Which instructions will the nurse include in the teaching plan for a patient who is taking pyridostigmine? (Select all that apply.)

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Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions

Question 1 of 5

Which instructions will the nurse include in the teaching plan for a patient who is taking pyridostigmine? (Select all that apply.)

Correct Answer: C

Rationale: Step 1: Pyridostigmine is a medication used to treat myasthenia gravis by improving muscle strength. Step 2: Underdosing of pyridostigmine can lead to myasthenic crisis, a life-threatening condition characterized by severe muscle weakness. Step 3: Therefore, it is crucial for the nurse to include in the teaching plan that underdosing can result in myasthenic crisis to emphasize the importance of taking the medication as prescribed. Step 4: Taking pyridostigmine on time (Choice A) is important for maintaining therapeutic levels but not specifically related to the risk of myasthenic crisis. Step 5: Taking the prescribed dose every other week (Choice B) is incorrect as pyridostigmine is typically taken daily or as directed by the healthcare provider. Step 6: Overdosing of pyridostigmine can result in cholinergic crisis (Choice D), which is a complication but not

Question 2 of 5

Which of the following neurotransmitters has been most consistently implicated in the patient's disorder?

Correct Answer: A

Rationale: Acetylcholine has been consistently implicated in Alzheimer's disease, which is the disorder the 71-year-old man was diagnosed with. This neurotransmitter is involved in memory and cognitive function, both of which are affected in Alzheimer's disease. A drug that acts on the central cholinergic system would likely target acetylcholine to improve symptoms in this patient. The other neurotransmitters listed are not as strongly linked to Alzheimer's disease.

Question 3 of 5

Which of the following symptoms did the patient most likely experience upon recovery from sedation?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which of the following drugs most likely caused the patient's disorder?

Correct Answer: A

Rationale: The patient's oversedation and spending the whole day dozing is a common side effect of Zolpidem, which is a sedative-hypnotic drug used for insomnia. Zolpidem is known to cause drowsiness and oversedation, especially in the elderly population. The patient taking a "sleeping pill" from a friend that he couldn't remember the name of is consistent with Zolpidem being the cause of his symptoms.

Question 5 of 5

Which of the following drugs would be most appropriate for the 49-year-old woman complaining of sleep disturbances?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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