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.
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,
D.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Apply gentle pressure with a finger to the tragus of the ear.
Choice A rationale:
Chilling the medication prior to administration is not recommended. Cold ear drops can cause dizziness or discomfort when instilled into the ear. It is generally advised to warm the drops to body temperature by holding the bottle in your hands for a few minutes before administration.
Choice B rationale:
Holding the dropper against the ear canal while instilling the medication is incorrect. The dropper should be held above the ear canal to avoid contamination and injury. Touching the dropper to the ear canal can introduce bacteria and cause infection.
Choice C rationale:
Applying gentle pressure with a finger to the tragus of the ear helps to facilitate the flow of the medication into the ear canal. This action helps to ensure that the medication reaches the affected area effectively.
Choice D rationale:
Straightening the external auditory canal by pulling it down and back is incorrect for adults. For adults, the correct method is to pull the ear up and back to straighten the ear canal. Pulling it down and back is the method used for children.
Correct Answer is ["6 mL."]
Explanation
Step 1 is to calculate the volume of medication to administer. The formula is desired dose ÷ available dose × available volume. So, (300 mg ÷ 250 mg) × 5 mL = 6 mL.
So, the correct answer is 6 mL.
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