What is the responsibility of the nurse related to the patient’s drug therapy? Select all that apply.

Teaching the patient how to cope with therapy to ensure the best outcome.

Altering the drug regime to optimize the outcome.

Evaluating the effectiveness of therapy.

Providing therapy as well as medications.

Recommending over-the-counter medications to treat adverse effects of prescription drug therapy.

Answer and Explanation

Correct Answer : A,C

Choice A rationale

Teaching the patient how to cope with therapy helps ensure the best outcomes by promoting adherence and understanding of the treatment regimen.

Choice B rationale

Nurses should not alter drug regimens; this is the responsibility of the prescribing healthcare provider.

Choice C rationale

Evaluating the effectiveness of therapy is a critical nursing responsibility to ensure that the treatment is achieving the desired outcomes.

Choice D rationale

While providing therapy is part of nursing care, it should not include altering the medication regimen.

Choice E rationale

Recommending over-the-counter medications is not within the nurse's scope of practice and should be done by a healthcare provider.

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Correct Answer is C

Explanation

Choice A rationale

Myasthenia gravis primarily affects voluntary muscles, especially those involved in breathing and facial movements. Gastrointestinal (GI) and lower extremity muscles are generally not the main muscles affected by this condition. It is an autoimmune disorder that impacts the neuromuscular junction, where nerves communicate with muscles, leading to muscle weakness and fatigue.

Choice B rationale

The central nervous system (CNS), memory, and cognition are not typically impacted by myasthenia gravis. This disorder primarily involves peripheral nervous system issues that affect voluntary muscle control rather than cognitive functions. Myasthenia gravis does not cause alterations in memory or cognition as seen with central nervous system disorders like Alzheimer's disease.

Choice C rationale

Myasthenia gravis notably affects respiratory and facial muscles. The autoimmune attack on acetylcholine receptors leads to muscle weakness, particularly in muscles controlling eye movements, facial expressions, and breathing. Patients may experience difficulty breathing, swallowing, and maintaining an open airway due to this muscle weakness.

Choice D rationale

The cardiovascular system and postural muscles are not commonly affected by myasthenia gravis. This condition involves the neuromuscular junction and leads to fatigue in voluntary muscles, primarily those involved in eye movement, facial expressions, and respiration. Cardiovascular symptoms are not a direct consequence of myasthenia gravis.

A. Sumatriptan (Imitrex). B. Naratriptan (Amerge). C. Frovatriptan (Frova). D. Almotriptan (Axert).

Correct Answer is A

Explanation

Choice A rationale

Sumatriptan (Imitrex) is a selective serotonin receptor agonist that helps constrict blood vessels in the brain and is typically used to treat migraine and cluster headaches. Its effectiveness is due to its ability to reduce inflammation and alleviate the pain associated with these headaches.

Choice B rationale

Naratriptan (Amerge) is also a triptan used for the treatment of migraines but is not specifically indicated for cluster headaches.

Choice C rationale

Frovatriptan (Frova) is used mainly for the acute treatment of migraine headaches and is not indicated for cluster headaches.

Choice D rationale

Almotriptan (Axert) is used to treat migraines and does not have an indication for cluster headaches.

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What is the responsibility of the nurse related to the patient’s drug therapy? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to care for a patient who has myasthenia gravis.The nurse will be alert to symptoms affecting which body system in the patient?

Correct Answer is C

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Correct Answer is A

Explanation

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