A client diagnosed with myasthenia gravis receives a prescription for pyridostigmine. Which intervention should the nurse implement when preparing to administer this medication?

Schedule the medication to be given just before bedtime.

Break the medication into small pieces and sprinkle onto food.

Instruct the client to avoid dairy products for at least 30 minutes.

Administer the medication thirty minutes prior to meals.

Answer and Explanation

The Correct Answer is D

A. Schedule the medication to be given just before bedtime: Pyridostigmine should be timed to coincide with periods of increased activity, especially before meals, to improve muscle strength. Giving it at bedtime would not offer functional benefit unless the client experiences nighttime symptoms.

B. Break the medication into small pieces and sprinkle onto food: Pyridostigmine tablets are not designed to be crushed or split unless specifically directed. Altering the form may affect its absorption and reduce its effectiveness in managing symptoms of myasthenia gravis.

C. Instruct the client to avoid dairy products for at least 30 minutes: Dairy does not interfere significantly with the absorption or action of pyridostigmine. Dietary restrictions should be based on known drug-food interactions, which are not typically associated with pyridostigmine and dairy.

D. Administer the medication thirty minutes prior to meals: Administering pyridostigmine before meals helps enhance swallowing and chewing abilities, reducing the risk of aspiration. This timing optimizes muscle strength during eating, which is a high-risk activity for clients with myasthenia gravis.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Chemical burn: Ketorolac is an NSAID used to manage pain and inflammation in the eye, but chemical burns require immediate irrigation and specialized treatment rather than simply addressing inflammation. Reviewing for chemical burns is not the key concern before administering ketorolac.

B. Foreign body: The presence of a foreign body in the eye would necessitate removal and possibly different treatment approaches. However, ketorolac would not be contraindicated solely because of a foreign body once it is addressed.

C. Corneal abrasion: Ketorolac should be used cautiously or avoided if there is a corneal abrasion because it can delay healing and increase the risk of corneal damage. Therefore, reviewing for a history of corneal abrasion is essential before administering this medication.

D. Radiation exposure: Radiation exposure to the eye would be managed differently, often requiring other supportive measures. It does not specifically contraindicate the use of ophthalmic ketorolac.

A. Describe how anabolic steroids increase muscle strength to improve athletic performance. B. Advise of the need to observe for changes in behavior, such as increased aggression. C. Explain that this is a schedule II controlled substance. D. Encourage a clinic visit to assess the adolescent for cardiovascular complications. E. Identify the use of any other herbal supplements.

Correct Answer is ["B","D","E"]

Explanation

A. Describe how anabolic steroids increase muscle strength to improve athletic performance: While anabolic steroids do enhance muscle mass and strength, emphasizing this could inadvertently normalize or encourage their misuse rather than addressing the serious health risks involved.

B. Advise of the need to observe for changes in behavior, such as increased aggression: Anabolic steroids can cause mood disturbances, including aggression, irritability, and even psychiatric symptoms. Educating the parent to monitor for behavioral changes is critical for early intervention.

C. Explain that this is a schedule II controlled substance: Anabolic steroids are actually classified as Schedule III controlled substances under the Controlled Substances Act, not Schedule II. Providing inaccurate information could lead to confusion and mismanagement of the situation.

D. Encourage a clinic visit to assess the adolescent for cardiovascular complications: Steroid use can increase the risk of serious cardiovascular problems like hypertension, lipid abnormalities, and myocardial damage. Prompt medical evaluation is essential to detect early complications.

E. Identify the use of any other herbal supplements: Adolescents who misuse anabolic steroids may also be using other supplements or substances that could have dangerous interactions. A full assessment of all substances being used is important for comprehensive care and counseling.

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A client diagnosed with myasthenia gravis receives a prescription for pyridostigmine. Which intervention should the nurse implement when preparing to administer this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for ophthalmic ketorolac. Prior to administering the medication, the nurse should review the electronic medical record (EMR) for which condition?

Correct Answer is C

Explanation

The mother of an adolescent male tells the clinic nurse that she found anabolic steroids in her son's room. How should the nurse respond? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

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Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. According to the information gathered in the nurse's assessment, the nurse should prepare to give the client dropdown and dropdown

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Patient Data Exhibits Mark whether the assessment finding represents a therapeutic result of the lactulose administered, a nontherapeutic side effect, or an unrelated finding. Each row must have one option selected.