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A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain to prior to administering the medication?

A.

Recent oral intake.

B.

Difficulty with urination.

C.

Trouble sleeping.

D.

Unexplained weight loss.

Answer and Explanation

The Correct Answer is A

Rationale:

 

A. Pyridostigmine is most effective when taken before meals to improve muscle strength for swallowing. Knowing the client's recent oral intake helps in timing the medication appropriately.

 

B. Difficulty with urination is not directly related to pyridostigmine use.

 

C. Trouble sleeping is not typically associated with pyridostigmine.

 

D. Unexplained weight loss may be related to myasthenia gravis but is not directly relevant to the immediate administration of pyridostigmine.


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View Related questions

Correct Answer is A

Explanation

Rationale:

A. Turning on overhead lights ensures that the client can see the instructions clearly, which is particularly important for older adults who may have visual impairments. Adequate lighting helps improve comprehension and reduces the risk of misunderstandings.

B. Standing behind the client may cause confusion or discomfort. It is better to face the client while communicating.

C. Handouts should be written at a lower reading level, typically around the 5th to 6th grade, to ensure that most clients can understand them, especially older adults.

D. Background music may be distracting rather than helpful during the provision of important instructions.

Correct Answer is A

Explanation

Rationale:

A. Administering insulin per sliding scale is appropriate for managing elevated blood glucose in a patient who is NPO and cannot take oral hypoglycemics like metformin.

B. Repeating the test in one hour delays necessary treatment and does not address the current hyperglycemia.

C. A continuous IV infusion of insulin is more appropriate for severe hyperglycemia or critical care situations, but obtaining a sliding scale prescription is more routine in this context.

D. Administering metformin with a sip of water could be considered if the provider orders it, but typically, oral hypoglycemics are held when a patient is NPO.

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