A client with myasthenia gravis is prescribed pyridostigmine (Mestinon).What teaching should the nurse plan regarding this medication? (Select all that apply.)

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Pyridostigmine should be given with a small amount of food to prevent GI upset,but the client should wait to eat a full meal due to the potential for aspiration.If difficulty with swallowing occurs,the client should seek immediate attention.The dose can change on a day-to-day basis depending on the client's manifestations.Taking the drug on an empty stomach is not related although the client needs to eat within 45 to 60 minutes afterwards.The client's urine will not turn reddish-orange while on this drug.

A Client with Myasthenia Gravis Is Prescribed Pyridostigmine (Mestinon)