A client entering the hospital for a prostatectomy questions whether he should take his normal medications for myasthenia gravis prior to coming to the hospital. In particular, he needs to know when to take his ambenonium (Mytelase)
Which action by the nurse is the most appropriate?
1. Advise him to hold the medication.
2. Advise him to take his medication as scheduled.
3. Ask if he is able to empty his bladder prior to taking his medication.
4. Consult with the urologist performing the case.
Correct Answer: 2
Rationale 1: This would inhibit the bladder's emptying during the surgery.
Rationale 2: The client should take his medication, so muscle strength and contractility during the surgery will not be compromised.
Rationale 3: Even if he can empty the bladder now, he might not be able to without his medication after anesthesia is given.
Rationale 4: This can be handled by good nursing evaluation.
Global Rationale: The client should take his medication, so muscle strength and contractility during the surgery will not be compromised. Holding the medication would inhibit the bladder's emptying during the surgery. Even if he can empty the bladder now, he might not be able to without his medication after anesthesia is given. There is no need to consult with the urologist performing the case as this can be handled by good nursing evaluation.
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