Author Question: A client is taking long-term corticosteroids for myasthenia gravis. What teaching is most important? ... (Read 35 times)

yoooooman · **on:** Jun 25, 2018

A client is taking long-term corticosteroids for myasthenia gravis. What teaching is most important?

a. Avoid large crowds and people who are ill.
b. Check blood sugars four times a day.
c. Use two forms of contraception.
d. Wear properly fitting socks and shoes.

Question 2

A client is admitted with Guillain-Barr syndrome (GBS). What assessment takes priority?

a. Bladder control
b. Cognitive perception
c. Respiratory system
d. Sensory functions

lou · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Corticosteroids reduce immune function, so clients taking these medications must avoid being exposed to illness. Long-term use can lead to secondary diabetes, but the client would not need to start checking blood glucose unless diabetes had been detected. Corticosteroids do not affect the effectiveness of contraception. Wearing well-fitting shoes would be important to avoid injury, but not just because the client takes corticosteroids.

Answer to Question 2

ANS: C
Clients with GBS have muscle weakness, possibly to the point of paralysis. If respiratory muscles are paralyzed, the client may need mechanical ventilation, so the respiratory system is the priority. The nurse will complete urinary, cognitive, and sensory assessments as part of a thorough evaluation.