A patient with hepatitis requires endotracheal intubation. Which agent does the nurse expect to be administered to facilitate this procedure?
a. Atropine
b. Cisatracurium [Nimbex]
c. Rocuronium [Zemuron]
d. Vecuronium [Norcuron]
B
Cisatracurium is used for muscle relaxation during intubation. It is eliminated by spontaneous degradation, not by hepatic metabolism or renal excretion. Atropine is not used for muscle relax-ation; it is an anticholinergic drug used to control secretions during procedures. Rocuronium is eliminated by hepatic metabolism. Vecuronium is excreted in bile and can cause prolonged pa-ralysis in patients with liver dysfunction.
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The patient's condition has deteriorated to the point where she can no longer make decisions about her own care. Which of the following nursing interventions would be most appropriate?
a. Obtain a verbal DNR order from the physician. b. Continue caring for the patient as originally ordered because she obviously wanted this. c. Consult the hospital attorney for recommendations on how to proceed. d. Discuss with the family what the patient's wishes would be if she could make those decisions herself.
The nurse is planning an education session for adolescent males on health promotion activities. Which topic should the nurse include as being the most applicable for this population?
A) Reproductive cycle B) Immunization schedule C) Importance of socialization D) Testicular self-examination
The cranial nerves are usually assessed while the patient is in which position?
a. Standing b. Supine c. Sitting d. Prone
A client has been diagnosed with myasthenia gravis and is experiencing severe muscle weakness. The nurse teaches the client that these symptoms are occurring because of the destruction of what receptor?
1. Nicotinic (cholinergic) receptors found in skeletal muscles 2. Norepinephrine (adrenergic) receptors found in skeletal muscle 3. Muscarinic (cholinergic) receptors found in smooth muscle 4. Norepinephrine (adrenergic) receptors found in smooth muscle