A client with myasthenia gravis is experiencing a cholinergic crisis. Which symptoms are associated with this condition? (Select all that apply.)
Bradycardia
Rash
Vomiting
Fever
Drooling
Correct Answer : A,C,E
A. Bradycardia
Bradycardia (slow heart rate) is a symptom of cholinergic crisis. Excessive stimulation of acetylcholine receptors can lead to bradycardia.
B. Rash
Rash is not typically associated with cholinergic crisis. Instead, it may be associated with other conditions or drug reactions.
C. Vomiting
Vomiting is a symptom of cholinergic crisis. Excessive stimulation of the gastrointestinal tract by acetylcholine can lead to increased gastrointestinal motility and nausea/vomiting.
D. Fever
Fever is not typically associated with cholinergic crisis. Instead, it may suggest an infection or other inflammatory condition.
E. Drooling
Drooling is a symptom of cholinergic crisis. Excessive stimulation of salivary glands by acetylcholine can lead to increased salivation and drooling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I may experience urinary retention, dry mouth, and constipation."
This statement is accurate. Urinary retention, dry mouth, and constipation are common side effects of carbidopa-levodopa. The patient should be aware of these potential side effects and report them to the healthcare provider if they become problematic.
B. "I may feel dizzy at first, but this side effect will go away with time."
This statement is accurate. Dizziness is a common initial side effect of carbidopa-levodopa, and it often improves with continued use. The patient should be encouraged to report persistent dizziness to the healthcare provider.
C. "I should report nightmares and mental disturbances to my provider."
This statement is accurate. Nightmares and mental disturbances can be side effects of carbidopa-levodopa. The patient should report these symptoms to the healthcare provider for further evaluation and potential adjustments to the medication.
D. "I should take the drug with food to increase absorption."
This statement indicates a need for further teaching. Carbidopa-levodopa is best absorbed when taken on an empty stomach. Taking it with food, especially high-protein meals, can reduce its absorption. The patient should be instructed to take the medication at least 30 minutes before meals or one to two hours after meals for optimal effectiveness.
Correct Answer is ["A","D"]
Explanation
A. Acetaminophen
Acetaminophen is a non-opioid analgesic that can be used for mild to moderate pain relief. It is suitable for managing pain associated with abrasions.
B. Aspirin
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and anti-inflammatory properties. While it can be used for pain relief, it may increase the risk of bleeding, and its use is generally avoided in acute injuries with bleeding.
C. Hydrocodone
Hydrocodone is an opioid analgesic and is typically reserved for moderate to severe pain. It may not be the first choice for managing pain associated with abrasions unless the pain is more intense.
D. Ibuprofen
Ibuprofen is a NSAID that provides analgesic and anti-inflammatory effects. It is suitable for managing pain and inflammation associated with abrasions.
E. Morphine
Morphine is a strong opioid analgesic and is generally reserved for severe pain, such as post-surgical pain or pain associated with more significant injuries. It may be excessive for managing pain from abrasions.
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