Which statement is correct in regard to the muscle relaxant botulinum toxin type B (Myobloc)?
1. It can be classified as a cholinergic agonist.
2. Increased muscle strength is often seen within a couple of weeks.
3. It can take 6 months for the effects to be seen.
4. In high doses, it is poisonous, causing the same symptoms food poisoning does.
4
Rationale 1: The drug works by blocking the release of acetylcholine from cholinergic nerve terminals.
Rationale 2: It generally takes 6 weeks to see the effects.
Rationale 3: Effects typically only last for 3–6 months.
Rationale 4: Botulinum toxin type B (Myobloc) is toxic in high doses. Clostridium botulinum is the bacterium responsible for food poisoning.
Global Rationale: Botulinum toxin type B (Myobloc) is toxic in high doses. Clostridium botulinum is the bacterium responsible for food poisoning. The drug works by blocking the release of acetylcholine from cholinergic nerve terminals. It generally takes 6 weeks to see the effects, and they only last for 3–6 months. Patients taking this drug generally experience muscle weakness, not strength.
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Stimulation of the parasympathetic nervous system produces which of the following effects on the gastrointestinal system?
a. Decreased peristalsis b. Increased secretion of watery saliva c. Decreased colonic activity d. Increased release of gastrointestinal hormones
During the admission history, the client informs the nurse that she follows a macrobiotic diet. The nurse knows that the client's diet includes:
1. Increased meats and other proteins 2. A 30%/40%/30% protein/carbohydrate/fat ratio 3. Increased intake of vitamin C and beta-carotene 4. Whole grains, vegetables, and fish
There are more than one ________ products currently abused as inhalants.
Fill in the blank(s) with the appropriate word(s).
A patient reports having problems sleeping over the last few weeks. What should the nurse do to support the assessment process?
A. Suggest the patient videotape the hours during sleep. B. Encourage the patient to wait it out. C. Recommend the patient keep a sleep diary. D. Ask family members to describe the patient's sleep.