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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. While cardiac rehabilitation may be necessary for Timothy in the future due to his cardiomyopathy, his current symptoms and elevated creatine kinase levels warrant immediate attention to other potential complications.

B. While scoliosis screening may be necessary given Timothy's symptoms, it is not the most urgent priority.
C. Pain management may be necessary for Timothy, but his respiratory status should be assessed first to ensure adequate oxygenation.
D. Given Timothy's symptoms and potential complications such as respiratory muscle weakness associated with his elevated creatine kinase levels, a respiratory assessment is the most urgent priority to ensure proper oxygenation and ventilation

A. Physical therapy B. Custom orthotic devices C. Corticosteroid injections D. Occupational therapy

Correct Answer is ["A","B"]

Explanation

A. Physical therapy can help improve muscle strength, mobility, and balance in individuals with Charcot-Marie-Tooth disease.
B. Custom orthotic devices can help support Sally's feet, improve gait, and alleviate foot deformities associated with Charcot-Marie-Tooth disease.

C. Corticosteroid injections are not typically used to treat the symptoms of Charcot- Marie-Tooth disease.
D. Occupational therapy may be beneficial for some aspects of daily living but may not directly address the symptoms of Charcot-Marie-Tooth disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Timothy, 10, frequently falls and has a waddling gait. His creatine kinase is 4,000 U/L (normal is 22-198 U/L). Echocardiogram reveals early signs of cardiomyopathy. What is the most urgent nursing priority?

Correct Answer is D

Explanation

Sally, 33, has a family history of Charcot-Marie-Tooth disease. She presents with high-arched feet and hammer toes. Genetic testing reveals PMP22 gene duplication.

Correct Answer is ["A","B"]

Explanation

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