A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?

High purine diet

High protein diet

Not exercising enough

Taking too much of the prescribed medication

Answer and Explanation

The Correct Answer is D

Choice A reason: A high purine diet is more commonly associated with gout and hyperuricemia, not cholinergic crisis.

Choice B reason: A high protein diet is not directly related to cholinergic crisis. The crisis is related to medication levels rather than dietary factors.

Choice C reason: Not exercising enough is not a direct cause of cholinergic crisis. Physical activity levels do not impact the balance of acetylcholine in the body in this context.

Choice D reason: A cholinergic crisis occurs due to excessive accumulation of acetylcholine, often from taking too much of prescribed anticholinesterase medications. This can lead to overstimulation of the neuromuscular junction and symptoms such as muscle weakness and respiratory distress.

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Correct Answer is C

Explanation

Choice A reason: Abdominal pain is not a typical complication of hypophysectomy and is less urgent compared to other potential complications.

Choice B reason: Urticaria (hives) of the arms can indicate an allergic reaction but is not directly related to the surgery. It requires attention but is not the most critical finding.

Choice C reason: Persistent nasal drainage following hypophysectomy could indicate a cerebrospinal fluid (CSF) leak, which is a serious complication. CSF leaks require immediate medical attention to prevent meningitis and other complications.

Choice D reason: Pain during urination is not directly related to the hypophysectomy and is less urgent compared to other potential complications.

A. "Because of the dysrhythmia, blood backs up in the legs and puts you at risk for blood clots." B. "Because the atria are quivering, blood flows sluggishly through them, and clots can form along the heart wall, which then could loosen and travel to the lungs or brain." C. "The medications that you are taking cause blood clots as a side effect so you need this medication to prevent them."

Correct Answer is B

Explanation

Choice A reason: The statement "Because of the dysrhythmia, blood backs up in the legs and puts you at risk for blood clots" is incorrect. Atrial fibrillation primarily causes blood to pool in the atria, not the legs.

Choice B reason: The statement "Because the atria are quivering, blood flows sluggishly through them, and clots can form along the heart wall, which then could loosen and travel to the lungs or brain" accurately explains the risk of clot formation in atrial fibrillation and the importance of anticoagulant therapy to prevent strokes and other complications.

Choice C reason: The statement "The medications that you are taking cause blood clots as a side effect so you need this medication to prevent them" is incorrect. Anticoagulant therapy in atrial fibrillation is used to prevent clot formation due to the arrhythmia itself, not as a counteraction to the side effects of other medications.

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A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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