rq 1-4
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| A nurse is administering a cholinergic-blocking drug preoperatively to a patient. What intervention should the nurse perform after administering the drug to the patient? | raise the side rails of the bed
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| A patient with a peptic ulcer visits a health care facility. The physician has prescribed the belladonna drug for the treatment of peptic ulcer. What assessment should the nurse perform before administering the drug to the patient? | check the stools of the patient
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| A patient has been administered dobutamine HCL. Which of the following adverse reactions should the nurse monitor for in the patient? | cardiac arrhythmias
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| A nurse is caring for a patient with myasthenia gravis at a healthcare facility. The patient has been administered ambenonium. Which of the following symptoms of drug under dosage should the nurse monitor in the client? | difficulty breathing
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| A patient with cardiac arrhythmia is treated with an anti-adrenergic drug. Which of the following generalized reactions should the nurse monitor with centrally acting anti-adrenergic drugs when administered to the patient? | malaise
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| A nurse is caring for an elderly patient who is to be administered isoproterenol. Which of the following changes monitored in the patient should the nurse report immediately to the primary healthcare provider? | report any changes observed in pulse rate or rhythm immediately. Changes in glucose level, appetite, or temperature need not be reported immediately to the primary care provider unless they are severe.
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| A nurse is caring for a patient who has been administered a centrally acting anti-adrenergic drug. The nurse knows that under which of the following conditions is the use of a centrally acting anti-adrenergic drug contraindicated? | active hepatic disease
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| A nurse is assigned to care for a patient with biliary colic in a health care facility. The patient has been prescribed atropine. The nurse knows that in which of the following cases is the use of atropine contraindicated? | myasthenia gravis, tachyarrhythmia, myocardial infarction,congestive heart failure(unless bradycardia is present). Hepatic disease, benign prostatic hypertrophy, and urinary retention are conditions to administer drug cautiously, but not contraindicate.
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| A nurse is caring for a patient undergoing glaucoma treatment. The nurse knows that which of the following combinations of drugs need to be administered to the patient to produce an additive effect on the treatment? | Carbachol/pilocarpine: additive effect. Pilocarpine, atropine,carbachol,& corticosteroids are not used together in glaucoma treatment. Atropine is an antidote for overdose of the cholinergic drugs. Corticosteroids alone are used for respiratory probs.
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| A patient has been prescribed edrophonium for myasthenia gravis. Which of the following can the nurse monitor as a general adverse reaction in the patient? | minimize the risk of supine hypertension, administer during day. Ensure patient is in an upright, not supine, position. Instruct patient to regularly shift positions or assist w/moving out of bed does not significantly reduce risk of supine hypertension.
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| A nurse is caring for a patient on metaraminol therapy. The patient is also to be administered bretylium under close supervision. Which of the following risks will this maximize? | due to the effect of the interaction of metaraminol with bretylium. Combining metaraminol with bretylium will not increase the risk of respiratory depression, hypertension, or digitalis toxicity.
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| A nurse is caring for a patient with urinary retention. The patient has been prescribed Urecholine. For which category of patients should the nurse take precautions when administrating Urecholine? | administer Urecholine cautiously in pts w/bradycardia, hypertension, epilepsy, cardiac arrhythmias, recent coronary occlusion & megacolon. not take precautions in pts w/Raynauds disease, recent myocardardial infarction,& hyperthyroidism w/choline.
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| A nurse is caring for a patient undergoing standard treatment for ureteral overactivity in a health care facility. Which of the following nursing interventions should the nurse perform during the ongoing assessment of the treatment? | evaluate sympts/complaints related to diagnosis during ongoing assessment of treatment. Assess med hist before giving drug as part of pre-admin assessment. vital signs monitored regularly instead of every 24 hours.
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| pt w/glaucoma was prescribed carbachol. The patient informs the nurse that he recently had a bacterial infection and has been taking an aminoglycoside antibiotic. Why should nurse caution pt against use of aminoglycoside antibiotics along w/carbachol? | caution against use of aminoglycoside antibiotics along w/carbachol causes incr neuromuscular blocking effect. Incr carbachol levels resul in toxicity, incr risk of hypotension
dministering aminoglycoside ant w/carbacho
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| A nurse is required to administer an adrenergic to a patient who is in shock. Which of the following is a sign of shock that the nurse should record before administering the drug? | changes in conciousness
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| A nurse is caring for a patient with hypertension. What is the role of the nurse when educating a patient with hypertension? | Stress the importance of controlling modifiable risk factors
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