Author Question: The nurse is treating a patient who has been exposed to nerve gas. The provider ordered ... (Read 78 times)

nummyann · **on:** Jul 23, 2018

The nurse is treating a patient who has been exposed to nerve gas. The provider ordered pyridostigmine (Mestinon) 0.25 mg/kg. The patient weighs 96 kg. What dosage will the nurse administer to this patient?

A) 24 mg
B) 384 mg
C) 11 mg
D) 31.7 mg

Question 2

The nurse administers antipsychotic medications to the patient who has taken these same drugs for many years. What signs and symptoms would the nurse attribute to secondary actions of the drug? (Select all that apply.)

A) Muscular tremors
B) Drooling
C) Changes in gait
D) Yellow discoloration of skin and sclera
E) Fine red rash on the trunk

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

Answer to Question 1

A
Feedback:
Multiply the patient's weight times the ordered dose per kilogram: 0.25 96 = 24 mg. Other options are incorrect.

Answer to Question 2

A, B, D
Feedback:
Drugs that affect the dopamine levels in the brain (e.g., antipsychotic drugs), cause a syndrome that resembles Parkinson's disease including lack of activity, akinesia, muscular tremors, drooling, changes in gait, rigidity, extreme restlessness or jitters (akathisia), or spasms (dyskinesia). Yellow discoloration of the skin and sclera indicate jaundice and would suggest liver damage. A fine red rash on the trunk would be a dermatologic reaction unrelated to an antipsychotic agent's secondary effects.