Outline the physiological effects of atropine administration in the context of this poisoning. What are the clinical end points for atropine therapy and how should this be monitored?
What will be an ideal response?
Suggested response: Intravenous atropine helps by blocking the acetylcholine receptors and halts the cholinergic stimulation. When treating patients affected by organophosphates it is not uncommon for the patient to receive large doses of atropine; sometimes patients will require doses of 1–2 g intravenously, and repeated administration if muscle weakness is not relieved or the signs of poisoning recur. Clearing of bronchial secretions is the endpoint of atropine administration, not pupil size or the absolute dose.
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A patient asks the nurse if synthetic vitamins are better than natural vitamins. Which is the best response?
a. Synthetic vitamins cost more than natural vitamins. b. Synthetic vitamins are better dissolved. c. Synthetic vitamins have questionable safety records. d. Synthetic vitamins must be taken in larger amounts.
While waiting to see the physician the patient shows the nurse skin areas that are flat, nonpalpable, and have had a change of color. The nurse recognizes that the patient is demonstrating what?
A) Macules B) Papules C) Vesicles D) Pustules
The nurse is caring for a patient who is terminally ill with very little time left to live. The patient states, "I always believed that there was life after death. Now, I'm not so sure. Do you think there is?" The nurse states, "I believe there is."
The nurse has attempted to a. Strengthen the patient's religion. b. Provide hope. c. Support the patient's agnostic beliefs. d. Support the horizontal dimension of spiritual well-being.
All of the following are examples of functional goals except:
A) The patient will walk to the dining room for dinner B) The patient will perform personal hygiene independently C) The patient will use a spoon to stir her coffee D) The patient will choose his clothing for the day