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
Explanation
B. laxatives can lead to diarrhea and dependency
A. it is important but other strategies are safer
C. Glycerin is also a laxative
D. The client should not be encouraged to continue with the laxative
Correct Answer is C
Explanation
Rationale- Laxatives increase bowel peristalsis which could be risky when given in a client with abdominal pain of unknown origin as it may lead to bowel perforation in cases of obstruction.
A. Laxative help clear ammonia from the gut reducing the risk of hepatic encephalopathy.
B. Laxatives are safe in diverticulosis after ruling out acute diverticulitis
D. Laxatives help in passage of stool in cases of chronic constipation
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