A patient with myasthenia gravis has been on cholinesterase inhibitor therapy. The patient reports that, on occasion, some difficulty swallowing and periods of fatigue develop. The patient asks, What can be done to remedy this?
The nurse should respond:
1. You are already on a high dosage of the drug. You will have to cope with these symptoms.
2. This could mean that the dosage is too high and you should skip every other dose.
3. Let's discuss some strategies to help you learn to self-adjust the dose in response to your symptoms.
4. You are developing tolerance to the drug and will need to change to a different class of agents.
Question 2
A patient arrives in the emergency department after improperly using organophosphate insecticides. Which assessment finding would the nurse expect?
1. Urinary retention
2. Increased GI motility
3. Mydriasis
4. Vasoconstriction