A nurse is helping a nursing student who is administering a medication to a patient with myasthenia gravis. Which statement by the student indicates the need for further teaching?
a. "I will ask the patient to sip some water before giving the medication."
b. "I will let the patient sleep after giving the medication, because rest is important."
c. "I will record muscle strength assessments before and after I give the medication."
d. "I will report excessive salivation to the patient's prescriber."
ANS: B
An important assessment indicating the medication's effectiveness is evaluating a patient's ability to raise the eyelids. Letting the patient sleep, even though rest is important, would prevent the nurse from making this assessment. To make sure the patient can safely swallow a pill, the nurse must evaluate swallowing ability by asking the patient to take a sip of water. Muscle strength assessments before and after medication administration help the nurse evaluate the medication's effectiveness. Excessive salivation may be a sign of drug toxicity and should be reported.
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