Question

The nurse is caring for an older client with a diagnosis of myasthenia gravis and has reinforced self-care instructions. Which statement by the client indicates a need for further teaching?

A. I will take my medication with a full glass of water.
B. I will take my medication just before bedtime.
C. I will avoid activities that require a lot of effort and energy.
D. I will take my medication on an empty stomach.

Answer 1

The indication that more teaching is required is the statement about taking medication just before bedtime, which may not be optimal for managing symptoms of myasthenia gravis. Medications should be taken at intervals that provide the best symptom management throughout the day.

Step-by-step explanation:

The client's statement that indicates a need for further teaching is, "I will take my medication just before bedtime." This is because medications for myasthenia gravis are typically prescribed to be taken at times that optimize their effectiveness and distribution throughout the day, which can mean avoiding bedtime when the body's metabolism slows down. The correct timing of medication is crucial to manage the symptoms effectively.

Furthermore, it's important for individuals with myasthenia gravis to avoid activities that require a lot of effort and energy, as per the client's correct statement, since muscle weakness and fatigue can be exacerbated by overexertion. It is also recommended to take medication with a full glass of water and, unless specified otherwise by the healthcare provider, on an empty stomach to maximize absorption.