Quiz 6.docx

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Quiz 6 323 A patient received atropine intravenously before surgery. The recovery room nurse notes that the patient is delirious upon awakening and has a heart rate of 96 beats per minute, a respiratory rate of 22 breaths per minute, and a blood pressure of 110/78 mm Hg. The nurse notifies the anesthesiologist, who will order: activated charcoal to minimize intestinal absorption of the antimuscarinic agent. an antipsychotic medication to treat the patient’s central nervous system symptoms. ipratropium bromide [Atrovent] to counter the respiratory effects of the antimuscarinic agent. an acetylcholinesterase inhibitor to compete with the antimuscarinic agent at receptors. A patient receives topical atropine to facilitate an eye examination. The nurse will tell the patient to remain in a darkened room or to wear sunglasses for several hours until the effects of the medication wear off. This teaching is based on the nurse’s knowledge that muscarinic antagonists cause: relaxation of ciliary muscles. paralysis of the iris sphincter. miosis and ciliary muscle contraction. elevation of intraocular pressure. A nurse is caring for a patient who has myasthenia gravis. The prescriber has ordered neostigmine [Prostigmin]. An important initial nursing action before administration of the medication includes assessing: swallowing ability. level of fatigue. the ability to raise the eyelids.
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