The preop patient will be receiving glycopyrrolate (Robinul), an anticholinergic drug, and asks the nurse, "Why do I need to have that shot?" What is the best response by the nurse?
1. "It will decrease your respiratory secretions during surgery."
2. "It will increase your urinary output during surgery."
3. "It will help you breathe better during surgery."
4. "It will help maintain your blood pressure during surgery."
1
Rationale 1: Anticholinergics dry secretions; a decrease in respiratory secretions is indicated prior to surgery.
Rationale 2: Anticholinergic drugs do not increase urinary output.
Rationale 3: Anticholinergic drugs do not facilitate respirations.
Rationale 4: Anticholinergic drugs do not maintain blood pressure.
Global Rationale: Anticholinergics dry secretions; a decrease in respiratory secretions is indicated prior to surgery. Anticholinergic drugs do not maintain blood pressure, facilitate respirations, or increase urinary output.
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a. Participating in organizational information technology committees. b. Submitting written requests for needed information systems. c. Requesting budgetary funds needed for systems. d. Sending staff nurses to conferences that discuss cutting-edge technologies.
What signs would indicate that a pregnant client's urinalysis culture was abnormal? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. pH 4.6-8 2. Alkaline urine 3. Cloudy appearance 4. Negative for protein and red blood cells 5. Hemoglobinuria
Which medications are second-choice pharmacotherapy for heart failure? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Beta-adrenergic blockers 2. Phosphodiesterase inhibitors 3. Diuretics 4. ACE inhibitors 5. Alpha blockers
A case manager is concerned about his exposure to possible lawsuits. Which of the following are appropriate actions to take to minimize this risk? (Select all that apply.)
a. Assure clients they can appeal any decision. b. Carefully document client involvement and reasons for decisions. c. Share client information with the other involved providers and agencies. d. Confirm credentials and capabilities of providers or agencies to give care.