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 D

Explanation

D. Garlic is used for its lipid lowering effects which lower the risk of cardiovascular EVENTS. In addition to this, it has anti-platelet effects increasing risk of bleeding when used with warfarin.
A and B Garlic has no sedative, analgesic effect.
C. Garlic has positive effects on lipid lowering which is not of concern.

A. Gastrointestinal (Gl) mucous membrane cells B. Nerve myelin cells C. Hair follicle cells D. Bone marrow cells E. Retinal cells

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

Explanation

GI, Hair follicles and bone marrow cells are rapidly dividing which are commonly affected by chemotherapeutic agents and other drugs that inhibit or alters DNA synthesis.

Nerve myelin and retinal cells are not rapidly dividing.

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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

During an assessment, the client tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?

Correct Answer is D

Explanation

When giving chemotherapy as cancer treatment, the nurse recognizes that toxicity to rapidly growing normal cells also occurs. Which rapidly growing normal cells are also harmed by chemotherapy? (Select all that apply.)

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

Explanation

A client with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

A client who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?

A client is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply.

The nurse is evaluating the laboratory results of a client who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia?

When monitoring a client who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?