The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these patients? (Select all that apply.)
a. A patient who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min
b. A patient who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min
c. A patient with severe narrow-angle glaucoma
d. A patient who is about to have surgery
e. A patient newly diagnosed with myasthenia gravis
f. A patient with anticholinesterase inhibitor poisoning
ANS: A, D, F
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The nurse is preparing to analyze a client's arterial blood gas results. List the steps in the order that the nurse should follow when analyzing this laboratory test
1. Look at the PaCO2. 2. Look at the pH. 3. Evaluate the relationship between pH and PaCO2. 4. Look for compensation. 5. Evaluate the pH, HCO3, and base excess for a possible metabolic problem. 6. Look at the bicarbonate. 7. Evaluate oxygenation.
The community mental health nurse has been working for 6 months to establish a trusting
relationship with J, a delusional and suspicious client. J is fired from his job, has no money for medication, and decompensates within the span of 1 week. Should J be hospitalized or provided with medication and allowed to remain at home? The ethical principles affecting the decision are a. justice and truth. b. beneficence and autonomy. c. malfeasance and fidelity. d. confidentiality and negotiation.
Sarah is a nurse manager in a surgical unit. She is concerned about a conflict between Lucy (a staff nurse) and one of the maintenance personnel
Sarah explains to Lucy that unsatisfactory resolution of the conflict is typically destructive and will result in: a. Decreased frustration between the maintenance worker and her. b. A good relationship with the maintenance department. c. Eventual resolution of the problem without further intervention. d. Decreased productivity on her part.
A nurse should question which of the following orders for a child with a known ASD?
1. A transesophogeal ultrasound 2. Digoxin 3. EKG 4. All are appropriate orders for a child with an ASD.