A client is newly diagnosed with myasthenia gravis. Client education would include which condition as the cause of the disease?

Destruction of acetylcholine receptors causing muscle weakness

inability of basal ganglia to produce sufficient dopamine

A post-viral illness characterized by ascending paralysis

Loss of the myelin sheath surrounding peripheral nerves

Answer and Explanation

The Correct Answer is A

A. Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, leading to muscle weakness.
B. Inability of basal ganglia to produce sufficient dopamine is related to Parkinson’s disease, not myasthenia gravis.
C. A post-viral illness with ascending paralysis describes Guillain-Barré syndrome.
D. Loss of the myelin sheath surrounding peripheral nerves occurs in diseases like multiple sclerosis and peripheral neuropathies, not myasthenia gravis.

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Correct Answer is B

Explanation

A. Checking pulses is a key part of a neurovascular assessment to evaluate circulation.
B. Pupils are part of a neurological assessment related to brain function, not peripheral neurovascular status of a limb, so this indicates the student needs further teaching.
C. Assessing movement is essential to check motor function and nerve integrity in the affected limb.
D. Capillary refill assesses peripheral circulation and is important in neurovascular checks.

A. Aspiration B. Dementia C. Akinesia D. Pill-rolling movements of the hand

Correct Answer is D

Explanation

A. Aspiration can occur in later stages of Parkinson disease due to impaired swallowing and muscle coordination, but it is not an initial symptom.
B. Dementia may develop as the disease progresses, but it is not typically seen in the early stages.
C. Akinesia, or the absence or loss of voluntary movement, may appear later but is not usually the first sign.
D. Pill-rolling movements of the hand(a type of resting tremor) are often one of the earliest signsof Parkinson disease and commonly prompt individuals to seek medical evaluation.

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A client is newly diagnosed with myasthenia gravis. Client education would include which condition as the cause of the disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which neurovascular check performed by a nursing student on a patient with a musculoskeletal injury alerts the instructor that further education is necessary?

Correct Answer is B

Explanation

Which symptoms occurs initially in Parkinson disease?

Correct Answer is D

Explanation

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