Author Question: The nurse is evaluating instruction provided to a client who is prescribed pyridostigmine ... (Read 35 times)

armygirl · **on:** Jul 23, 2018

The nurse is evaluating instruction provided to a client who is prescribed pyridostigmine (Mestinon). Which client statements indicate teaching has been effective?

Standard Text: Select all that apply.
1. I am taking this medication for muscle weakness.
2. I am to take a total of ten 60-mg tablets spaced throughout the day.
3. I should use nightlights at home for safety when walking.
4. I should keep all appointments with my health care provider because I will need blood work.
5. Black tarry stools are an expected effect of this medication.

Question 2

What is a priority nursing diagnosis for the client receiving anticholinergic drugs?

1. Injury, Risk for related to CNS changes related to medications
2. Knowledge, Deficient related to new medications
3. Gas Exchange, Impaired related to respiratory secretions
4. Urinary Retention related to loss of bladder tone

leahchrapun · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Stating the reason for the medication is an indication that instruction has been effective.
Rationale 2: Stating the dosing schedule is an indication that instruction has been effective.
Rationale 3: Stating safety precautions when taking this medication is an indication that instruction has been effective.
Rationale 4: The client will need follow-up laboratory studies on liver function. This is an indication that instruction has been effective.
Rationale 5: Black tarry stools could indicate gastric bleeding and are not an expected effect of this medication. This occurrence should be reported to the health care provider.
Global Rationale: Stating the reason for the medication, the dosing schedule, safety precautions, and the need to monitor liver function through laboratory studies are all indications that instruction has been effective. Black tarry stools could indicate gastric bleeding and are not an expected effect of this medication. This occurrence should be reported to the health care provider.

Answer to Question 2

Correct Answer: 3
Rationale 1: A risk of injury related to CNS changes related to medications may occur but is not the priority.
Rationale 2: A knowledge deficit related to new medications is present but is not an immediate priority.
Rationale 3: Impaired gas exchange related to respiratory secretions is the most critical priority to address.
Rationale 4: Urinary retention related to loss of bladder tone is present but is not an immediate priority.
Global Rationale: Impaired gas exchange related to respiratory secretions is the most critical priority to address. A risk of injury related to CNS changes related to medications may occur but is not the priority. A knowledge deficit related to new medications is present but is not an immediate priority. Urinary retention related to loss of bladder tone is present but is not an immediate priority.