The nurse has completed medication education about pyridostigmine ...

[lb_gilbert]

The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for the patient with myasthenia gravis. The nurse determines that learning has occurred when the patient makes which statement?
 
  1. I must monitor my blood pressure while on this drug.
  2. I will need to increase my fluid intake with this medication.
  3. I must take this medication with meals for proper absorption.
  4. It is really important to take my medication on time.

Question 2

The patient receives metaproterenol (Alupent), an adrenergic drug. A consulting physician orders carteolol (Cartrol), a beta blocker. What best describes the nurse's assessment?
 
  1. The patient is at risk for a hypertensive crisis.
  2. The effects of metaproterenol (Alupent) will be decreased.
  3. The drugs are compatible; there will not be any adverse effects.
  4. The effects of metaproterenol (Alupent) will be increased.

[Chocorrol77]

Answer to Question 1

Correct Answer: 4
Rationale: Maintaining an optimum blood level of the drug is crucial in promoting muscle functioning, so it is important for the patient to take his medication on time. There is no reason to increase fluid intake with this drug. This drug may be taken with or without meals. There is no reason to monitor blood pressure while taking this drug.

Answer to Question 2

Correct Answer: 2
Rationale: Beta-adrenergic blockers block the receptors that are stimulated by adrenergic drugs; the effects of metaproterenol (Alupent) would be decreased, not increased. The drugs are not compatible; the effects of metaproterenol (Alupent) would be decreased. A hypertensive crisis is unlikely.

[lb_gilbert]

Thank you!

[Chocorrol77]

Always glad to help...