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.

Nursing Test Bank

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Correct Answer is A ,B ,C ,D

No explanation

A. Perform additional tests for testicular cancer B. Ask Steve to bear down to check for hernias C. Inform Steve that this is a normal variation D. Immediately refer for a scrotal ultrasound

Correct Answer is C

Explanation

A. The position of the testicles is not typically indicative of testicular cancer, and further testing is not warranted based solely on this finding.
B. The difference in testicular position is not likely related to a hernia, and Steve's history and symptoms do not suggest hernia.
C. Testicular asymmetry, where one testicle hangs lower than the other, is a common and normal variation in many men.
D. Testicular asymmetry alone is not an indication for a scrotal ultrasound, and Steve's presentation does not raise suspicion for underlying pathology.

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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

47. Nurse Karen is reviewing medication orders for patients with different types of throat infections. Match each patient's condition to the appropriate pharmacological intervention.

Correct Answer is A ,B ,C ,D

Steve, a 40-year-old man, comes to the clinic for a routine check-up. During the examination of his male genitalia, it is noted that his left testicle hangs significantly lower than the right. What should be the healthcare provider's Initial action?

Correct Answer is C

Explanation

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