A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?
Muscle strength shows no change.
Muscle contractions become progressively stronger.
Electrical charge in a muscle increases in intensity.
A pill-rolling tremor appears.
The Correct Answer is B
A. If there is no change in muscle strength after the Tensilon test, it indicates a negative result for myasthenia gravis.
B. Muscle contractions become progressively stronger is a positive result for myasthenia gravis. Tensilon temporarily improves muscle strength in patients with this condition.
C. Electrical charge in a muscle increases in intensity is not a relevant parameter for the Tensilon test.
D. A pill-rolling tremor appears is a symptom of Parkinson's disease, not myasthenia gravis.
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Related Questions
Correct Answer is "{\"xRanges\":[56.64581298828125,96.64581298828125],\"yRanges\":[110.33331298828125,150.33331298828125]}"
Explanation
Correct Answer is B
Explanation
A. Cryoprecipitates are primarily used to treat bleeding disorders and conditions such as hemophilia or fibrinogen deficiencies. They are not the first-line treatment for hypovolemic shock, which is generally due to significant blood or fluid loss rather than clotting deficiencies.
B. Packed RBCs are a critical component in the management of hypovolemic shock, especially when the shock is due to significant blood loss. Administering packed RBCs helps restore the blood volume and improve oxygen delivery to tissues. This is particularly important in cases where the patient has lost a large volume of blood due to trauma, surgery, or other causes.
C. Albumin is used to treat hypovolemic shock when there is a need to increase intravascular volume due to fluid loss that results in low oncotic pressure. It is particularly useful in cases of burns, liver disease, or other conditions where fluid leaks into the interstitial space. While it can be used to manage hypovolemic shock, packed RBCs are typically the primary choice for blood loss.
D. Platelets are used to treat bleeding disorders where there is a deficiency in platelet count or function, such as in thrombocytopenia or during chemotherapy. They are not typically used for hypovolemic shock unless the shock is complicated by severe bleeding and platelet dysfunction.
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