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 ["B","C","D","E"]

Explanation

Vancomycin is nephrotoxic and ototoxic and any ear fullness and rising serum creatinine levels should be reported. It also has a narrow therapeutic levels of 10-20mcg/ml and levels above that should be reported. The drug should be administered over 60 mins to prevent red man syndrome

A- Being nephrotoxic, restricting fluid intake could increase risk of renal damage

Correct Answer is ["0.5"]

Explanation

Desired/available *tab= 25/50*1= 0.5 tab per dose

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

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is preparing to administer atenolol 25 mg PO every 12 hr. The amount available is atenolol 50 mg/tab. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

Which problem may occur in a client who has started aminoglycoside therapy?

A client is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

When teaching a client who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects?

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?

A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)