A client with myasthenia gravis is prescribed pyridostigmine (Mestinon). What teaching should the nurse plan regarding this medication? (Select all that apply.)
a. "Do not eat a full meal for 45 minutes after taking the drug."
b. "Seek immediate care if you develop trouble swallowing."
c. "Take this drug on an empty stomach for best absorption."
d. "The dose may change frequently depending on symptoms."
e. "Your urine may turn a reddish-orange color while on this drug."
ANS: A, B, D
Pyridostigmine should be given with a small amount of food to prevent GI upset, but the client should wait to eat a full meal due to the potential for aspiration. If difficulty with swallowing occurs, the client should seek immediate attention. The dose can change on a day-to-day basis depending on the client's manifestations. Taking the drug on an empty stomach is not related although the client needs to eat within 45 to 60 minutes afterwards. The client's urine will not turn reddish-orange while on this drug.
You might also like to view...
A patient is taking a combination oral contraceptive (OC) and tells the nurse that she is planning to undergo knee replacement surgery in 2 months. What will the nurse recommend for this pa-tient?
a. The patient should ask her provider about an OC with less progestin. b. The patient should discuss an alternate method of birth control prior to surgery. c. The patient should request an OC con-taining less estrogen after surgery. d. The patient should take the OC at bedtime after her surgery to reduce side effects.
A nurse is providing teaching to a group of parents with children and adolescents who have experienced losses. The nurse determines that the teaching was successful when the group states which of the following?
A) "Children grieve in similar ways regardless of their age." B) "Children often use fantasy to fill in their gaps in understanding." C) "Families tend to grieve at similar times after the loss." D) "Children and adults grieve much in the same manner."
Nurses face several challenges in meeting the healthcare needs of diverse and changing families. Which of the following statements is true? Nurses:
1. Need to be culturally competent given the immigration statistics 2. Must be vested in family dynamics 3. Realize that two-income parent households are less stressful 4. Must learn how to care for people in their homes
The nurse, who is teaching a group of nursing students, asks, "How can nurses reduce the incidence of nosocomial infections?" Which responses by the students best demonstrate understanding? (Select all that apply.)
a. "Nurses can break the chain of transmission of infections." b. "Nurses can remove invasive devices as soon as possible." c. "Nurses can use broad-spectrum antibiotics for colonization." d. "Nurses can reserve antibiotics for only life-threatening infections." e. "Nurses can encourage patients to get vaccinations."