Answer to Question 1
D
Important signs of improvement for patients with myasthenia gravis center around an increase in voluntary muscle control, as exhibited by an ease in swallowing and increased ability to raise the eyelids.
Muscle relaxation or laxity is a symptom consistent with myasthenia gravis and would not indi-cate a positive effect of cholinesterase inhibitor therapy.
Miosis would provide no indication that muscle tone has improved secondary to the use of cho-linesterase inhibitors.
Increased intestinal tone would provide no indication that muscle tone has improved secondary to the use of cholinesterase inhibitors.
Answer to Question 2
A
The nurse should monitor the patient for tuberculosis, because the object of delayed-type hyper-sensitivity is to rid the body of bacteria that replicate primarily with macrophages (e.g., Listeria monocytogenes, Mycobacterium tuberculosis).
Influenza, hepatitis, and adenovirus do not cause delayed-type hypersensitivity reactions.
Measuring Patient Height
Percussion for Ascites: Shifting Dullness, Patient on Left Side
Client on IV patient-controlled analgesia (PCA).
Patient education
Patient teaching: female breast assessment
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...