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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale- The client is at risk of a life-threatening anaphylaxis as cross reactivity occurs between cephalosporin and penicillin as they both contain a beta lactam ring. Cephalexin should be avoided completely
A. Diphenhydramine is used for mild reactions but not anaphylaxis
B. waiting for rounds delays the client’s medication and hence inappropriate
Correct Answer is ["B","C","D"]
Explanation
methotrexate interferes with DNA synthesis which may affect all rapidly dividing cells including hair follicles, oral epithelial lining and bone marrow cells involved in fighting against infections
A. Hair loss is expected
B, E. Methotrexate should be taken with a lot of fluid to flush down the drug to minimize nausea and vomiting
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