Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Neuro/Muscular

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Helen, a client with myasthenia gravis, begins to experience increased difficulty in swallowing. To prevent aspiration of food, the nursing action that would be most effective would be to:
  1. Change her diet order from soft foods to clear liquids
  2. Place an emergency tracheostomy set in her room
  3. Assess her respiratory status before and after meals
  4. Coordinate her meal schedule with the peak effect of her medication, Mestinon
Explanation
Answer - D - Coordinate her meal schedule with the peak effect of her medication, Mestinon. Dysphagia should be minimized during peak effect of Mestinon, thereby decreasing the probability of aspiration. Mestinon can increase her muscle strength, including her ability to swallow.
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