Author Question: A client with myasthenia gravis and his family are receiving instructions from the nurse. The nurse ... (Read 92 times)

waynest · **on:** Jul 23, 2018

A client with myasthenia gravis and his family are receiving instructions from the nurse. The nurse teaches the client that insufficient dosing of cholinesterase inhibitor may result in myasthenia crisis.

The client is taught about which signs and symptoms of myasthenia crisis?
a. Decreased muscle strength in the lower extremities
b. Increased salivation and sweating
c. Muscle weakness and increased salivation
d. Muscle weakness; difficulty in breathing and swallowing

Question 2

A client is ordered to receive an anticholinergic to control the symptoms of Parkinson's disease. The nurse is teaching the client precautions about the medication class. What would be included in the treatment plan? (Select all that apply.)

a. Use sunglasses to deal with photophobia.
b. Drooling is a common side effect.
c. Have routine eye examinations.
d. Void before taking the medication.
e. Anticholinergics have few interactions with other medications.
f. Ensure adequate fiber in the diet.

spencer.martell · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
These are the major signs of myasthenia gravis, which may be undertreated with insufficient dosing of the medication. Increased salivation is related to cholinergic crisis.

Answer to Question 2

ANS: A, C, D, F
These medications may cause photophobia, urinary retention, dry mouth, and constipation, and may have many interactions with other medications. They may exacerbate glaucoma.