seizure is dangerous and can cause injury.
C. This information is crucial for determining the type of seizure and guiding treatment.
D. Placing a tongue depressor in the client's mouth can cause trauma to the teeth and mouth and should never be done.
E. Turning the client to the side helps prevent aspiration of saliva or vomit, protecting the airway.

A. Slows intestinal motility B. Relieves pain C. Prevents dysrhythmias D. Dissolves blood clots

Correct Answer is C

Explanation

A. This is the action of medications like anticholinergics, not lidocaine.
B. Lidocaine does have local anesthetic properties, but it's not used in this context to relieve pain. It's used for its anti-arrhythmic properties.
C. Lidocaine is a class IB anti-arrhythmic medication. It suppresses abnormal heart rhythms, making it a crucial drug in treating cardiac arrest.
D. This is the action of thrombolytic medications like tissue plasminogen activator (tPA), not lidocaine.

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A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?

Correct Answer is C

Explanation

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