The nurse administers atropine 0.5 mg IV to a client. Which action should be performed after the client has received this medication?
Administer timolol eye drops to both eyes
Insert an indwelling catheter
Administer an antidiarrheal medication
Provide frequent oral care
The Correct Answer is D
A. Timolol eye drops are not indicated following the administration of atropine, as atropine has no effect on intraocular pressure.
B. Inserting an indwelling catheter is not necessary for the administration of atropine, which is used to treat bradycardia, not urinary retention.
C. Administering an antidiarrheal medication is unrelated to atropine administration; atropine typically causes dry mouth rather than diarrhea.
D. Atropine is an anticholinergic medication that decreases saliva production, which can lead to dry mouth and discomfort. Frequent oral care is important to prevent oral mucosal irritation and discomfort for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["13.8"]
Explanation
The patient weighs 121 lbs, which is approximately 55 kg (121 ÷ 2.2).
The prescribed dose is 1 mg/kg, so the patient requires 55 mg of furosemide. The medication is supplied at a concentration of 40 mg per 10 mL.
To find out how many mL of furosemide to administer, set up a proportion: 40 mg is to 10 mL as 55 mg is to X mL.
Therefore, the nurse should administer 13.8 mL of furosemide, rounding to the nearest tenth.
Correct Answer is C
Explanation
A. Mobitz II is a type of second-degree AV block characterized by constant PR intervals and sudden dropped QRS complexes (i.e., the PR interval does not lengthen progressively). This is a more serious block because the dropped beats are unpredictable and could lead to complete block.
B. Sinus bradycardia is a slower-than-normal heart rate (usually less than 60 beats per minute) that originates from the sinus node. First-degree AV block is characterized by a prolonged PR interval, but unlike second-degree block, there are no dropped QRS complexes.
C. Mobitz I (Wenckebach) is a second-degree AV block where the PR interval gradually lengthens with each successive beat until a QRS complex is dropped. After the dropped beat, the cycle repeats. This is a relatively benign block and often resolves without intervention, though it requires monitoring.
D. Third-degree heart block (also known as complete heart block) occurs when there is no communication between the atria and ventricles. The atria and ventricles beat independently of each other. There are no relationship between the P waves and QRS complexes, and the ventricular rate is typically slower than the atrial rate.
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