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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Teaching the client about using hats and scarves is helpful, but providing resources for wigs and head coverings offers more comprehensive support and options.

Choice B reason: Explaining that hair loss is a temporary side effect of chemotherapy is informative but does not directly address the client's distress.

Choice C reason: Providing resources for wigs and other head coverings directly addresses the client's concern about hair loss. It offers practical solutions and helps the client cope with the physical changes caused by chemotherapy.

Choice D reason: Recommending limited social interactions to avoid embarrassment is not supportive. It may increase feelings of isolation and does not address the underlying distress.

A. Decreased central venous pressure B. Hypertension C. Bradycardia D. Decreased cardiac output

Correct Answer is B

Explanation

Choice A reason: Decreased central venous pressure is not typically associated with glomerulonephritis. This condition often leads to fluid retention and increased pressure within the blood vessels.

Choice B reason: Hypertension is a common manifestation of glomerulonephritis due to fluid retention and impaired kidney function. The kidneys are unable to excrete excess fluid, leading to increased blood pressure.

Choice C reason: Bradycardia is not typically associated with glomerulonephritis. The condition primarily affects kidney function and fluid balance, rather than heart rate.

Choice D reason: Decreased cardiac output can occur in severe cases of acute kidney injury, but it is not a primary manifestation of glomerulonephritis. Monitoring blood pressure and fluid status is more critical in these patients.

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A client is admitted to the hospital with a myasthenic crisis. The nurse should anticipate which potential precipitating factors for this event?

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A client is admitted to the hospital with a myasthenic crisis. The nurse should anticipate which potential precipitating factors for this event?