While assessing a patient prior to the administration of neostigmine (Prostigmine) for the treatment of myasthenia gravis, a nurse notices that the patient has greater muscle strength than when assessed 1 hour ago
The nurse's interpretation of this assessment information is that
a. the dose needs to be increased.
b. the medication schedule seems to be effective.
c. the patient will not require the next scheduled dose.
d. toxicity is impending.
ANS: B
Important signs of improvement for patients with myasthenia gravis are ease of swallowing and increased ability to raise the eyelids. Increased muscle strength is the desired effect.
There is no indication that the dose needs to be increased. In fact, if the dosage is increased, this could lead the patient to develop a cholinergic crisis.
The patient should continue taking this dose as ordered, because it is producing the desired effect.
The patient is not exhibiting any signs or symptoms of toxicity.
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