Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client receiving cholinergic medications to assist in the treatment of myasthenia gravis. Which contraindication will the nurse assess for prior to administering a cholinergic medication?
Correct answer
B
Rationale
The correct answer is B: Asthma. Cholinergic medications can exacerbate bronchoconstriction in patients with asthma due to increased acetylcholine levels. This can lead to worsening respiratory symptoms and potentially trigger an asthma attack. Therefore, assessing for asthma as a contraindication is crucial to prevent adverse effects. Diarrhea (A) is not a contraindication for cholinergic medications. Hypertension (C) is not a contraindication either, although caution should be exercised in patients with uncontrolled hypertension. Alzheimer's (D) is not directly related to the use of cholinergic medications in myasthenia gravis.