medium · NCLEX-RN Safety and Infection Prevention and Control

A nurse is caring for a client with botulism. The provider orders a 'tensilon test' to rule out myasthenia gravis. The nurse should question this order because:

  1. Botulism is caused by a virus that tensilon cannot detect.
  2. The test requires the client to be in a negative-pressure room, for this client, in this situation.
  3. The client's clinical presentation (descending paralysis) is already highly specific for botulism.
  4. Tensilon is used to treat botulism and would mask the symptoms, for this client, in this situation.

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