The nurse is caring for a patient who has MG and takes pyridostigmine (Mestinon) 60mg every 4h. The patient's last dose was 45min prior. The nurse notes severe muscle weakness, excess salivation, fasciculations of facial muscles, & pupil constriction. The nurse will perfom which action?
a) Asses the patient for signs of ptosis
b) Notify the provider to discuss an order for IVIG
c) Request an order for an extra dose of pyridostigmine
d) Obtain an order for atropine sulfate
Ans: d) Obtain an order for atropine sulfate
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You are considering putting forward a proposal to move the model of care from team nursing to a primary nursing hybrid: patient-focused care model
In considering this proposal, you recognize that significant costs specific to operationalizing this model are related to: a. Implementation of an all-RN staff com-plement. b. Significant changes in the physical struc-ture of units. c. Orientation of staff to new roles and re-sponsibilities. d. Testing and piloting technology at the bedside.
A nurse is assisting the physician in the use of a vacuum extractor for delivery in a client who has only a small rim of cervix stretched over the remaining fetal head
At which point does the nurse expect to attach the distal end of the extractor tube to suction? A) After the cup and sterile tubing are assembled B) Once the cup has been applied to the fetal head C) When the physician selects the appropriate cup D) Before digital examination of the suction cup is performed
With which of the following would the nurse interpret the following arterial blood gas? pH 7.30, PaCO2 30 mm Hg, HCO3 14 mEq/L, and PaO2 50
1. partly compensated respiratory alkalosis with mild hypoxemia 2. compensated metabolic acidosis with severe hypoxemia 3. uncompensated respiratory alkalosis with moderate hypoxemia 4. partly compensated metabolic acidosis with moderate hypoxemia
A nurse is teaching members of the community about vertical transmission of a disease. Which of the following would the nurse most likely discuss?
a. Transmission through breast milk b. Transmission through sexual contact c. Transmission from mosquito bites d. Transmission through contaminated food