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