Which clinical finding would the nurse expect when assessing a client with myasthenia gravis

2. Fluctuating weakness of muscles innervated by the cranial nerves

Myasthenia gravis s a chronic disorder of muscles enervated by weakened cranial nerves; eyelid movement, chewing, swallowing, speech, facial expression, and breathing often are affected

2. Midbrain

Decorticate posturing [1] [2] [3] is a sign of significant deterioration in a client's neurologic status and is manifested by rigid flexing of elbows and wrists. This can represent an injury to the midbrain. Damage to the frontal lobe would affect motor function, problem solving, spontaneity, memory, language, initiation, judgment, impulse control, and social and sexual behavior. The pons (which is part of the brainstem) and brainstem help control breathing and heart rate, vision, hearing, sweating, blood pressure, digestion, alertness, sleep, and sense of balance. Damage to this area would manifest itself as abnormal responses in the above listed areas.

Which clinical manifestations with a nurse expect for a client who has myasthenia gravis?

People with myasthenia gravis may experience the following symptoms:.
weakness of the eye muscles (called ocular myasthenia).
drooping of one or both eyelids (ptosis).
blurred or double vision (diplopia).
a change in facial expression..
difficulty swallowing..
shortness of breath..
impaired speech (dysarthria).

Which finding is usually associated with a diagnosis of myasthenia gravis?

The main test for myasthenia gravis is a blood test to look for a type of antibody (produced by the immune system) that stops signals being sent between the nerves and muscles. A high level of these antibodies usually means you have myasthenia gravis.

Which is a pathophysiologic change in the patient diagnosed with myasthenia gravis?

Pathophysiology of Myasthenia Gravis In acquired myasthenia gravis, the post-synaptic muscle membrane is distorted and simplified, having lost its normal folded shape. The concentration of ACh receptors on the muscle end-plate membrane is reduced, and antibodies are attached to the membrane.

In which clinical classification of myasthenia gravis is intubation indicated?

Class V: Defined by the need for intubation, with or without mechanical ventilation, except when used during routine postoperative management. The use of a feeding tube without intubation places the patient in class IVb.