A client receiving pyridostigmine bromide (Mestinon) develops muscle weakness, difficulty breathing, and difficulty swallowing. The nurse should:
a. prepare to administer atropine sulfate.
b. notify the health care provider for an increase in the dose of pyridostigmine bromide.
c. prepare the client for intubation.
d. position the client in a supine position.
ANS: A
Feedback
A Correct: These are manifestations of cholinergic crisis, a critical adverse effect of pyridostigmine treatment, and atropine sulfate is an anticholinergic treatment for this.
B Incorrect: The dose of pyridostigmine should not be increased.
C Incorrect: This is not the nurse's most appropriate action.
D Incorrect: This position will increase respiratory compromise.
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