In a patient experiencing a myasthenic crisis, what action should the respiratory therapist recommend after observing recent evaluation results?

• A. Intubate and initiate mechanical ventilatory support
• B. Continue to monitor the patient closely
• C. Administer Tensilon
• D. Begin incentive spirometry

Answer: (B)

In the context of a myasthenic crisis, closely monitoring the patient is crucial because this condition is characterized by severe muscle weakness, which can lead to respiratory failure. The primary concern in a myasthenic crisis is the patient's ability to maintain effective ventilation. If recent evaluations suggest that the patient is stable but may still be at risk, continued monitoring can help assess any changes in respiratory function or overall clinical status.

This approach allows for timely interventions should the patient’s condition deteriorate. It ensures that any decline in respiratory function or strength can be quickly addressed. The stabilizing aspect of close monitoring is essential, especially in a situation where interventions like intubation or medication administration (such as Tensilon) could potentially escalate the risk if not absolutely necessary.

Other interventions may be appropriate depending on the exact clinical scenario, but at the point of observing stability, ongoing monitoring prioritizes patient safety and readiness to act as necessary based on any further evaluation.