A patient is admitted to the unit with complaints of abdominal pain and a history of myasthenia gravis. During the health history the nurse determines that the patient has been taking neostig-mine (Prostigmin)
The nurse should further assess the patient for a. bradycardia, diaphoresis, and urinary urgency.
b. tachycardia, diaphoresis, and urinary retention.
c. xerostomia, diaphoresis, and mydriasis.
d. increased gastric motility, mydriasis, and urinary retention.
A
Accumulation of acetylcholine, seen in patients with myasthenia gravis, results in bradycardia, diaphoresis, and urinary urgency. These assessment findings are also a result of the adverse ef-fects of neostigmine.
Tachycardia and urinary retention are not adverse effects of excessive muscarinic stimulation.
Xerostomia and mydriasis are not adverse effects of neostigmine or an accumulation of acetyl-choline.
Increased gastric motility, mydriasis, and urinary retention are not adverse effects of neostigmine or an accumulation of acetylcholine.
You might also like to view...
A patient comes to the clinic for his weekly "allergy shot." He missed his appointment the week before because of a family emergency. Which action by the nurse is appropriate in administering his injection?
a. Administer the usual dosage of the allergen. b. Double the dosage to account for the missed injection the previous week. c. Consult with the physician about decreasing the dosage for this injection. d. Reevaluate his sensitivity to the allergen with a skin test.
A movable chair with a toilet seat used for elimination at the bedside is a
A. Urinal. B. Fracture pan. C. Bedside commode. D. Bedpan.
A 70-year-old male has the nursing diagnosis situational low self-esteem related to forced retirement. Using Maslow's hierarchy of human needs, the nurse is confident the patient is meeting the outcome of experiencing self-worth when the patient:
a. Moves to a secure apartment building b. Exercises regularly with friends at the gym c. Attends his grandchildren's school functions d. Volunteers at the local homeless shelter each week
A client is admitted to a day hospital following an episode in which he purchased a gun to use while standing guard over his property to prevent a neighbor from erecting a boundary fence
His wife describes him as distrustful of the motives of others and often interpreting others' mo-tives as threats. She mentions that one time he accused her of having an affair with a neighbor with whom she chatted occasionally. The care plan will list the priority outcome as "Client will: 1. admit his action was excessive based on the circumstance." 2. write the neighbor a letter of apology." 3. demonstrate trust in the nurse." 4. identify positive role models."