A patient is brought to the emergency department and is found to ...

[melly21297]

A patient is brought to the emergency department and is found to have cholinergic toxicity. What is the drug of choice to treat this condition?
 
  A) Atropine
  B) Epinephrine
  C) Lidocaine
  D) Edrophonium (injectable)

Question 2

The nurse is writing a plan of care for an 85-year-old male patient admitted through the emergency room with a severe urinary tract infection. What intervention, if noted on the care plan, would be an inappropriate for this patient?
 
  A) Encourage the patient to drink cranberry juice as part of his daily fluid intake.
  B) Avoid urinary catheterization when possible.
  C) Force fluids unless contraindicated.
  D) Administer antacids to decrease GI irritation caused by the medication.

[katara]

Answer to Question 1

A
Feedback:
Maintain atropine sulfate on standby as an antidote in case of overdose or severe cholinergic reaction. Epinephrine, lidocaine, and edrophonium would not be used for this purpose.

Answer to Question 2

D
Feedback:
It would not be appropriate to administer antacids because it will cause the urine to be alkaline and provide more opportunity for bacterial growth. The patients should be encouraged to force fluids and to include cranberry juice in those fluids to help acidify the urine. Avoiding urinary catheterization is an important nursing intervention in all patients because catheterization can allow introduction of bacteria in the bladder.

[melly21297]

Gracias!

[komodo7]

TYSM