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

A newborn with transposition of great arteries needed to keep the ductus arteriosus open. The drug used was

Correct Answer: D

Rationale: Misoprostol, a prostaglandin E1 analog, helps maintain ductus arteriosus patency.

Question 3 of 5

Which of the following opioid analgesics has very low protein binding?

Correct Answer: A

Rationale: Morphine has very low protein binding compared to other opioids allowing it to have more free drug available in circulation.

Question 4 of 5

Which of the following opioids would be contraindicated in this patient?

Correct Answer: A

Rationale: In a patient with acute myocardial infarction, morphine would be contraindicated due to its potential to cause hypotension and respiratory depression, which can exacerbate the patient's condition.

Question 5 of 5

Which of the following drugs would most likely be effective to decrease the patient's spontaneous breathing?

Correct Answer: B

Rationale: Vecuronium is a skeletal muscle relaxant that acts as a non-depolarizing neuromuscular blocker, making it effective in decreasing spontaneous breathing by causing muscle relaxation. Diazepam, Botulinum toxin, Dantrolene, and Baclofen do not directly target skeletal muscle function in the same way as Vecuronium. Diazepam is a benzodiazepine, Botulinum toxin is used for muscle spasms, Dantrolene is a muscle relaxant used for malignant hyperthermia, and Baclofen is a muscle relaxant used for spasticity. Therefore, Vecuronium is the most appropriate choice in this scenario.

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