A client who is receiving edrophonium chloride suddenly is complaining of abdominal cramps and the nurse observes the client is experiencing increased perspiration and salivation. The nurse makes sure the availability of which of the following?

Correct Answer: C

Rationale: Edrophonium chloride is a medication used to diagnose myasthenia gravis, a condition characterized by muscle weakness. When a client receiving edrophonium chloride suddenly experiences symptoms like abdominal cramps, increased perspiration, and salivation, these are suggestive of cholinergic crisis, which is an overdose of acetylcholinesterase inhibitors like edrophonium. Atropine sulfate is an anticholinergic medication used to counteract the effects of excessive acetylcholine in the body, hence it is essential to have it readily available to manage cholinergic crisis in this client. Levodopa, methylphenidate hydrochloride, and carbamazepine are not indicated for managing cholinergic crisis.

Correct Answer: D

Rationale: The statement "The intravenous potassium dose will be given undiluted" reflects a need for further teaching. Potassium should always be diluted before administration to prevent irritation of the veins and potential adverse effects, such as phlebitis or tissue damage. Diluting the medication helps to reduce the risk of complications, making it safer for the patient. Therefore, the correct approach is to dilute intravenous potassium before administering it to the patient.

Correct Answer: A

Rationale: In the context of teaching a patient about antihypertensive drug therapy, option A, "You need to have your blood pressure checked once a week and keep track of the readings," is correct. This statement emphasizes the importance of monitoring blood pressure regularly to assess the effectiveness of the medication and ensure optimal control of hypertension. Option B, "If you notice that the symptoms have gone away, you should be able to stop taking the drug," is incorrect. Stopping antihypertensive medication abruptly can lead to a sudden increase in blood pressure, posing serious health risks. It is crucial to emphasize to patients that they should never discontinue their medication without consulting their healthcare provider. Option C, "An exercise program may be helpful in treating hypertension, but let's check with your doctor first," is partially correct. While exercise is beneficial for managing hypertension, patients should consult their healthcare provider before starting any new exercise regimen to ensure it is safe and appropriate for their individual health status. Option D, "If you experience severe side effects, stop the medicine and let us know at your next office visit," is also incorrect. Severe side effects should prompt immediate medical attention, and patients should be advised to contact their healthcare provider or seek emergency care if they experience any unexpected or concerning symptoms while taking antihypertensive medication. Educationally, it is important to stress the significance of medication adherence, regular blood pressure monitoring, and open communication with healthcare providers when educating patients about antihypertensive therapy. Empowering patients with accurate information and clear instructions can improve treatment outcomes and promote patient safety and well-being.

Correct Answer: B

Rationale: The correct statement by the nurse is, "It™s important to try to stay on your prescribed medication. Try to take it with sips of water." It is important to continue taking diuretic therapy as prescribed, even if the patient has been vomiting. Taking the medication with small sips of water can help ensure hydration and absorption of the medication. Discontinuing the diuretic abruptly can lead to fluid retention and exacerbation of the patient's condition. It's best to ensure proper hydration and medication adherence while also seeking proper medical advice if needed.

Correct Answer: C

Rationale: Naloxone is a medication used to reverse the effects of an opioid overdose. It works by binding to the opioid receptors in the brain, displacing the opioids and temporarily reversing their effects. Naloxone is commonly administered in emergency situations to quickly restore normal breathing and consciousness in individuals who have overdosed on opioids. Aspirin (choice A) and Advil (choice B) are non-opioid pain relievers and do not reverse the effects of an opioid overdose. Ondansetron (choice D) is an anti-nausea medication and does not counteract the respiratory depression caused by opioid overdose.