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.

Answer and Explanation

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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Correct Answer is ["A","C","E"]

Explanation

A. The client is experiencing apnea and has decreased oxygen saturation, indicating a need for supplemental oxygen.
B. Restraining a client during a seizure is dangerous and can cause injury.
C. This information is crucial for determining the type of seizure and guiding treatment.
D. Placing a tongue depressor in the client's mouth can cause trauma to the teeth and mouth and should never be done.
E. Turning the client to the side helps prevent aspiration of saliva or vomit, protecting the airway.

A. "The purpose of this device is to allow for neck movement during the healing process." B. "The purpose of this device is to immobilize the cervical spine." C. "Turn the screws on the device once each day." D. "Apply talcum powder under the vest to limit friction."

Correct Answer is B

Explanation

A. The primary purpose of a halo fixation device is to immobilize the cervical spine to prevent further injury and promote healing.
B. The halo device provides rigid immobilization of the cervical spine.
C. This is incorrect and dangerous. The screws in the halo device should only be tightened by a healthcare professional.
D. Applying talcum powder under the halo vest can actually increase the risk of skin breakdown. The area should be kept clean and dry.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is teaching the family of a client who is receiving treatment for a spinal cord injury with a halo fixation device. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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