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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
The nurse is assessing a patient with myasthenia gravis. Which of the following is characteristic of this disease?
Standard Text: Select all that apply.
1. Visual problems may be an early symptom.
2. Routine exercise provides an improvement in muscle strength.
3. There may be difficulty swallowing.
4. Great improvement occurs in muscle strength with physical therapy.
5. There may be poor articulation in speaking.
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago
1,3,5 -- The manifestations of myasthenia gravis correspond to the muscles involved. Initially, the eye muscles are affected and the patient experiences either diplopia (unilateral or bilateral double vision) or ptosis (drooping of the eyelid). Patients may have periods of dysphagia (difficulty swallowing) and dysarthria (problems with speech). Although treatments such as glucocorticoid and immunosuppressant therapy may result in an increase in muscle strength, exercise tends to fatigue muscles, while rest will improve function.
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