The nurse is preparing a subcutaneous dose of bethanechol ...

[imanialler]

The nurse is preparing a subcutaneous dose of bethanechol (Urecholine) prescribed for a client with urinary retention.
 
  Before giving the dose, the nurse checks to see that which of the following medications is available on the emergency cart for use if needed? 1. Vitamin K
  2. Mucomyst
  3. Atropine sulfate
  4. Protamine sulfate

Question 2

A registered nurse (RN) who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm.
 
  The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. The most appro-priate initial action by the RN is which of the following? 1. Call security.
  2. Call the police.
  3. Call the nursing supervisor.
  4. Lock the co-worker in the medication room until help is obtained.

[djpooyouma]

Answer to Question 1

3

Rationale: Bethanechol (Urecholine) is a cholinergic medication. Administration of bethanechol (Urecholine) could result in cholinergic overdose. The antidote is atropine (an anticholinergic), which should be readily available for use if overdose occurs. Mucomyst is the antidote for acetaminophen (Tylenol) overdose. Protamine sulfate is the antidote for heparin. Vitamin K is the antidote for warfarin.

Answer to Question 2

3

Rationale: The nurse practice act requires reporting impaired nurses. The board of nursing has jurisdiction over the practice of nursing and may develop plans for treatment and supervision. This incident needs to be reported to the nursing supervisor, who will then report to the board of nursing and other authorities as required. Lock the co-worker in the medication room until help is obtained is an inappropriate and unsafe action. Security may be called if a disturbance occurs, but there are no data in the question to support this. Therefore, this is not the initial action.

[imanialler]

Both answers were spot on, thank you once again

[djpooyouma]

Great! Please up vote