A client admitted to the hospital with suspected myasthenic crisis was prescribed edrophonium (Tensilon). The nurse misread the dosage and administered a higher dose than prescribed. The doctor has ordered an antidote to be given. What medication does the nurse anticipate administering?
Pyridostigmine
Flumazenil
Acetylcholine
Atropine
The Correct Answer is D
Choice A reason: Pyridostigmine is a medication used to treat myasthenia gravis by inhibiting acetylcholinesterase, but it is not used as an antidote for edrophonium overdose. Pyridostigmine helps improve muscle strength by increasing the amount of acetylcholine available at the neuromuscular junction.
Choice B reason: Flumazenil is an antidote for benzodiazepine overdose and has no effect on edrophonium. It works by competitively inhibiting the actions of benzodiazepines on the GABA receptor.
Choice C reason: Acetylcholine itself is not used as an antidote for edrophonium overdose. Administering acetylcholine would not counteract the effects of excessive acetylcholinesterase inhibition caused by edrophonium.
Choice D reason: Atropine is the correct antidote for edrophonium overdose. Atropine is an anticholinergic drug that can counteract the excessive accumulation of acetylcholine caused by edrophonium, thereby alleviating symptoms such as bradycardia and muscle weakness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hyperopia, also known as farsightedness, is a condition where distant objects can be seen more clearly than near objects. It is caused by the eyeball being too short or the cornea having too little curvature. In this scenario, the client's ability to adjust and focus on near and distant objects is not indicative of hyperopia.
Choice B reason: Photophobia is an increased sensitivity to light. It can be caused by various eye conditions, infections, or even migraines. The client's ability to focus on objects at different distances does not correlate with sensitivity to light.
Choice C reason: Myopia, or nearsightedness, is the opposite of hyperopia. Individuals with myopia can see near objects clearly but have difficulty focusing on distant objects. The client's ability to focus on both near and far objects rules out myopia.
Choice D reason: Accommodation is the process by which the eye adjusts its focus from near to distant objects (or vice versa). This involves changes in the shape of the lens, controlled by the ciliary muscles. The client's ability to focus on objects at varying distances correctly describes the accommodation process, making it the appropriate answer.
Correct Answer is A
Explanation
Choice A reason: A patient with a new-onset of confusion and restlessness is a priority because these symptoms could indicate a serious condition such as hypoxia, electrolyte imbalance, or a neurological event like a stroke. These changes in mental status need to be evaluated immediately to prevent further complications.
Choice B reason: Dizziness after receiving captopril (Capoten) can be a side effect of the medication due to its blood pressure-lowering effects. While it should be monitored, it is not as urgent as the new-onset confusion and restlessness seen in another patient.
Choice C reason: A patient requiring oxygen via nasal cannula with saturations of 97% is stable as the oxygen saturation is within normal limits. This patient does not need to be prioritized over others with more acute symptoms.
Choice D reason: A patient who has received digoxin and has a blood pressure of 100/56 should be monitored, especially for signs of digoxin toxicity. However, this situation is not as critical as the new-onset confusion and restlessness in another patient.
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