A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis.
The nurse should identify that which of the following factors can cause a myasthenic crisis?.

Developing a respiratory infection.

Taking too much prescribed medication.

Insufficient sleep.

Insufficient exercise.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.

Choice B rationale:

Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.

Choice C rationale:

Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis.

Choice D rationale:

Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.

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Correct Answer is B

Explanation

Choice A rationale:

Acamprosate is used to help manage alcohol dependence, but it’s not typically used for acute withdrawal symptoms.

Choice B rationale:

Lorazepam is a benzodiazepine, which is the first-line treatment for alcohol withdrawal delirium due to its efficacy in reducing withdrawal symptoms and preventing complications.

Choice C rationale:

Disulfiram is used as a deterrent for alcohol consumption, not for managing withdrawal symptoms.

Choice D rationale:

Methadone is used for opioid dependence, not alcohol withdrawal.

So, the correct answer is B. Lorazepam.

A. Treat nasal rhinitis with an over-the-counter antihistamine. B. If a medication dose is missed, wait until the next scheduled dose to take the medication. C. Expect diaphoresis as a side effect of the neostigmine. D. Take the medication 45 minutes before eating.

Correct Answer is D

Explanation

Choice A rationale:

Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.

Choice B rationale:

If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.

Choice C rationale:

Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.

Choice D rationale:

Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial.

So, the correct answer is,

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A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis. The nurse should identify that which of the following factors can cause a myasthenic crisis?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.Which of the following instructions should the nurse include in the teaching?.

Correct Answer is D

Explanation

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A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis.
The nurse should identify that which of the following factors can cause a myasthenic crisis?.