STUVIA 2024/2025
Myasthenia Gravis NCLEX style
:Tensilon acts systemically to increase muscle strength; with a peak effect in 30 seconds, It lasts
several minutes - ✔✔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:
A. Brief exaggeration of symptoms
B. Prolonged symptomatic improvement
C. Rapid but brief symptomatic improvement
D. Symptomatic improvement of just the ptosis
A positive edrophonium (Tensilon) test - ✔✔Toy with a tentative diagnosis of myasthenia gravis is
admitted for diagnostic make up. Myasthenia gravis can confirmed by:
A.Brudzinski's sign
B. A positive edrophonium (Tensilon) test
C. A positive sweat chloride test
D. Kernigs sign
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A. Ability to chew and speak distinctly
Muscle weakness can lead to respiratory failure that will require emergency intervention and inability
to swallow may lead to aspiration. - ✔✔The most significant initial nursing observations that need to
be made about a client with myasthenia include:
A. Ability to chew and speak distinctly
B. Degree of anxiety about her diagnosis
C. Ability to smile an to close her eyelids
D. Respiratory exchange and ability to swallow
A. Prostigmine (neostigmine)
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Protigmine is used to treat clients with myasthenia gravis. Atropine (atropine sulfate) is incorrect
because it is used to reverse the effects of neostigmine. Didronel (etidronate)is incorrect because the
drug is unrelated to the treatment of myasthenia gravis. Tensilon (edrophonium) is incorrect because
it is the test for myasthenia gravis. - ✔✔The diagnostic work-up of a client hospitalized with
complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The
medication used to treat myasthenia gravis is:
A.
Prostigmine (neostigmine)
B.
Atropine (atropine sulfate)
C.
Didronel (etidronate)
%
D.
Tensilon (edrophonium)
A.Muscle strength
Tensilon, an anticholinesterase drug, causes temporary relief of symptoms of myasthenia gravis in
client who have the disease and is therefore an effective diagnostic aid. - ✔✔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.Taking medications on time to maintain therapeutic blood levels
Clients with myasthenia gravis are taught to space out activities over the day to conserve energy and
restore muscle strength. Taking medications correctly to maintain blood levels that are not too low or
too high is important. Muscle-strengthening exercises are not helpful and can fatigue the client.
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