The nurse is assisting in the care of a client with myasthenia gravis who is receiving pyridostigmine (Mestinon)
Which of the following medications should the nurse plan to have readily available should the client develop cholinergic crisis because of excessive medication dosage? 1. Vitamin K
2. Atropine sulfate
3. Protamine sulfate
4. Acetylcysteine (Mucomyst)
2
Rationale: If the client is in cholinergic crisis, the antidote for the medication would be a medication that is an anticholinergic. Thus, the antidote for cholinergic crisis is atropine sulfate. Vitamin K is the antidote for warfarin (Coumadin). Protamine sulfate is the antidote for heparin, and acetylcysteine (Mucomyst) is the antidote for acetaminophen (Tylenol).
You might also like to view...
A long-term care resident has limited use of the right side of his body, but is coherent at intervals. If this patient develops decubiti, which factor might the facility plead to prevent liability?
1. The resident is unable to obtain proper nutrition because of his refusal to eat. 2. The resident must be confined to bed for prolonged periods of time because of his condition. 3. Nursing notes reveal that the patient is repositioned frequently, but somehow manages to return to the back-lying position. 4. Understaffing prevents the nurses from performing necessary passive range of motion exercises to the patient's affected side.
A woman is married to an intravenous drug user. She had a negative HIV screening test just after missing her first menstrual period. Which of the following would indicate that the client needs to be retested for HIV?
1. A hemoglobin of 11 g/dL and a rapid weight gain 2. Elevated blood pressure and ankle edema 3. Shortness of breath and frequent urination 4. Unusual fatigue and recurring candida vaginitis
When beginning a procedure, it is not necessary to provide privacy if no one else is in the room.
Answer the following statement true (T) or false (F)
A client at the sleep disorders clinic tells the nurse "I have not slept well in years. As a result, I never
feel good. After all these years, I do not expect things will ever improve or be any different.". A nursing diagnosis the nurse should consider developing is a. disturbed body image. b. health-seeking behaviors. c. adult failure to thrive. d. hopelessness.