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A. Prostigmine (neostigmine)
B. Atropine (atropine sulfate)
C. Didronel (etidronate)
D. Tensilon (edrophonium)
Q.2) Karina a client with myasthenia gravis is to receive immunosuppressive therapy. The
nurse understands that this therapy is effective because it:
Q.3) Myasthenia gravis is due to ____ receptors being blocked and destroyed by
antibodies.
A. Epinephrine
B. Nicotinic
C. Acetylcholine
D. Transient
Q.4) A client with myasthenia gravis has been receiving Neostigmine (Prostigmin). This drug
acts by:
Q.5) The most significant initial nursing observations that need to be made about a client
with myasthenia include:
Q.6) In making a diagnosis of myasthenia gravis Edrophonium HCI (Tensilon) is used. The
nurse knows that this drug will cause a temporary increase in:
A. Muscle strength
B. Symptoms
C. Blood pressure
D. Consciousness
Q.7) Helen, a client with myasthenia gravis, begins to experience increased difficulty in
swallowing. To prevent aspiration of food, the nursing action that would be most effective
would be to:
A. acetylcholine
B. norepinephrine
C. GABA
D. dopamine
Q.9) While reviewing a clients chart, the nurse notices that the female client has
myasthenia gravis. Which of the following statements about neuromuscular blocking agents
is true for a client with this condition?
A. The client may be less sensitive to the effects of a neuromuscular blocking agent.
B. Succinylcholine shouldnt be used; pancuronium may be used in a lower dosage.
C. Pancuronium shouldnt be used; succinylcholine may be used in a lower dosage.
D. Pancuronium and succinylcholine both require cautious administration.
A. Graves disease
B. Myasthenia gravis
C. Insulin-dependent diabetes mellitus
D. Alzheimer's disease
Q.11) A client with myasthenia gravis ask the nurse why the disease has occurred. The
nurse bases the reply on the knowledge that there is:
Q.12) The nurse is teaching the female client with myasthenia gravis about the prevention
of myasthenic and cholinergic crises. The nurse tells the client that this is most effectively
done by:
Q.14) Helen is diagnosed with myasthenia gravis and pyridostigmine bromide (Mestinon)
therapy is started. The Mestinon dosage is frequently changed during the first week. While
the dosage is being adjusted, the nurses priority intervention is to:
Q.15) The initial nursing goal for a client with myasthenia gravis during the diagnostic phase
of her hospitalization would be to:
Q.16) A female client has experienced an episode of myasthenic crisis. The nurse would
assess whether the client has precipitating factors such as:
Q.17) Jane, a 20- year old college student is admiited to the hospital with a tentative
diagnosis of myasthenia gravis. She is scheduled to have a series of diagnostic studies for
myasthenia gravis, including a Tensilon test. In preparing her for this procedure, the nurse
explains that her response to the medication will confirm the diagnosis if Tensilon produces:
Q.18) Toy with a tentative diagnosis of myasthenia gravis is admitted for diagnostic make
up. Myasthenia gravis can confirmed by:
A. Kernigs sign
B. Brudzinskis sign
C. A positive sweat chloride test
D. A positive edrophonium (Tensilon) test
A. Ulcerative colitis
B. Blood dyscrasia
C. Intestinal obstruction
D. Spinal cord injury
Q.20) The nursing assistant reports to you, the RN, that the patient with myasthenia gravis
(MG) has an elevated temperature (102.20 F), heart rate of 120/minute, rise in blood
pressure (158/94), and was incontinent off urine and stool. What is your best first action at
this time?
Q.3) C. Acetylcholine
Q.7) D. Coordinate her meal schedule with the peak effect of her medication,
Mestinon
Explanation
Dysphagia should be minimized during peak effect of Mestinon, thereby decreasing the
probability of aspiration. Mestinon can increase her muscle strength including her ability to
swallow.
Q.8) A. acetylcholine
Q.14) C. Evaluate the clients muscle strength hourly after medication (Correct
Answer)
Explanation
Peak response occurs 1 hour after administration and lasts up to 8 hours; the response will
influence dosage levels.