A client with myasthenia gravis receives a now prescription for pyridostigmine. Which information should the nurse obtain to prior to administering the medication?

A) Recent oral intake: This information is important because pyridostigmine is typically administered orally and can interact with food, affecting its absorption. It is essential to ensure that the client has recently eaten or will eat soon to minimize gastrointestinal side effects and optimize medication absorption.

B) Trouble sleeping: While sleep disturbances can be a concern, particularly if they worsen with medication use, it may not be the most critical information to obtain before administering pyridostigmine. However, if the client experiences worsening sleep disturbances after starting the medication, it should be reported to the healthcare provider.

C) Unexplained weight loss: While weight loss can be a symptom of myasthenia gravis, it may not be directly related to the administration of pyridostigmine. However, if the client experiences significant weight loss or other unexplained symptoms, further assessment and evaluation may be necessary.

D) Difficulty with urination: Pyridostigmine can affect bladder function and may exacerbate urinary retention, especially in clients with myasthenia gravis. However, obtaining information about the client's recent oral intake is more crucial to ensure optimal medication absorption and minimize gastrointestinal side effects. Difficulty with urination should still be monitored, but it may not be the most immediate concern before administering the medication.

A) Tendon pain or swelling can be a sign of tendinitis or tendon rupture, which can be serious side effects of ciprofloxacin. Therefore, it is crucial for the client to report any tendon pain or swelling to the healthcare provider immediately.

B) Ciprofloxacin can increase sensitivity to sunlight, leading to an increased risk of sunburn. Therefore, clients should be advised to limit exposure to sunlight and avoid tanning beds while taking this medication.

C) Crushing or mixing ciprofloxacin tablets with pudding is not recommended, as it may alter the absorption and effectiveness of the medication. Clients should swallow the tablets whole with a full glass of water.

D) Increasing fluid intake while taking ciprofloxacin is generally recommended to prevent dehydration and help flush the medication through the kidneys. Adequate hydration can also help reduce the risk of crystalluria, a potential adverse effect of ciprofloxacin.

E) Using nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve joint aches and pains caused by ciprofloxacin is not recommended, as NSAIDs can increase the risk of tendon problems when used with ciprofloxacin. It is important for the client to report any joint aches or pains to the healthcare provider for proper evaluation and management.