A prescriber has ordered a cholinesterase inhibitor for a patient with myasthenia gravis. The prescriber's orders also instruct the nurse to monitor the patient closely after the first small initial dose
Optimal dosage of cholinesterase inhibitors for patients with myasthenia gravis is indicated by a. muscle relaxation.
b. miosis.
c. increased intestinal tone and motility.
d. increased ability to raise the eyelids.
D
Important signs of improvement for patients with myasthenia gravis center around an increase in voluntary muscle control, as exhibited by an ease in swallowing and increased ability to raise the eyelids.
Muscle relaxation or laxity is a symptom consistent with myasthenia gravis and would not indi-cate a positive effect of cholinesterase inhibitor therapy.
Miosis would provide no indication that muscle tone has improved secondary to the use of cho-linesterase inhibitors.
Increased intestinal tone would provide no indication that muscle tone has improved secondary to the use of cholinesterase inhibitors.
You might also like to view...
Which of the following is a key factor in many malpractice cases?
a. incomplete incident reports b. inadequate documentation c. absence of signed informed-consent forms d. lack of nursing diagnoses for clients
A patient in whom drug therapy has failed several times in the past is readmitted to a hospital to begin therapy for schizophrenia. What will the nurse do to help improve adherence?
a. Encourage the patient to take responsibil-ity for medication management. b. Teach the patient about drug side effects and how to manage them. c. Tell the patient that an abstinence syn-drome will occur if the drug is stopped. d. Tell the patient that the drug may be taken as needed to control symptoms.
The nurse hears the client's stridor from the hallway and notes that the client's oxygen saturation has decreased to 92%. Which nursing intervention does the nurse implement first?
1. Adjust client's position. 2. Suction the oropharynx. 3. Insert an artificial airway. 4. Measure arterial blood gases.
____________________ may be placed on the legs after surgery to prevent blood clots.
Fill in the blank(s) with the appropriate word(s).