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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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A","dropdown-group-3":"D"}

Explanation

0845: The peak action of insulin lispro occurs about 1 to 2 hours after injection. Since it was administered at 0745, the nurse should expect a peak effect beginning around 0845, when the insulin will have its strongest blood glucose-lowering action.

0745: 0745 is the time when the insulin lispro was administered, not when it starts working. Since lispro usually takes about 15 to 30 minutes to begin acting, 0745 is too early to expect therapeutic action.

0815: Lispro insulin begins to work approximately 15 to 30 minutes after subcutaneous administration. Since it was given at 0745, the nurse should expect it to start lowering blood glucose around 0815, consistent with its pharmacologic profile.

0915: Given that insulin lispro peaks 1 to 2 hours after administration, the later part of the peak window would occur around 0915. This timing ensures the nurse monitors for potential hypoglycemia at the height of insulin activity.

A. "I should take this medication only when I am having an asthma attack." B. "This medication will stop an asthma attack immediately." C. "I will take the tablet every evening to control my asthma." D. "I will not need to use my inhalers twice a day when I start this medicine."

Correct Answer is C

Explanation

A. "I should take this medication only when I am having an asthma attack.": Montelukast is not intended for acute asthma attacks. It is a maintenance medication taken daily to reduce airway inflammation and prevent symptoms, not to treat attacks in progress.

B. "This medication will stop an asthma attack immediately.": Montelukast does not act quickly enough to treat acute bronchospasm. Short-acting beta-agonists like albuterol are used for immediate relief during an asthma attack, not leukotriene modifiers.

C. "I will take the tablet every evening to control my asthma.": Montelukast is prescribed as a daily maintenance therapy, typically taken in the evening to help control chronic asthma symptoms and to reduce the frequency and severity of exacerbations over time.

D. "I will not need to use my inhalers twice a day when I start this medicine.": Even after starting montelukast, clients often still need to use inhaled corticosteroids or other maintenance inhalers. Montelukast is an adjunct therapy, not a replacement for inhaled medications.

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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

Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse should expect for the insulin lispro to start working at dropdown and to peak at dropdown to dropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A","dropdown-group-3":"D"}

Explanation

A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

Correct Answer is C

Explanation

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