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 A

Explanation

Choice A rationale:

Baclofen is a muscle relaxant and antispastic agent. It can cause drowsiness and affect the ability to drive or operate machinery. Therefore, it’s advisable to avoid driving until the medication’s effects are evident.

Choice B rationale:

Headache is not a reason to stop taking baclofen. If a headache occurs, the client should consult with their healthcare provider for appropriate management.

Choice C rationale:

Diarrhea is not a common adverse effect of baclofen. More common side effects include drowsiness, dizziness, weakness, and fatigue.

Choice D rationale:

Baclofen can be taken with or without food. Taking it on an empty stomach is not necessary and may increase the risk of stomach upset.

So, the correct answer is A.

Correct Answer is ["2.5"]

Explanation

Step 1 is to calculate the number of tablets to administer. The formula is desired dose ÷ dose per tablet. So, 5 mg ÷ 2 mg = 2.5 tablets.

So, the correct answer is 2.5 tablets.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen.Which of the following instructions should the nurse include?.

Correct Answer is A

Explanation

A nurse is preparing to administer risperidone 5 mg PO. Available is risperidone 2 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.5"]

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?.