A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which of the following actions should the nurse take prior to administering the client medication?

Have the client empty his bladder.

Place the client in low Fowler's position.

Ask the client to take a few sips of water.

Put up the side rails on the client's bed.

Answer and Explanation

The Correct Answer is C

A.   Having the client empty their bladder is not directly related to medication administration.
B.   Placing the client in low Fowler's position may not be ideal for swallowing; a more upright position is often better.
C.   Asking the client to take a few sips of water helps facilitate swallowing the medication effectively.
D.   Putting up the side rails on the client's bed is not necessary for medication administration.

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Correct Answer is D

Explanation

A. Displacement involves redirecting emotions, which does not apply here.
B. Reaction formation is expressing the opposite of one's true feelings; this does not fit the statement.
C. Rationalization involves justifying behaviors or feelings; the statement does not justify.
D. Denial is refusing to accept the reality of the situation, which aligns with the client's belief about their pain.

A. "It is caused by the overproduction of parathormone by the parathyroid gland." B. "It is caused by the lack of production of insulin by the pancreas." C. "It is caused by the lack of production of aldosterone by the adrenal gland." D. "It is caused by the overproduction of growth hormone by the pituitary gland."

Correct Answer is C

Explanation

A. Parathormone relates to calcium regulation, not Addison's disease.
B. Addison's disease is not caused by insulin deficiency; that is characteristic of diabetes.
C. Addison's disease is caused by the lack of production of aldosterone by the adrenal gland, leading to hormonal deficiencies.
D. Growth hormone overproduction is not related to Addison's disease; that pertains to other endocrine disorders.

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A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which of the following actions should the nurse take prior to administering the client medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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