The nurse advises a patient with myasthenia gravis (MG) to a. ...

[imowrer]

The nurse advises a patient with myasthenia gravis (MG) to
 
  a. perform physically demanding activities early in the day.
  b. anticipate the need for weekly plasmapheresis treatments.
  c. do frequent weight-bearing exercise to prevent muscle atrophy.
  d. protect the extremities from injury due to poor sensory perception.

Question 2

A 64-year-old patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
 
  a. Assist with active range of motion (ROM).
  b. Observe for agitation and paranoia.
  c. Give muscle relaxants as needed to reduce spasms.
  d. Use simple words and phrases to explain procedures.

[recede]

Answer to Question 1

ANS: A
Muscles are generally strongest in the morning, and activities involving muscle activity should be scheduled then. Plasmapheresis is not routinely scheduled, but is used for myasthenia crisis or for situations in which corticosteroid therapy must be avoided. There is no decrease in sensation with MG, and muscle atrophy does not occur because although there is muscle weakness, they are still used.

Answer to Question 2

ANS: A
ALS causes progressive muscle weakness, but assisting the patient to perform active ROM will help maintain strength as long as possible. Psychotic manifestations such as agitation and paranoia are not associated with ALS. Cognitive function is not affected by ALS, and the patient's ability to understand procedures will not be impaired. Muscle relaxants will further increase muscle weakness and depress respirations.

[imowrer]

Excellent

[bimper21]

TYSM