Page 2026 - Saunders Comprehensive Review For NCLEX-RN

training.
6. Encourage independence.
7. Assist the client to establish a regular exercise and rest
program and to balance moderate activity with rest
periods.
8. Assess the need for and provide assistive devices.
9. Initiate physical and speech therapy.
10. Instruct the client to avoid fatigue, stress, infection,
overheating, and chilling.
11. Instruct the client to increase fluid intake and eat a
balanced diet, including low-fat, high-fiber foods and
foods high in potassium.
12. Instruct the client in safety measures related to sensory
loss, such as regulating the temperature of bath water
and avoiding heating pads.
13. Instruct the client in safety measures related to motor
loss, such as avoiding the use of scatter rugs and
using assistive devices.
14. Instruct the client in the self-administration of
prescribed medications.
15. Provide information about the National Multiple
Sclerosis Society.
XII. Myasthenia Gravis
A. Description
1. A neuromuscular disease characterized by
considerable weakness and abnormal fatigue of the
voluntary muscles
2. A defect in the transmission of nerve impulses at the
myoneural junction occurs.
3. Causes include insufficient secretion of acetylcholine,
excessive secretion of cholinesterase, and
unresponsiveness of the muscle fibers to
acetylcholine.

B. Assessment

1. Weakness and fatigue
2. Difficulty chewing and swallowing
3. Dysphagia
4. Ptosis
5. Diplopia
6. Weak, hoarse voice
7. Difficulty breathing
8. Diminished breath sounds
9. Respiratory paralysis and failure

C. Interventions

1. Monitor respiratory status and ability to cough and

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