A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?

Raw vegetables with dip

Granola bars

Macaroni and cheese

Dried fruit

Answer and Explanation

The Correct Answer is C

A.   Raw vegetables can be challenging for individuals with myasthenia gravis because they require significant chewing and can lead to fatigue of the jaw muscles. Additionally, raw vegetables can be difficult to swallow if there is significant weakness.
B.   Granola bars can be hard and require extensive chewing. For a person with myasthenia gravis, the effort needed to chew and swallow these bars can lead to increased fatigue and difficulty managing meals.
C.   Macaroni and cheese is a softer food that requires less chewing compared to raw vegetables or granola bars. It can be easier for individuals with myasthenia gravis to manage because it is soft and less likely to cause fatigue. Additionally, it can be enriched with nutrients and is easier to swallow, making it a more appropriate choice for a nutritional plan for someone with MG.
D.   Dried fruit is typically tough and chewy, which can be difficult for someone with myasthenia gravis to handle. The chewing effort required can lead to muscle fatigue and discomfort.

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Correct Answer is C

Explanation

A. Prednisone, a corticosteroid, is more commonly associated with fluid retention rather than fluid volume deficit. Fluid volume deficit would generally be a concern with diuretics or other medications that increase urine output. Prednisone can lead to fluid retention and edema, not a deficit.
B. Prednisone is more likely to cause weight gain rather than weight loss. Corticosteroids can increase appetite and lead to fluid retention, both of which contribute to weight gain. Significant weight loss is not a typical side effect of prednisone.
C. Prednisone and other corticosteroids can cause sodium retention, which can lead to fluid retention and hypertension. Sodium retention is a common side effect of corticosteroids, and it contributes to the fluid retention and potential weight gain associated with these medications.
D. Prednisone can cause thinning of the skin rather than thickening. Long-term use of corticosteroids can lead to skin thinning, increased bruising, and easy tearing of the skin. Thickening of the skin is not a common side effect of prednisone.

A. Laparoscopic splenectomy B. Transfusion of platelets C. Replacement of ADAMTS-13 D. Administration of protamine sulfate

Correct Answer is A

Explanation

A. Laparoscopic splenectomy involves the surgical removal of the spleen. The spleen is an organ where platelets are often destroyed in ITP. Removing the spleen can reduce the destruction of platelets and potentially improve platelet counts. This procedure is considered when medical therapy fails to adequately control the condition and is often effective in increasing platelet counts for many patients with chronic ITP.
B. Transfusion of platelets is generally not effective in ITP because the underlying problem is that the platelets are being destroyed by the immune system. Platelet transfusions may provide a temporary increase in platelet count but do not address the underlying cause of platelet destruction.
C. ADAMTS-13 is a von Willebrand factor-cleaving protease associated with thrombotic thrombocytopenic purpura (TTP), not ITP. Replacement of ADAMTS-13 is relevant for treating TTP, a different condition that also involves thrombocytopenia but has a different pathophysiology.
D. Protamine sulfate is used to reverse the effects of heparin, an anticoagulant. It is not used to treat ITP and does not affect platelet destruction or platelet count. This procedure is not relevant to the management of ITP.

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A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who will begin a prolonged course of prednisone to treat a multiple sclerosis flare. What information should the nurse include in the education about this medication?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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