adult health

Question 1

Myasthenia gravis:

Answer 1

MG muscle weakness worsens after activity and at the end of the day. To manage fatigue, plan activities early in the day and schedule rest periods.

Question 2

Assessment findings
Guillain-Barre Syndrome

Answer 2

Ascending muscle weakness or paralysis (starts in
legs and spreads upward)
Absent deep tendon reflexes (areflexia)
Respiratory failure (from diaphragm weakness)

Question 3

Respiratory failure:
Guillain-Barre Syndrome

Answer 3

GBS can cause respiratory
muscle paralysis. Monitor for respiratory failure
and prepare for intubation and ventilatory support.

Question 4

Pyridostigmine timing:

Answer 4

Administer
pyridostigmine 30 minutes before meals to
improve swallowing.

Question 5

Cholinergic crisis:

Answer 5

Monitor clients taking
anticholinesterase medications (pyridostigmine) for toxicity (cholinergic crisis), including SLUDGE
symptoms (Salivation, Lacrimation, Urination,
Diarrhea, GI upset, and Emesis).

Question 6

Multiple sclerosis:

Answer 6

MS relapses are triggered by heat, stress, and infection. Teach clients to prevent
overheating by avoiding hot baths and saunas.