The nurse is caring for a client who is scheduled for an adrenalectomy. The nurse plans to administer which medication in the preoperative period to prevent Addisonian Crisis?
Pyridostigmine orally
Tensilon intravenously
Hydrocortisone intravenously
Spironolactone intramuscularly
The Correct Answer is C
Choice A reason: Pyridostigmine is used to treat myasthenia gravis, not for preventing Addisonian crisis in patients undergoing adrenalectomy. It is not related to adrenal hormone replacement.
Choice B reason: Tensilon (edrophonium) is used in the diagnosis of myasthenia gravis and is not relevant for managing adrenal insufficiency or preventing Addisonian crisis.
Choice C reason: Hydrocortisone intravenously is the correct choice for preventing Addisonian crisis in a client scheduled for adrenalectomy. Hydrocortisone provides the necessary corticosteroid replacement to manage the deficiency of adrenal hormones during and after surgery.
Choice D reason: Spironolactone is a potassium-sparing diuretic used to treat conditions like heart failure and hypertension. It is not used for preventing Addisonian crisis or managing adrenal insufficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Bright light sensitivity is a common side effect following cataract surgery and can be managed with appropriate measures such as wearing sunglasses. It does not necessarily indicate a complication requiring immediate reporting.
Choice B reason: Difficulty seeing with a patch on one eye and fear of falling are valid concerns, but they do not necessarily indicate an immediate complication that requires urgent reporting to the healthcare provider.
Choice C reason: Eye itching is common after cataract surgery, and the client should be advised not to rub the eye to prevent infection or damage. This comment does not indicate a severe complication that needs immediate reporting.
Choice D reason: Severe eye pain that the client cannot stand is a potential sign of a serious complication, such as increased intraocular pressure, infection, or other postoperative issues. This requires immediate attention from the healthcare provider to prevent further complications and ensure the client's safety.
Correct Answer is B
Explanation
Choice A reason: Sodium bicarbonate is used to treat metabolic acidosis and is not indicated for symptomatic bradycardia.
Choice B reason: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the vagus nerve's effects on the heart, increasing heart rate. It is commonly used in emergency settings to manage bradycardia until a more definitive treatment, such as pacemaker insertion, can be provided.
Choice C reason: Magnesium is typically used to treat torsades de pointes, a specific type of ventricular tachycardia, and is not indicated for symptomatic bradycardia.
Choice D reason: Amiodarone is an antiarrhythmic medication used to manage various types of arrhythmias, including ventricular tachycardia and fibrillation, but it is not indicated for symptomatic bradycardia.
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