The nurse assumes care of a patient who has myasthenia gravis and notes that a dose of neostigmine (Prostigmin) due 1 hour prior was not given. The nurse will anticipate the patient to exhibit which symptoms?
a. Excessive salivation
b. Muscle spasms
c. Muscle weakness
d. Respiratory paralysis
ANS: C
Neostigmine must be given on time to prevent myasthenic crisis, which is characterized by generalized, severe muscle weakness. The other symptoms are characteristic of cholinergic crisis, caused by too much medication.
You might also like to view...
The nurse is working with a family that has just survived a tornado
As part of the intervention, the nurse is reviewing emotions they may be experiencing which are considered normal reactions to a traumatic event, including: Standard Text: Select all that apply. 1. Each family member talks to the nurse openly and freely. 2. Each member of the family has different ways of coping. 3. Some family members have difficulty accepting help. 4. Anxiety about self and family's safety. 5. All family members will process the experience at about the same pace.
A critical care nurse is caring for a patient with a hemodynamic monitoring system in place. For what complications should the nurse assess? Select all that apply
A) Pneumothorax B) Infection C) Atelectasis D) Bronchospasm E) Air embolism
The nurse is completing an initial assessment on a client diagnosed with depression. Which of the following is an example of cognitive assessment data?
A) Perception of current problem B) Employment status C) Current living situation D) Family relationships
The nurse is assisting in providing an educational session to new mothers regarding the methods that will decrease the risk of recurrent otitis media in infants
Which of the following statements, if made by a mother in the group, indicates a need for further instruction? 1. "I need to feed the infant in an upright position." 2. "I should not provide the infant with a bottle during naptime." 3. "Bottle-feeding should be discontinued as soon as possible." 4. "I need to discontinue breast-feeding as soon as possible."