Question

A nurse in an emergency department is caring for a client who has myasthenia graves and is in a cholinergic crisis. which of the following medications should the nurse plan to admin?

A. Atropine
B. Neostigmine
C. Pyridostigmine
D. Edrophonium

Answer 1

In the case of a cholinergic crisis in a myasthenia gravis patient, Atropine should be administered to counteract the excess acetylcholine.

Step-by-step explanation:

A nurse caring for a client with myasthenia gravis who is in a cholinergic crisis should plan to administer Atropine. In a cholinergic crisis, there is an overabundance of acetylcholine due to overstimulation of acetylcholinesterase inhibitors which are often used to treat myasthenia gravis. Atropine is an anticholinergic medication that works as an antagonist to muscarinic acetylcholine receptors, thereby reducing the overstimulation caused by excess acetylcholine during a crisis. This helps manage the symptoms of the cholinergic crisis.