A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which of the following actions should the nurse take prior to administering the client medication?

Have the client empty his bladder.

Place the client in low Fowler's position.

Ask the client to take a few sips of water.

Put up the side rails on the client's bed.

Answer and Explanation

The Correct Answer is C

A.   Having the client empty their bladder is not directly related to medication administration.
B.   Placing the client in low Fowler's position may not be ideal for swallowing; a more upright position is often better.
C.   Asking the client to take a few sips of water helps facilitate swallowing the medication effectively.
D.   Putting up the side rails on the client's bed is not necessary for medication administration.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A raised rash, such as a butterfly rash across the cheeks, is a classic manifestation of SLE.
B. Muscle hyperreflexia is not a typical symptom of SLE.
C. Weight gain is not commonly associated with SLE; patients may experience weight loss or fluctuations.
D. Hypothermia is not characteristic of SLE; patients may experience fever due to inflammation.

A. Assessing respiratory function B. Monitoring blood glucose levels C. Checking for skin breakdown D. Monitoring for signs of infection

Correct Answer is A

Explanation

A. Assessing respiratory function is critical as respiratory muscle involvement can lead to respiratory failure.
B. Monitoring blood glucose levels is important but not the priority in this context.
C. Checking for skin breakdown is important but secondary to respiratory assessment.
D. Monitoring for signs of infection is necessary but less urgent than assessing respiratory status.

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A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which of the following actions should the nurse take prior to administering the client medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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