A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.
Which of the following instructions should the nurse include in the teaching?.

Treat nasal rhinitis with an over-the-counter antihistamine.

If a medication dose is missed, wait until the next scheduled dose to take the medication.

Expect diaphoresis as a side effect of the neostigmine.

Take the medication 45 minutes before eating.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.

Choice B rationale:

If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.

Choice C rationale:

Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.

Choice D rationale:

Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial.

So, the correct answer is,

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Correct Answer is ["3"]

Explanation

Step 1 is to determine the total amount of medication needed, which is 750 mg. Step 2 is to convert the medication needed into mL using the medication’s concentration. So, 750 mg ÷ (250 mg/5 mL) = 15 mL.

So, the correct answer is 15 mL.

A. "Why don't you want to take the medication?". B. "I always do what the doctor tells me to do.”. C. "Tell me more about this decision.”. D. "You won't get better unless you take the medication.”.

Correct Answer is C

Explanation

Choice A rationale:

Asking “Why don’t you want to take the medication?” can help the nurse understand the client’s concerns or fears about the medication. However, it may come across as confrontational.

Choice B rationale:

Saying “I always do what the doctor tells me to do” does not address the client’s concerns and imposes the nurse’s personal beliefs on the client.

Choice C rationale:

Asking “Tell me more about this decision” is an open-ended question that encourages the client to express their feelings and concerns, allowing the nurse to provide appropriate education and support.

Choice D rationale:

Telling the client “You won’t get better unless you take the medication” is a threatening statement that does not respect the client’s autonomy or feelings.

So, the correct answer is C, “Tell me more about this decision.”.

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A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.Which of the following instructions should the nurse include in the teaching?.

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Correct Answer is ["3"]

Explanation

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A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.
Which of the following instructions should the nurse include in the teaching?.