This topic contains a solution. Click here to go to the answer

Author Question: An older adult client is hospitalized with Guillain-Barr syndrome. The client is given amitriptyline ... (Read 80 times)

savannahhooper

  • Hero Member
  • *****
  • Posts: 576
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
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
Great answer, keep it coming :)


abro1885

  • Member
  • Posts: 337
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

Did you know?

Your heart beats over 36 million times a year.

Did you know?

Alcohol acts as a diuretic. Eight ounces of water is needed to metabolize just 1 ounce of alcohol.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

For a complete list of videos, visit our video library