The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate
for which of these patients? (Select all that apply.)
A. A patient
... [Show More] who needs to have dried secretions prior to surgery
B. A patient newly diagnosed with myasthenia gravis
C. A patient who has suddenly developed symptomatic tachycardia with a HR of
180 beats/min
D. A patient w acetylcholinesterase inhibitor poisoning
E. A patient who has suddenly developed symptomatic bradycardia w a HR of 32
beats/min
F. A patient w severe narrow-angle glaucoma - A, D, E
A patient whOs been diagnosed w Sjögren's syndrome will be given cevimeline for
the treatment of xerostomia. The nursing student comments that they have never
heard of this drug, but they look up the drug & discover it is a parasympathetic
agent. Based on this understanding, the nursing student predicts that cevimeline
likely causes: - Stimulation of salivation
A patient is receiving a drug that blocks alpha1-adrenergic receptors. Which
adverse effect, if experienced by the patient, is of most concern to the nurse? -
reflex tachycardia
The nurse prepares to administer metoprolol [Lopressor] to a patient with chronic
stable angina. What is a priority assessment to make before the administration of
this medication? - HR
The nurse knows that the adverse effects of a nonselective beta blocker are likely
to be the most immediately life threatening in which patient? - patient w asthmaA patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and
the other is a corticosteroid. Which instruction regarding these inhalers will the
nurse give to the patient? - "Take the bronchodilator inhaler first."
Mr. D has a new diagnosis of asthma & was prescribed ipratropium (Atrovent) to
take via an inhaler. When teaching the patient about the med, which of the
following questions is important to ask before he starts taking the med? Select all
that apply.
A. "Have you ever been diagnosed w glaucoma?"
B. "Have you experienced any hair loss recently?"
C. "Do you have any problems w your prostate"
D. "Do you have any heart conditions?" - A, C, D
One of the attendees expresses concern regarding her granddaughter's asthma. The
attendee tells the nurse that shes afraid that she won't know which of her
granddaughter's meds to give first in case of an asthma attack. Which med should
the nurse inform the attendee to administer first for an acute asthma attack? -
albuterol
A nurse is teaching a client who has a new prescription for beclomethasone.
What instructions should the nurse include? - "Rinse mouth after each use"
A patient w 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? - guaifenesin
Patients taking methylxanthines should be instructed to avoid which of the
following? - coffeeWhich of the following are TRUE concerning a patient taking dimenhydrinate?
A. Patients taking Dimenhydrinate shouldnt operate any machinery
B. Dimenhydrinate is known to cause diarrhea
C. Its safe to take Dimenhydrinate w Codeine to help suppress a cough
D. Dimenhydrinate may cause urinary retention
E. Dimenhydrinate can be used off label to treat glaucoma - A, D
Your patient is on vancomycin 1gm IV every 12 hours. The last dose of
vancomycin was at 0900 this morning. Assuming steady state, the provider orders
a vancomycin trough to be drawn. What time would you expect the trough to be
ordered? - 2030 this evening
Which of the following statements about Sulfamethoxazole-Trimethoprim is true?
A. Sulfamethoxazole-Trimethoprim can cause kernicterus in newborns
B. Sulfamethoxazole-Trimethoprim usage can increase the risk for a DVT
C. Sulfamethoxazole-Trimethoprim is a liver enzyme inhibitor
D. Sulfamethoxazole-Trimethoprim can impair renal reabsoprtion of potassium
resulting in hypokalemia - a) Sulfamethoxazole-Trimethoprim can cause
kernicterus in newborns
Which of the following are essential counseling points on a patient starting
doxycycline therapy? Select all that apply:
A. Mouth sores are a common adverse effect of this med, but will resolve on their
own
B. You can stop taking the med once fever improvesC. Doxycycline may decrease effectiveness of your oral contraceptive so use an
alternative form of contraception
D. Wear protective clothing & use sunscreen w an SPF30 or higher while in
sunlight
E. Take your doxycyline w full glass off milk or yogurt to increase absorption - C,
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