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 ["A","B","C"]

Explanation

Warfarin reduces the activity of vitamin K to prevent excessive clot formation. Feverfew, garlic, and gingko can also reduce the activity of vitamin K or interfere with platelet function, which can make the blood thinner and harder to clot.
D. Saw Palmetto- Inhibits prostatic growth factors and is used for BPH
E. Used to promote formation of articular cartilage in osteoarthritis

A. The clients liver is no longer able to metabolize the drug. B. There are rapid swings in the clients response to levodopa. C. The medications begin to lose effectiveness against Parkinson's disease. D. The client cannot tolerate the medications at times.

Correct Answer is C

Explanation

A, B and D- The phenomenon is not related to the liver’s ability to metabolize the drug and its is not a fluctuating phenomenon

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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

A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)

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

Explanation

When treating clients with medications for Parkinson's disease, the nurse knows that the wearing-off phenomenon occurs for which reason?

Correct Answer is C

Explanation

A client is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?

A client wants to take the herb gingko to help his memory. The nurse reviews his current medication list and would be concerned about potential interactions if he is taking a medication from which class of drugs?

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?

The nurse can prevent medication errors by following which principles? (Select all that apply.)

A client has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?

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?

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?

A client who has been anticoagulated with warfarin has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the client may have taken too much warfarin. The nurse anticipates that the client will receive which antidote?