This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: An older adult client is hospitalized with Guillain-Barr syndrome. The client is given amitriptyline ... (Read 78 times)

savannahhooper

  • Hero Member
  • *****
  • Posts: 576
on: Jun 25, 2018
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
Reply #1 on: Jun 25, 2018
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
Wow, this really help

xoxo123

  • Member
  • Posts: 335
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

Cytomegalovirus affects nearly the same amount of newborns every year as Down syndrome.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Pope Sylvester II tried to introduce Arabic numbers into Europe between the years 999 and 1003, but their use did not catch on for a few more centuries, and Roman numerals continued to be the primary number system.

An adult male giraffe feeding high up on an acacia An adult male giraffe feeding high up on an acacia
Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
Developmental tasks for older adults Developmental tasks for older adults
Focus on older adults - risk for infection Focus on older adults - risk for infection
Perform Adult Rescue Breathing and One-Rescuer or Two-Rescuer CPR Perform Adult Rescue Breathing and One-Rescuer or Two-Rescuer CPR
Karyotype for Turner’s syndrome (45, XO). Karyotype for Turner’s syndrome (45, XO).
Video: Sperm Formation

For a complete list of videos, visit our video library