While assessing a client before administering neostigmine for myasthenia gravis management, the nurse documents that the client has increased muscle strength compared with the last assessment over an hour ago
Which interpretation of this data by the nurse is the most accurate?
1. Toxicity from the medication is imminent.
2. The client's dose should be increased.
3. The medication appears to be effective.
4. The next dose of the medication should not be given.
Correct Answer: 3
Rationale 1: There is no indication that the client is hyperreflexive.
Rationale 2: The client has already gained some strength from the previous dose.
Rationale 3: This is the expected outcome.
Rationale 4: It is not appropriate to hold the next dose as there is no indication of toxicity.
Global Rationale: The medication is effective and appears to be effective. There is no indication that the client is hyperreflexive; therefore, the medication should not be withheld. The client has already gained some strength from the previous dose.
You might also like to view...
The nursing professor is explaining to a class of students that which chemical factor in the blood directly leads to the initiation of respirations in the newborn?
A. Bilirubin B. Carbon dioxide C. High arterial pH D. Low arterial pH
The nurse realizes that the concern in a fee-for-service health reimbursement system is that the client will:
a. receive only preventive care. b. have only critical surgeries. c. not be referred to specialists. d. have too many unnecessary procedures and tests.
The number one reason for prolonged absences from work is:
1. muscle strains. 2. lifting. 3. prolonged sitting. 4. back pain.
A patient complains of burning on urination and increased frequency. The patient has a history of frequent urinary tract infections (UTIs) and is going out of town in 2 days
To treat the infection quickly, the nurse would expect the health care provider to order a. vancomycin (Vancocin). b. fosfomycin (Monurol). c. aztreonam (Azactam). d. trimethoprim/sulfamethoxazole (Bactrim).