The nurse is caring for a client with advanced coronary artery disease who has developed cardiac arrest. During the resuscitation, the health care provider prescribes atropine. Which is the intended outcome of this medication?
Suppresses ectopic ventricular sites
Increases SA node automaticity
Increases myocardial contractibility
Decreases AV node conduction
The Correct Answer is B
A. Suppresses ectopic ventricular sites: Atropine primarily increases heart rate; it does not directly suppress ectopic ventricular activity.
B. Increases SA node automaticity: Atropine blocks the parasympathetic nervous system, increasing SA node activity and heart rate in cases of bradycardia or asystole.
C. Increases myocardial contractility: This effect is more related to drugs like inotropes (e.g., dopamine), not atropine.
D. Decreases AV node conduction: Atropine actually increases conduction through the AV node by blocking vagal stimulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E","F","G"]
Explanation
A. Morphine is typically used for pain relief, but it is not used to reduce cerebral edema.
B. Lactated Ringers is a balanced electrolyte solution, but it does not address the need for reducing cerebral edema.
D. Dexamethasone is a corticosteroid used to reduce inflammation and cerebral edema in cases of brain injury.
E. Mannitol is an osmotic diuretic used to reduce cerebral edema by drawing fluid out of the brain and into the bloodstream.
F. Hypertonic saline is used to increase serum osmolality, helping to pull water out of the brain and reduce edema.
G. Furosemide is a loop diuretic that can also help reduce cerebral edema by promoting diuresis.
Correct Answer is A
Explanation
A. BP 170/64, pulse 58: Cushing's triad includes increased systolic blood pressure with widened pulse pressure, bradycardia, and irregular respirations, indicating increased intracranial pressure.
B. BP 180/90, pulse 96: Hypertension is present, but the elevated pulse does not align with bradycardia seen in Cushing's triad.
C. BP 110/70, pulse 100: These values do not reflect the classic signs of Cushing's triad.
D. BP 100/60, pulse 54: While bradycardia is present, hypotension does not align with Cushing’s triad.
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