This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: An older adult client is hospitalized with Guillain-Barr syndrome. The client is given amitriptyline ... (Read 73 times)

savannahhooper

  • Hero Member
  • *****
  • Posts: 576
on: Jun 25, 2018
An older adult client is hospitalized with Guillain-Barr syndrome. The client is given amitriptyline (Elavil). After receiving the hand-off report, what actions by the nurse are most important? (Select all that apply.)
 
  a. Administering the medication as ordered
  b. Advising the client to have help getting up
  c. Consulting the provider about the drug
  d. Cutting the dose of the drug in half
  e. Placing the client on safety precautions

Question 2

A client with myasthenia gravis is prescribed pyridostigmine (Mestinon). What teaching should the nurse plan regarding this medication? (Select all that apply.)
 
  a. Do not eat a full meal for 45 minutes after taking the drug.
  b. Seek immediate care if you develop trouble swallowing.
  c. Take this drug on an empty stomach for best absorption.
  d. The dose may change frequently depending on symptoms.
  e. Your urine may turn a reddish-orange color while on this drug.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

lolol

  • Sr. Member
  • ****
  • Posts: 330
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B, C, E
Amitriptyline is a tricyclic antidepressant and is considered inappropriate for use in older clients due to concerns of anticholinergic effects, confusion, and safety risks. The nurse should tell the client to have help getting up, place the client on safety precautions, and consult the provider. Since this drug is not appropriate for older clients, cutting the dose in half is not warranted.

Answer to Question 2

ANS: A, B, D
Pyridostigmine should be given with a small amount of food to prevent GI upset, but the client should wait to eat a full meal due to the potential for aspiration. If difficulty with swallowing occurs, the client should seek immediate attention. The dose can change on a day-to-day basis depending on the client's manifestations. Taking the drug on an empty stomach is not related although the client needs to eat within 45 to 60 minutes afterwards. The client's urine will not turn reddish-orange while on this drug.


savannahhooper

  • Member
  • Posts: 576
Reply 2 on: Jun 25, 2018
Excellent

lcapri7

  • Member
  • Posts: 350
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Older adults working Older adults working
Polypharmacy in older adults Polypharmacy in older adults
Crying Frequency in the Early Months In their first months of life, infants often cry for no appare Crying Frequency in the Early Months In their first months of life, infants often cry for no appare
General adaptation syndrome. General adaptation syndrome.
Establishing rapport with his older adult Establishing rapport with his older adult
How to handle Piriformis Syndrome better? How to handle Piriformis Syndrome better?
Video: What is Cholesterols? Introduction to Lipoproteins

For a complete list of videos, visit our video library