Author Question: A patient presents at the clinic complaining of shortness of breath, fatigue, and difficulty ... (Read 39 times)

Garrulous · **on:** Jul 23, 2018

A patient presents at the clinic complaining of shortness of breath, fatigue, and difficulty performing activities of daily living (ADLs). The nurse notes the bluish color around the patient's mouth and fingernail beds.

What would the nurse expect the patient has? A) A dysrhythmia
B) Hypotension
C) Heart failure
D) Hypertension

Question 2

For what purpose would the nurse in the critical care unit administer pyridostigmine?

A) To reverse neuromuscular junction blockers
B) To reverse smooth muscle blockade
C) To reverse cholinergic crisis
D) To prevent myasthenic crisis

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

Answer to Question 1

C
Feedback:
If the heart muscle fails to do its job of pumping blood through the system effectively, blood backs up and the system becomes congested. This is called heart failure (HF). In the case described, the patient does not present with symptoms characteristic of a dysrhythmia, hypotension, or hypertension.

Answer to Question 2

A
Feedback:
Pyridostigmine is approved for management of myasthenia gravis, as an antidote to neuromuscular junction blockers, and to increase survival after exposure to nerve gas. Other options are not indications for use of this drug.