Author Question: A patient experiences severe muscle weakness, and the provider orders edrophonium bromide ... (Read 40 times)

KimWrice · **on:** Jul 23, 2018

A patient experiences severe muscle weakness, and the provider orders edrophonium bromide (Tensilon). The patient begins to show improved muscle strength within a few minutes after administration of this drug.

The nurse anticipates the provider will order which drug?
a. Atropine sulfate
b. Edrophonium bromide (Tensilon)
c. Intravenous immune globulin (IVIG)
d. Pyridostigmine HCl (Mestinon)

Question 2

The nurse is helping to develop a plan of care for a patient who has advanced Alzheimer's disease. The patient will be taking a new medication. Which is a realistic goal for this patient?

a. Demonstrate improved cognitive function.
b. Exhibit improved ability to provide self-care.
c. Receive appropriate assistance for care needs.
d. Show improved memory for recent events.

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

Answer to Question 1

ANS: D
In this case, edrophonium is used to diagnose myasthenia gravis. Since symptoms improved with the AChE inhibitor, the patient will benefit from a longer-acting AChE inhibitor such as pyridostigmine. Atropine is given for AChE inhibitor overdose. Edrophonium is very short-acting, so it will not be used for treatment. IVIG is used when other AChE inhibitors fail.

Answer to Question 2

ANS: C
For the most part, drugs to treat AD do not result in improvement of symptoms but help slow the progress. The most realistic care plan for a patient with advanced AD is that they will receive appropriate and safe care.