The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

A client who is about to have surgery

A client who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min

A client newly diagnosed with myasthenia gravis

A client who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min

A client with severe narrow-angle glaucoma

Answer and Explanation

Correct Answer : A,D

A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma

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Correct Answer is C

Explanation

A.The charge nurse can provide support, but they are not responsible for confirming or authorizing medical orders. Telephone orders must be verified directly with the prescriber.

B.The pharmacist can review medication safety, but they cannot confirm or validate the prescriber’s order over the phone. The responsibility for clarification remains between nurse and prescriber.
C. It's the correct answer and follows the standard safety protocol for verbal/telephone orders:

The nurse writes the order exactly as given
Then reads it back to the prescriber verbatim
The prescriber confirms accuracy before the call ends

This is known as read-back verification, and it reduces medication errors significantly.
D.While clarification may sometimes be needed, routinely hanging up and calling back is not standard practice and increases communication delays. The correct step is to confirm during the same call.

A. A dry cough B. Bruising on the skin C. Bradycardia D. A sudden, 15-pound weight gain

Correct Answer is D

Explanation

D. Fluid retention due to leakage of fluid leads to increase in weight
A. Capillary leak syndrome leads wet cough
B. Capillary leak syndrome leads to flushing but not bruising of the skin
C. leads to tachycardia due to reduced effective volume

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The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When taking a telephone order for a medication, which action by the nurse is most appropriate?

Correct Answer is C

Explanation

During a client's therapy with interleukins, the nurse monitors the client for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?

Correct Answer is D

Explanation

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