The client has myasthenia gravis. The highest priority client ...

[Jramos095]

The client has myasthenia gravis. The highest priority client teaching is:
 
  a. instructing the client to take the drug on a strict schedule to avoid respiratory muscle weakness.
  b. informing the client if a dose of the drug is missed to double the drug dose when the next dose is scheduled.
  c. instructing the client that if muscle weakness occurs, to rest, and if it persists to call the healthcare provider the next day.
  d. informing the client that if respiratory distress occurs, rest, double the drug dose, and call the healthcare provider.

Question 2

The nurse is reviewing the history of a client who has been prescribed tolterodine tartrate (Detrol, Detrol LA) for treatment of incontinence. The nurse plans to contact the health care provider if the client has:
 
  a. cataracts.
  b. hyperthyroidism.
  c. narrow-angle glaucoma.
  d. parkinsonism.

[aadams68]

Answer to Question 1

ANS: A
Even small gaps in time may cause respiratory muscle weakness; therefore the time schedule is strict.

Answer to Question 2

ANS: C
Tolterodine tartrate is an antimuscarinic and anticholinergic agent. It is contraindicated in clients with narrow-angle glaucoma.

[Jramos095]

TYSM

[ghepp]

Excellent