The nurse instructs a client who has myasthenia gravis to take prescribed medications on time and to eat meals 45 to 60 minutes after taking anticholinesterase drugs. The client asks why the timing of meals is so important
Which is the nurse's best response? a. "This timing allows the drug to have maximum effect, so it is easier for you to chew, swallow, and not choke."
b. "This timing prevents your blood sugar level from dropping too low and causing you to be at risk for falling."
c. "These drugs are very irritating to your stomach and could cause ulcers if taken too long before meals."
d. "These drugs cause nausea and vomiting. By waiting a while after you take the me-dication, you are less likely to vomit."
A
Skeletal muscle weakness extends to the ability to chew and swallow. Clients who have myas-thenia gravis are at risk for aspiration during meals. Timing the medication so that most of the meal is eaten when the drugs have produced their peak effect enables the client to chew and swallow more easily. The medication has no effect on blood glucose levels, ulcers, or nausea.
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