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 B

Explanation

A. Differences in upper and lower lung sounds are not indicative of atrial fibrillation but may suggest other conditions such as fluid accumulation or pneumonia.
B. A difference between apical and radial pulses, known as pulse deficit, can indicate atrial fibrillation due to the irregular and often rapid heartbeat that may not always produce a palpable radial pulse.
C. Differences between oral and axillary temperatures are not relevant to the assessment of atrial fibrillation but could indicate issues with measurement accuracy.
D. Different blood pressures in the upper limbs might suggest vascular issues but are not specific indicators of atrial fibrillation.

A. Xerostomia B. Candidiasis C. Gingivitis D. Halitosis

Correct Answer is B

Explanation

A. Xerostomia, or dry mouth, can occur due to various causes, including medications, but it is not an infectious condition linked directly to AIDS.
B. Candidiasis, or oral thrush, is a common opportunistic infection in clients with AIDS due to their weakened immune system and low CD4-T-cell count. It is caused by the overgrowth of Candida species in the mouth.
C. Gingivitis, an inflammation of the gums, can occur in immunocompromised individuals but is not as specific or common in AIDS as candidiasis.
D. Halitosis, or bad breath, can be a symptom of various conditions, including oral infections, but it is not a specific infectious condition associated with AIDS like candidiasis is.

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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

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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