Question

29. the nurse is preparing to administer neostigmine to the client with myasthenia gravis. the nurse notes bilateral crackles in the lower lung lobes. which action will the nurse take next?

Answer 1

The nurse should assess the client's respiratory status and report the findings to the healthcare provider for further evaluation.

Step-by-step explanation:

Neostigmine is a medication commonly used in the treatment of myasthenia gravis, a chronic neuromuscular disorder that causes muscle weakness and fatigue.

It works by inhibiting the breakdown of acetylcholine, a neurotransmitter that plays a crucial role in muscle contraction.

However, bilateral crackles in the lower lung lobes may indicate a potential respiratory complication, such as pneumonia.

Therefore, the nurse should prioritize assessing the client's respiratory status further and reporting the findings to the healthcare provider for further evaluation.

This may include obtaining a chest X-ray, collecting a sputum sample, and monitoring vital signs.