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A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse
that the treatment has been effective?

Increased salivation

Hyperactive bowel sounds

Heart rate 90/min

Blood pressure 90/50 mm Hg

Answer and Explanation

The Correct Answer is C

A) Increased salivation - Muscarinic agonist poisoning typically presents with

excessive salivation, so increased salivation would indicate ineffective treatment.

B) Hyperactive bowel sounds - Muscarinic agonist poisoning can cause increased

bowel sounds, so this finding would also indicate ineffective treatment.

C) Heart rate 90/min - Atropine is used to counteract the effects of muscarinic

agonists by blocking acetylcholine receptors, leading to an increase in heart rate. A

heart rate of 90/min would indicate that the treatment has been effective.

D) Blood pressure 90/50 mm Hg - Atropine can cause tachycardia and hypertension

as side effects, so a blood pressure of 90/50 mm Hg would not necessarily indicate

effective treatment.

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Correct Answer is A

Explanation

The vial was out of the refrigerator for 2 hr before the medication was administered. - Filgrastim should be stored in the refrigerator and should not be exposed to room temperature for extended periods. This deviation from proper storage warrants an incident report.

B) The client had a decreased neutrophil count before the medication was administered. - A decreased neutrophil count is an expected indication for filgrastim administration in clients receiving cytotoxic chemotherapy.

C) The client reported feeling nauseous after the medication was administered. -

Nausea is a common side effect of filgrastim and may not necessarily require an

incident report.

D) The client had chemotherapy 12 hr before the medication was administered. - This

timing is appropriate for administering filgrastim to stimulate neutrophil production

in response to chemotherapy-induced myelosuppression.

A. “I will avoid consuming alcoholic beverages." B. “I will consume foods that are soft or semisolid." C. "I will rinse with saline every 2 hours while awake." D. “I will avoid taking folic acid supplements while taking this medication." E. “I will perform oral hygiene using a firm-bristle toothbrush."

Correct Answer is ["A","B","C"]

Explanation

A. "I will avoid consuming alcoholic beverages."- Alcohol can irritate the oral mucosa and worsen mouth pain associated with stomatitis. Avoiding alcoholic beverages can help alleviate discomfort.
B. "I will consume foods that are soft or semisolid."- Soft or semisolid foods are easier to chew and swallow, reducing irritation to the oral mucosa and discomfort caused by mouth pain.
C. "I will rinse with saline every 2 hours while awake."- Rinsing with saline can help keep the oral mucosa clean and promote healing of lesions associated with stomatitis. Frequent rinsing can also provide relief from mouth pain.

D. "I will avoid taking folic acid supplements while taking this medication."- Methotrexate is a folate antagonist, and folic acid supplements are typically avoided during treatment to enhance the effectiveness of the medication. Therefore, the client should not avoid taking folic acid supplements but should follow healthcare provider instructions regarding their use.
E. "I will perform oral hygiene using a firm-bristle toothbrush."- Using a firm-bristle toothbrush can further irritate the oral mucosa and exacerbate mouth pain. Instead, the client should use a soft-bristle toothbrush or consider other gentle oral hygiene measures recommended by their healthcare provider.

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A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse
that the treatment has been effective?