A client is experiencing a cholinergic crisis after being administered pyridostigmine IV. The nurse should administer which of the following reversal agents?
Galantamine
Physostigmine
Flumazenil
Atropine
The Correct Answer is D
A. Galantamine is a reversible acetylcholinesterase inhibitor and would not be effective in treating a cholinergic crisis.
B. Physostigmine is also a reversible acetylcholinesterase inhibitor and would not be suitable for reversing a cholinergic crisis.
C. Flumazenil is a benzodiazepine antagonist used to reverse benzodiazepine effects, not cholinergic crises.
D. Atropine is an anticholinergic medication that is effective in reversing the effects of excessive acetylcholine during a cholinergic crisis, making it the appropriate choice in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oxymetazoline should not be used for more than 3 days because prolonged use can lead to rebound congestion.
B. Oxymetazoline typically does not cause drowsiness, so taking it at bedtime is not necessary.
C. Oxymetazoline has a rapid onset and should not take a week to show effects.
D. Oxymetazoline is a nasal decongestant and is not used for asthma management.
Correct Answer is B
Explanation
A. Black-colored stools may indicate gastrointestinal bleeding, which is not a common side effect of rifampin.
B. Rifampin is known to cause orange-colored secretions, including urine, sweat, and tears, which is a normal and expected side effect.
C. Rifampin does not typically cause staining of teeth; this is more commonly associated with other medications like tetracyclines.
D. Constipation is not a recognized side effect of rifampin, and patients are not typically advised to expect this as a result of the medication.
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