Author Question: Which indirect-acting anticholinesterase medication will the nurse administer as an antidote to ... (Read 42 times)

burton19126 · **on:** Jul 23, 2018

Which indirect-acting anticholinesterase medication will the nurse administer as an antidote to neuromuscular junction blockers?

A) Pyridostigmine (Mestinon)
B) Donepezil (Aricept)
C) Rivastigmine (Exelon)
D) Ambenonium (Mytelase)

Question 2

A patient with Parkinson's disease is taking an anticholinergic drug to decrease the tremors and drooling caused by the disease process. The patient complains that he is having trouble voiding. The nurse would explain that this is what?

A) A hypersensitive action of the drug
B) A primary action of the drug
C) An allergic action of the drug
D) A secondary action of the drug

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

Answer to Question 1

A
Feedback:
Pyridostigmine is indicated for management of myasthenia gravis; antidote to neuromuscular junction blockers; increased survival after exposure to nerve gas. Donepezil and rivastigmine are used to treat Alzheimer's disease. Ambenonium is used to treat myasthenia gravis.

Answer to Question 2

D
Feedback:
Sometimes the drug dosage can be adjusted so that the desired effect is achieved without producing undesired secondary reactions. But sometimes this is not possible, and the adverse effects are almost inevitable. In such cases, the patient needs to be informed that these effects may occur and counseled about ways to cope with the undesired effects. The situation described is not a hypersensitivity reaction that would indicate an allergic reaction, a primary reaction that would be excessive therapeutic response, or an allergic reaction to the drug.