A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?

Confusion

Increased urinary output

Increased intracranial pressure

Weakness

Answer and Explanation

The Correct Answer is D

A. Confusion is not a typical manifestation of myasthenia gravis but could be related to other issues or conditions.
B. Increased urinary output is not directly associated with myasthenia gravis and is not a primary symptom to monitor.
C. Increased intracranial pressure is not characteristic of myasthenia gravis and is unrelated to the condition.
D. Weakness is a hallmark symptom of myasthenia gravis, resulting from impaired communication between nerves and muscles. It is crucial to monitor and assess for changes in muscle strength and fatigue.

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Correct Answer is D

Explanation

A. This statement is incorrect. While darker skin may have some natural protection against UV radiation, it does not eliminate the risk of skin cancer. All skin types are at risk, and protection is necessary.

B. This statement is incorrect. Tanning beds are a known risk factor for skin cancer and are not a safer alternative to sun exposure. Both contribute to skin damage and increase cancer risk.

C. This statement is incorrect. Skin cancer, including melanoma, can have a genetic component, and a family history of skin cancer increases an individual's risk.

D. This statement is correct. Sunscreen should be applied year-round, even in winter, as UV radiation can still affect the skin. This practice helps to protect against skin cancer and sun damage.

A. Handrails are present in the bathroom. B. Uses a microwave for cooking. C. Scatter rugs are present in the kitchen. D. Electrical cords are placed along the walls.

Correct Answer is C

Explanation

A. Handrails in the bathroom are a safety feature designed to prevent falls, which is beneficial for clients with decreased vision and other mobility issues.

B. Using a microwave for cooking is generally safe and convenient, especially for clients with decreased vision, as it reduces the need for handling hot pots and pans.

C. Scatter rugs can be a significant safety risk as they may cause tripping hazards, particularly for individuals with vision problems who may not see them clearly.

D. Electrical cords placed along the walls are less of a risk compared to scatter rugs. While they should be properly managed to avoid tripping hazards, they do not pose as immediate a risk as scattered rugs.

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A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?

Nursing Test Bank

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