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 ["B","C"]
Explanation
A. Antibodies don't typically cause physical damage to antigens.
B. Antibodies can initiate the complement system, which is a cascade of proteins that can lyse or opsonize antigens.
C. Antibodies can also emit chemicals that modify the antigen's environment, such as cytokines or histamine, which can attract other immune cells or cause inflammation.
D. Antibodies typically target specific proteins or structures on the antigen's surface, not the cellular nucleus.
E. This action doesn't accurately describe the function of antibodies.
Correct Answer is A , B, C, B ,
No explanation
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