- A 12-year-old child has just received a dose of epinephrine. Which assessment is the priority after this medication is administered?A. Heart rateB. Glucose levelC. Neurological statusD. Blood pressure
- A client begins treatment with pyridostigmine bromide therapy for myasthenia gravis. Which action would the nurse perform in administration of the medication? A. Administer the medication after meals. B. Administer the medication on an empty stomach. C. Evaluate the client's psychological responses between medication doses. D. Evaluate the client's muscle strength every hour after the medication is given.
- A client develops extrapyramidal effects after taking a neuroleptic medication, and the nurse notes extrapyramidal effects. Which medication can limit these side effects?A. ZolpidemB. HydroxyzineC. DantroleneD. Benztropine mesylate
- A client receiving fluphenazine decanoate develops dystonia/extrapyramidal side effect early in therapy. Which medication would the nurse anticipate administering to reverse this side effect?A. NafarelinB. FluoxetineC. TrandolaprilD. Benztropine
- A client with Parkinson's disease is prescribed benztropine (Cogentin). For which of the following should the nurse call the health care provider immediately?A. The client is complaining of dizziness when standing up.B. The client is exhibiting bradykinesia and slurred speech.C. The client's heart rate increased from 80 to 95 beats per minute.D. The client has a history of primary angle-closure glaucoma.
- The nurse is caring for a client who has been prescribed atropine preoperatively. The nurse understands the intended purpose for administering this preoperatively is to induce which effect?A. Reduce heart rateB. Elevate blood pressureC. Enhance sedationD. Decrease secretions
- The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a client for an endoscopic procedure. The nurse is monitoring the client and notes that the heart rate has increased from the pre-procedure baseline. The nurse knows that which of the following medications is most likely responsible for the client's increased heart rate?A. FentanylB. AtropineC. CefazolinD. Benzocaine
- Which side effect would the nurse assess for after epinephrine is administered to an infant with severe bronchospasms?A. TachycardiaB. HypotensionC. Respiratory arrestD. Central nervous system depression
- What needs to take place before the voltage gated Na+ channels can open?The membrane must be myelinated Capacitance on the membrane must be charged Capacitance on the membrane must be discharged The membrane must be unmyelinated
- The input region of the neuron has many voltage gated channels
- The presence of Myelin reduces the capacitance of the membrane
- A client is undergoing diagnostic testing for myasthenia gravis. Which test would the nurse identify as the most specific for this diagnosis?A. ElectromyographyB. Pyridostigmine testC. Edrophonium chloride testD. History of physical deterioration
- The nurse is assessing an adolescent after the administration of epinephrine. Which side effect is most important for the nurse to identify?A. TachycardiaB. HypoglycemiaC. Constricted pupilsD. Decreased blood pressure
- Which test would the nurse identify as specific for the diagnosis of myasthenia gravis?A. ElectromyographyB. Pyridostigmine testC. Edrophonium chloride testD. History of physical deterioration
- The health care provider prescribes a cholinergic medication to treat a client's urinary problem. Which effect would the nurse anticipate?A. Urinary frequency decreases.B. Urinary retention is prevented.C. Pain is controlled.D. Urinary urgency decreases.
- A client with myasthenia gravis has been receiving neostigmine and asks about its action. Which information would the nurse consider when formulating a response?A. Stimulates the cerebral cortexB. Blocks the action of cholinesteraseC. Replaces deficient neurotransmittersD. Accelerates transmission along neural sheaths
- A client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. Which nursing action is effective in preventing aspiration of food? A. Place a tracheostomy set in the client's room. B. Assess respiratory status after meals. C. Request for the diet to be changed from soft to clear liquids. D. Coordinate mealtimes with the peak effect of the medication
- Cholinergic agonists are prescribed for which type of urinary condition?A. Kidney stonesB. Urine retentionC. Spastic bladderD. Urinary tract infections
- Which action would the nurse perform when beginning pyridostigmine bromide therapy for a client with myasthenia gravis?A. Administer the medication after meals.B. Administer the medication on an empty stomach.C. Evaluate the client's psychological responses between medication doses.D. Evaluate the client's muscle strength every hour after the medication is given.
- A client suspected of having myasthenia gravis is scheduled for an edrophonium chloride test. To treat a common complication associated with the test, the nurse will have which medication available?A. AtropineB. PhenytoinC. NeostigmineD. Diphenhydramine