Emily, 25, shows signs of ptosis, dysphagia, and respiratory distress. The tensilon test is positive, and her ABG shows a PaO2 of 70 mmHg. What is the most immediate nursing intervention?
Initiate mechanical ventilation
Administer high-dose corticosteroids
Administer neostigmine
Provide supplemental oxygen
The Correct Answer is A
A. Emily is showing signs of myasthenic crisis, a life-threatening condition characterized by severe weakness of respiratory muscles. Initiating mechanical ventilation is the most immediate intervention to ensure adequate oxygenation and ventilation.
B. Administering high-dose corticosteroids may be part of the treatment for myasthenia gravis but would not address the immediate need for respiratory support.
C. Neostigmine is a medication used to treat myasthenia gravis but may not provide rapid relief in a crisis situation.
D. Providing supplemental oxygen may help temporarily but would not address the underlying respiratory muscle weakness and need for mechanical ventilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. As Jack will likely have a stoma after the partial laryngectomy, educating him on stoma care is crucial preoperatively.
B. While support groups may be beneficial for Jack postoperatively, they are not immediate preoperative interventions.
C. Preoperative antibiotics are not routinely indicated for a partial laryngectomy unless there are specific risk factors present.
D. Given the nature of the surgery, ensuring Jack has a method for postoperative communication is important.
E. While assessment for signs of infection or hemorrhage is important, it's more of a perioperative and postoperative nursing intervention.
Correct Answer is A ,B,C,D
No explanation
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