A client is admitted to the hospital with a myasthenic crisis. The nurse should anticipate which potential precipitating factors for this event?
The client consumes a high purine diet
Taking too much of their medication
Taking too little of the prescribed medication
Taking their medication while on an empty stomach
The Correct Answer is C
Choice A reason: Consuming a high purine diet is not related to myasthenic crisis. High purine diets are more commonly associated with conditions like gout, where uric acid levels become elevated.
Choice B reason: Taking too much of their medication can lead to a cholinergic crisis, not a myasthenic crisis. A cholinergic crisis occurs due to excessive accumulation of acetylcholine, often from overmedication with anticholinesterase drugs.
Choice C reason: Taking too little of the prescribed medication is the primary precipitating factor for a myasthenic crisis. Inadequate levels of medication lead to insufficient acetylcholine at neuromuscular junctions, causing severe muscle weakness and potentially life-threatening respiratory failure. This situation requires immediate medical intervention to stabilize the patient.
Choice D reason: Taking medication on an empty stomach may affect absorption rates, but it is not a direct precipitating factor for a myasthenic crisis. The crisis is more closely linked to under-medication or missed doses of anticholinesterase drugs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Administering an extra dose of albuterol at bedtime is not appropriate. The correct approach is to manage bronchial secretions through other means, such as hydration.
Choice B reason: Using a dehumidifier is not recommended for clients with respiratory issues. A humidifier, not a dehumidifier, helps keep the air moist and can help with secretions.
Choice C reason: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up. Hydration is an effective method to manage secretions and improve respiratory function.
Choice D reason: Increasing daily exercise can be beneficial for overall health but is not the primary method to clear bronchial secretions. Hydration is more directly effective in this situation.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Nausea is a common symptom of digoxin toxicity. Elevated levels of digoxin can cause gastrointestinal disturbances, including nausea.
Choice B reason: Vomiting is also a common symptom of digoxin toxicity. The medication can irritate the stomach and lead to vomiting.
Choice D reason: Hyperglycemia is not typically associated with digoxin toxicity. This symptom is unrelated to the effects of elevated digoxin levels.
Choice E reason: Photophobia is not a common symptom of digoxin toxicity. Symptoms of digoxin toxicity are more likely to be gastrointestinal or cardiovascular in nature.
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