A client is suspected of having myasthenia gravis. A small dose ...

[PhilipSeeMore]

A client is suspected of having myasthenia gravis. A small dose of tubocurarine is administered, and the client develops increased muscle weakness. What would the nurse expect to immediately administer?
 
  1. A sympathetic stimulant
  2. A cholinesterase inhibitor
  3. A calcium channel blocker
  4. A dopamine agonist

Question 2

A client concurrently receiving which medication would be at risk for an intensified succinylcholine reaction?
 
  1. Acetaminophen
  2. Aminoglycosides
  3. Ibuprofen
  4. Opioids

[itsakadoozi]

Answer to Question 1

Correct Answer: 2
Rationale 1: A sympathetic blocking agent, not a sympathetic stimulant, would be indicated.
Rationale 2: A cholinesterase inhibitor will reverse effects of tubocurarine.
Rationale 3: A calcium channel blocker would not affect muscle strength.
Rationale 4: A dopamine antagonist, not a dopamine agonist, would be indicated.
Global Rationale: A cholinesterase inhibitor will reverse effects of tubocurarine. A sympathetic blocking agent, not a sympathetic stimulant, would be indicated. A calcium channel blocker would not affect muscle strength. A dopamine antagonist, not a dopamine agonist, would be indicated.

Answer to Question 2

Correct Answer: 2
Rationale 1: Acetaminophen should not interact with succinylcholine.
Rationale 2: Aminoglycosides can attach to the same binding site, causing an intensified reaction.
Rationale 3: Ibuprofen should not interact with succinylcholine.
Rationale 4: Opioids should not interact with succinylcholine.
Global Rationale: Aminoglycosides can attach to the same binding site, causing an intensified reaction. Acetaminophen, aminoglycosides, and opioids should not interact with succinylcholine.

[PhilipSeeMore]

Excellent

[Jsherida]

TYSM