A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse
that the treatment has been effective?
Increased salivation
Hyperactive bowel sounds
Heart rate 90/min
Blood pressure 90/50 mm Hg
The Correct Answer is C
A) Increased salivation - Muscarinic agonist poisoning typically presents with
excessive salivation, so increased salivation would indicate ineffective treatment.
B) Hyperactive bowel sounds - Muscarinic agonist poisoning can cause increased
bowel sounds, so this finding would also indicate ineffective treatment.
C) Heart rate 90/min - Atropine is used to counteract the effects of muscarinic
agonists by blocking acetylcholine receptors, leading to an increase in heart rate. A
heart rate of 90/min would indicate that the treatment has been effective.
D) Blood pressure 90/50 mm Hg - Atropine can cause tachycardia and hypertension
as side effects, so a blood pressure of 90/50 mm Hg would not necessarily indicate
effective treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Nausea - Nausea is a common side effect of lisinopril but does not typically require immediate reporting.
B) Insomnia - Insomnia is not a common side effect of lisinopril and does not typically require immediate reporting.
C) Dry cough - Dry cough is a common side effect of lisinopril, but it is not typically considered an emergency.
D) Eyelid edema - Eyelid edema can indicate angioedema, a potentially life- threatening side effect of lisinopril, and should be reported immediately.
Correct Answer is A
Explanation
A. Contact the provider: "NOW" is not a standard dosing instruction. It's unclear whether the medication is intended for immediate administration or not. A healthcare professional needs to clarify the intended use with the prescriber before administering the medication.
B. Inform the client there is a prescription available if needed: This doesn't address the immediate need for clarification regarding the "NOW" instruction.
C. Administer the medication within 90 min.: There's no standard timeframe associated with "NOW." Administering without clarification could be unsafe.
D. Notify the pharmacy to send the medication immediately: This focuses on obtaining the medication but doesn't address the unclear dosing instructions.
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