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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
following the rights of medications administration prevents errors, the rights include right client, right dosage, right drug, right route and right time and frequency. The nurse must always verify the administration order to the prescription before drug administration. Wherever there is doubt, the provider should be consulted to avoid errors.
A- Minimizing telephone and verbal orders is not a proven principle of preventing medication errors
D- Use of trade names increases risk of errors
E-Allergy assessment is not related to medication errors
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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