The nurse is preparing discharge instructions for a client who is prescribed neostigmine (Prostigmin). What should be included in this client's discharge teaching?
Standard Text: Select all that apply.
1. Practice home safety measures.
2. Take the medication with food, milk, or a small snack.
3. Notify the health care provider if experiencing tremors, dizziness, or urinary retention.
4. Report to the health care provider any changes in muscle weakness that occur 1 or 3 hours after taking.
5. Stop taking the medication if shortness of breath occurs.
Correct Answer: 1,2,3,4
Rationale 1: Home safety measures need to be reviewed with the client who is prescribed neostigmine (Prostigmin). The client could experience muscle fatigue and orthostatic hypotension, which could precipitate falls.
Rationale 2: Administering the medication with food helps to minimize adverse effects.
Rationale 3: These are signs of excessive autonomic nervous system stimulation and could indicate an overdose.
Rationale 4: Muscle weakness within 1 hour of a dose may indicate overdosing, and muscle weakness within 3 hours of a dose may indicate underdosing.
Rationale 5: If shortness of breath occurs, the client should seek medical attention because this could be a sign of a potential overdose. The client should not be instructed to stop taking this medication.
Global Rationale: Home safety measures need to be reviewed with the client who is prescribed neostigmine (Prostigmin). The client could experience muscle fatigue and orthostatic hypotension, which could precipitate falls. Administering the medication with food helps to minimize adverse effects. Tremors, dizziness, or urinary retention are signs of excessive autonomic nervous system stimulation and could indicate an overdose. Muscle weakness within 1 hour of a dose may indicate overdosing, and muscle weakness within 3 hours of a dose may indicate underdosing. If shortness of breath occurs, the client should seek medical attention because this could be a sign of a potential overdose. The client should not be instructed to stop taking this medication.
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