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Author Question: A middle-aged female patient has been admitted to the outpatient treatment unit of the hospital for ... (Read 427 times)

mp14

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A middle-aged female patient has been admitted to the outpatient treatment unit of the hospital for an edrophonium (Tensilon) test.
 
  Shortly after the administration of the medication, the patient reports that her muscle strength is significantly weaker than before the test. The nurse who is participating in the test should recognize that this finding is suggestive of what diagnosis? A) Alzheimer's disease
  B) Anticholinergic crisis
  C) Myasthenia gravis
  D) Cholinergic crisis

Question 2

A child's otitis media has resulted in pain and fever. The child's mother has asked the nurse to recommend OTC remedies to address these problems. Which of the following recommendations is most likely to be safe and effective?
 
  A) Concurrent use of ASA and ibuprofen for 3 days
  B) Alternating doses of acetaminophen and ibuprofen
  C) Monotherapy with ASA until symptoms improve
  D) Use of an OTC antihistamine and acetaminophen



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kaylee05

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Answer to Question 1

D
Feedback:
If the edrophonium test makes the patient even weaker, the diagnosis is cholinergic crisis.

Answer to Question 2

B
Feedback:
Alternating acetaminophen and ibuprofen every 4 hours over a 3-day period to control fever in young children (ages 636 months) has been shown to be more effective than monotherapy with either agent. ASA is contraindicated in children, and an antihistamine is unnecessary.





 

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