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Multiple Choice
Which nursing intervention is the priority for a client in myasthenic crisis?
A
Ensuring adequate respiratory support
B
Monitoring electrolyte levels
C
Providing high-calorie nutritional support
D
Administering anticholinesterase medication
Verified step by step guidance
1
Understand the condition: Myasthenic crisis is a severe exacerbation of myasthenia gravis, leading to muscle weakness and potentially life-threatening respiratory failure.
Identify the primary concern: In a myasthenic crisis, the most immediate threat to the patient is respiratory failure due to weakened respiratory muscles.
Prioritize interventions: The priority intervention should address the most critical issue, which is ensuring the patient has adequate respiratory support to prevent respiratory failure.
Consider other interventions: While monitoring electrolyte levels, providing nutritional support, and administering medication are important, they are secondary to ensuring the patient's airway and breathing are secure.
Conclude with the priority: Therefore, the priority nursing intervention for a client in myasthenic crisis is ensuring adequate respiratory support, as it directly addresses the most immediate and life-threatening risk.