Answer to Question 1
Correct Answer: 4
Rationale 1: Urecholine could cause worsening atelectasis secondary to respiratory depression.
Rationale 2: Urecholine could cause worsening of the hypotension secondary to bradycardia.
Rationale 3: Urecholine should not be given in any case that is suspicious for GI obstruction or ischemia.
Rationale 4: Bethanechol (Urecholine) might be given to treat a urinary atony in a postoperative client.
Global Rationale: Bethanechol (Urecholine) might be given to treat a urinary atony in a postoperative client. Urecholine could cause worsening atelectasis secondary to respiratory depression and hypotension secondary to bradycardia. Urecholine should not be given in any case that is suspicious for GI obstruction or ischemia.
Answer to Question 2
Correct Answer: 1,2,3,4
Rationale 1: Nicotine causes both parasympathetic and sympathetic responses. Activation of the central nervous system increases alertness.
Rationale 2: Nicotine causes an increase in heart rate.
Rationale 3: Nicotine causes an increase in blood pressure.
Rationale 4: The emetic center in the central nervous system is triggered with nicotine, causing a feeling of nausea.
Rationale 5: Nicotine does not cause muscle pain.
Global Rationale: Nicotine causes both parasympathetic and sympathetic responses. Activation of the central nervous system increases alertness, increased heart rate, and increased blood pressure. The emetic center in the central nervous system is triggered with nicotine, causing a feeling of nausea. Nicotine does not cause muscle pain.