A patient has developed muscarinic antagonist toxicity from ingestion of an unknown chemical. The nurse should prepare to administer
a. atropine (Sal-Tropine) IV.
b. physostigmine (Antilirium).
c. an acetylcholinesterase activator.
d. pseudoephedrine (Ephedrine).
B
Physostigmine is indicated for muscarinic antagonist toxicity.
Atropine is a drying agent and would only complicate the drying action that arises from the muscarinic antagonist.
An acetylcholinesterase activator would only contribute to dryness that arises from the musca-rinic antagonist.
Ephedrine is not indicated for muscarinic antagonist toxicity.
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An emergency department (ED) manager wishes to start offering clients nonpharmacologic pain control methodologies as an adjunct to medication. Which strategy would be most successful with this client population?
a. Listening to music on a headset b. Participating in biofeedback c. Playing video games d. Using guided imagery
A patient who is being discharged asks the nurse, "Can I take you out for dinner to show my appreciation for all that you have done for me? I really like you." The nurse's best response is which of the following?
a. "Yes, that would be nice. It is really great to be appreciated." b. "No, and please do not ask again. You should have been told that already." c. "Thank you; however, I have to refuse, even though the thought is appreciated." d. "We will have to wait 3 days after you have been discharged to have a relationship."
While recovering at home from a total laryngectomy and neck dissection, a patient notices an increase in left shoulder weakness. This symptom is consistent with which condition?
1. Normal recovery 2. Damage to the spinal accessory nerve 3. Side effect of neck radiation therapy 4. Medication complication
The nurse should be aware that the partner's main role in pregnancy is to:
a. Provide financial support. b. Protect the pregnant woman from "old wives' tales." c. Support and nurture the pregnant woman. d. Make sure the pregnant woman keeps prenatal appointments.