The nurse administers atropine 0.5 mg IV to a client. Which action should be performed after the client has received this medication?

Administer timolol eye drops to both eyes

Insert an indwelling catheter

Administer an antidiarrheal medication

Provide frequent oral care

Answer and Explanation

The Correct Answer is D

A.   Timolol eye drops are not indicated following the administration of atropine, as atropine has no effect on intraocular pressure.
B.   Inserting an indwelling catheter is not necessary for the administration of atropine, which is used to treat bradycardia, not urinary retention.
C.   Administering an antidiarrheal medication is unrelated to atropine administration; atropine typically causes dry mouth rather than diarrhea.
D.   Atropine is an anticholinergic medication that decreases saliva production, which can lead to dry mouth and discomfort. Frequent oral care is important to prevent oral mucosal irritation and discomfort for the client.

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Correct Answer is A

Explanation

A. Weigh daily on the same scale at the same time of day - Daily weight measurement is critical for clients with heart failure to monitor for fluid retention, which can indicate worsening heart failure.
B. Restrict foods that are high in potassium - This is not recommended unless the client is on certain medications (e.g., potassium-sparing diuretics) that cause high potassium levels. Generally, potassium- rich foods are beneficial for heart health.
C. Engage in aerobic activity for one hour each day - Although exercise is important, the intensity and duration should be individualized, and clients with heart failure may need to start with lower-intensity activity.
D. Monitor sugar intake - While important for diabetes management, monitoring sugar intake is not a primary focus for clients with heart failure unless they also have diabetes.

A. Urine output has increased from 30 mL to 50 mL per hour B. Blood pressure decreased from 140/80 to 90/50 C. Heart rate has increased from 80 to 110 beats per minute D. Client is awake, alert and oriented to time, place and person

Correct Answer is A

Explanation

A. Dopamine at low doses primarily increases renal perfusion, which can lead to improved urine output. An increase in urine output is a key indicator that the medication is effectively improving kidney function and blood flow. This is the most direct way to assess its effectiveness.
B. A decrease in blood pressure is not an expected effect of low-dose dopamine, which should actually help improve perfusion and raise blood pressure.
C. An increase in heart rate is more likely with higher doses of dopamine and is not an optimal indicator of the drug's effectiveness for acute heart failure.
D. Client alertness is important but does not directly reflect the primary effects of dopamine on renal perfusion and cardiac output in acute heart failure.

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The nurse administers atropine 0.5 mg IV to a client. Which action should be performed after the client has received this medication?

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Naxlex Comprehensive Predictor Exams

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