1.The nurse is about to administer a stat dose of intravenous atropine sulfate to a patient who is experiencing a symptomatic cardiac dysrhythmia. During administration of this drug, the nurse will monitor the patient closely for which adverse effect?
a.Tachycardia
b.Bradycardia
c.Ectopic beats
d.Cardiac standstill
ANS: A
Cardiovascular effects of cholinergic blockers include increased heart rate and dysrhythmias. One indication for use is the treatment of sinus bradycardia accompanied by hemodynamic compromise. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 337 TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2.A patient has a prescription for oxybutynin (Ditropan), an anticholinergic drug. When reviewing the patient’s medical history, which condition, if present, would be considered a contraindication to therapy with this drug?
a.Diarrhea
b.Hypertension
c.Neurogenic bladder
d.Uncontrolled angle-closure glaucoma
ANS: D
Contraindications include drug allergy, urinary or gastric retention, and uncontrolled angle- closure glaucoma. Neurogenic bladder is an indication for oxybutynin. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 339 TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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