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 D
Explanation
D. Therapeutic index refers to the doses that results in desired outcome with adverse effects. It is between the safe and toxic levels. Narrow therapeutic level means the two are very close.
A. How effective a drug is termed as efficacy
B. Such a drug does not exist as it is not safe
C. Effectiveness of very small dose is termed as potency
Correct Answer is B
Explanation
Zidovudine is nucleoside reverse transcriptase inhibitor that prevent HIV viral replication preventing mother to child transmission
A. Rivabirin is an antiviral not used in HIV
C. Used against CMV
D. used against Herpes viruses
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