Author Question: A client is suspected of having myasthenia gravis. A small dose of tubocurarine is administered, and ... (Read 17 times)

PhilipSeeMore · **on:** Jul 23, 2018

A client is suspected of having myasthenia gravis. A small dose of tubocurarine is administered, and the client develops increased muscle weakness. What would the nurse expect to immediately administer?

1. A sympathetic stimulant
2. A cholinesterase inhibitor
3. A calcium channel blocker
4. A dopamine agonist

Question 2

A client concurrently receiving which medication would be at risk for an intensified succinylcholine reaction?

1. Acetaminophen
2. Aminoglycosides
3. Ibuprofen
4. Opioids

itsakadoozi · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: A sympathetic blocking agent, not a sympathetic stimulant, would be indicated.
Rationale 2: A cholinesterase inhibitor will reverse effects of tubocurarine.
Rationale 3: A calcium channel blocker would not affect muscle strength.
Rationale 4: A dopamine antagonist, not a dopamine agonist, would be indicated.
Global Rationale: A cholinesterase inhibitor will reverse effects of tubocurarine. A sympathetic blocking agent, not a sympathetic stimulant, would be indicated. A calcium channel blocker would not affect muscle strength. A dopamine antagonist, not a dopamine agonist, would be indicated.

Answer to Question 2

Correct Answer: 2
Rationale 1: Acetaminophen should not interact with succinylcholine.
Rationale 2: Aminoglycosides can attach to the same binding site, causing an intensified reaction.
Rationale 3: Ibuprofen should not interact with succinylcholine.
Rationale 4: Opioids should not interact with succinylcholine.
Global Rationale: Aminoglycosides can attach to the same binding site, causing an intensified reaction. Acetaminophen, aminoglycosides, and opioids should not interact with succinylcholine.