The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

A client who is about to have surgery

A client who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min

A client newly diagnosed with myasthenia gravis

A client who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min

A client with severe narrow-angle glaucoma

Answer and Explanation

Correct Answer : A,D

A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma

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Correct Answer is C

Explanation

aminoglycosides and loop diuretics are ototoxic. This risk increases to an even higher level when the two drugs are used together. Therefore, their use together should be avoided.

Other drugs have no significant interactions with aminoglycosides

A. Increased cardiac output B. Reduced anxiety C. Volume depletion D. Decreased urine output

Correct Answer is A

Explanation

An agonist means it binds to mimic the action of the endogenous neurotransmitter. Adrenergic receptors act to stimulate the sympathetic nervous system leading to the fight/flight response. Increase in heart rate leads to increased cardiac output.
B. reduced anxiety are features of adrenergic blockade
C and D Volume depletion, decreased urine output are features of cardiogenic shock itself

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The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the medication orders for a client who will be receiving aminoglycoside therapy. Which other medication or medication class, if ordered, would be a potential interaction concern?

Correct Answer is C

Explanation

An adrenergic agonist is ordered for a client in cardiogenic shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs?

Correct Answer is A

Explanation

When monitoring a client who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?

The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)

The nurse is evaluating the laboratory results of a client who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia?

Before administering any medication, what is the nurse's priority action regarding client safety?

A client tells the nurse that he is having nausea and decreased appetite during drug therapy with a tetracycline antibiotic. Which statement is the nurse's best advice to the client?

Before beginning a client's therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class?