The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for the patient with myasthenia gravis. The nurse determines that learning has occurred when the patient makes which statement?
1. "My heart may beat slower while I am on this drug."
2. "I will need to increase my fluid intake with this medication."
3. "I must take this medication immediately before eating a full meal."
4. "It is really important to take my medication on time."
4
Rationale 1: Heart rate is typically increased by anticholinergic drugs.
Rationale 2: There is no reason to increase fluid intake with this drug.
Rationale 3: There is no reason this drug should be taken immediately prior to eating a full meal.
Rationale 4: Maintaining an optimum blood level of the drug is crucial in promoting muscle functioning, so it is important for the patient to take his medication on time and as directed.
Global Rationale: Maintaining an optimum blood level of the drug is crucial in promoting muscle functioning, so it is important for the patient to take his medication on time and as directed. Heart rate is typically increased by anticholinergic drugs. There is no reason to increase fluid intake with this drug. There is no reason this drug should be taken immediately prior to eating a full meal.
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