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ResponseFeedbackAcetylcholine and cevimeline are both cholinergic agonists, and,
:like carbachol, would be contraindicated in this patient. Administration of either of these drugs could be fatal. Nicotine isa direct-acting nicotinic agonist and is not indicated in cholinergic poisoning. Atropine is considered the antidote for cholinergic poisoning. The actions of atropine are a reduction in salivary, bronchial, and sweat gland secretions; mydriasis; cycloplegia; changes in heart rate; contraction of the bladder detrusor muscle and of the gastrointestinal smooth muscle; decreased gastric secretion; and decreased gastrointestinal motility.Question 260 out of 1 pointsA patient has been prescribed zolpidem (Ambien) for short-term treatmentof insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.)ResponseFeedback:Zolpidem generally is not used for more than 7 to 10 days at a time. It induces sleep rapidly and should be taken immediately before going to bed. It is true that the drug does not seem to produce residual effects the next morning or cause prolonged rebound effects when it is discontinued. It is available in both quick-onset and continuous-release oral forms, and common adverse effects of the drug are headache, prolonged drowsiness,and dizziness.Question 271 out of 1 pointsA 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take forher to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximatelyResponse Feedback:The nurse will instruct the patient that it will take approximately 24 hours for the full pain-relieving effect of a fentanyl transdermal patch to occur.Question 281 out of 1 pointsAn elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain?Response Feedback:The use of long-acting analgesia combined with short-acting opioids for breakthrough pain is a proactive pain management technique that maximizes therapeutic benefit while minimizing
the risks of adverse effects.Question 291 out of 1 pointsMorphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoidResponse Feedback:The nurse should advise the patient to avoid alcohol and any other CNS depressants while taking morphine. These combinations can cause serious respiratory depression and sedation. Vitamin C, fatty foods, and dairy products are not known to interact with morphine.Question 301 out of 1 pointsA male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure toResponseFeedback:When diazepam is administered intravenously during status epilepticus, the small veins in the dorsum of the hand or the wrist should be avoided. It should be injected slowly, no faster than 5 mg in 1 minute. Diazepam should not be mixed or dilutedwith other solutions or drugs, either in the syringe or in intravenous solutions.