Author Question: Which statement is accurate regarding exogenous acetylcholine? 1. Acetylcholine has almost no ... (Read 49 times)

dalyningkenk · **on:** Jul 23, 2018

Which statement is accurate regarding exogenous acetylcholine?

1. Acetylcholine has almost no therapeutic effects because it is rapidly destroyed once given.
2. Acetylcholine is broken down rapidly within the body, preventing it from producing adverse effects.
3. Acetylcholine will cause the heart rate to increase and blood pressure to drop.
4. When given in small amounts, acetylcholine will produce profound parasympathetic effects.

Question 2

The patient receives dextran 40 (Gentran 40). The patient experiences tachycardia, dyspnea, and a cough. What is the best evaluation by the nurse?

1. The drug caused an interaction with another drug the patient receives.
2. The patient experienced impending kidney failure.
3. The patient is allergic to the drug.
4. The drug was infused too rapidly.

ngr69 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1
Rationale 1: Exogenous acetylcholine is not generally administered, because it is rapidly destroyed by the body.
Rationale 2: It does produce many adverse effects.
Rationale 3: Acetylcholine can lower blood pressure, but it also lowers heart rate.
Rationale 4: Exogenous acetylcholine is not generally administered.
Global Rationale: Exogenous acetylcholine is not generally administered, because it is rapidly destroyed by the body. It does produce many adverse effects. Acetylcholine can lower blood pressure, but it also lowers heart rate.

Answer to Question 2

4
Rationale 1: There is no information in the question that the patient is receiving another drug.
Rationale 2: The patient's symptoms do not indicate kidney failure.
Rationale 3: An allergy would be manifested by urticaria.
Rationale 4: Fluid overload will be caused by a rate of infusion that is too rapid. Signs of fluid overload include tachycardia, peripheral edema, distended neck veins, dyspnea, and cough.
Global Rationale: Fluid overload will be caused by a rate of infusion that is too rapid. Signs of fluid overload include tachycardia, peripheral edema, distended neck veins, dyspnea, and cough. An allergy would be manifested by urticaria. There is no information in the question that the patient is receiving another drug. The patient's symptoms do not indicate kidney failure.