Author Question: The emergency department nurse is asked to prepare a nitroprusside (Nitropress) infusion for a ... (Read 156 times)

dakota nelson · **on:** Jul 23, 2018

The emergency department nurse is asked to prepare a nitroprusside (Nitropress) infusion for a patient being brought to the hospital in an ambulance. The nurse knows this drug is only used in what circumstances?

A) Hypertensive emergencies
B) Hypertension in a patient having a myocardial infarction
C) Hypertension complicated by symptoms of a stroke
D) Hypertension associated with diabetic ketoacidosis

Question 2

What drug would the nurse administer to treat a patient diagnosed with bronchospasm associated with chronic obstructive pulmonary disease (COPD)?

A) Atropine
B) Flavoxate
C) Glycopyrrolate
D) Ipratropium

hanadaa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Most of the vasodilators are reserved for use in severe hypertension or hypertensive emergencies. These include hydralazine, minoxidil, and nitroprusside. The presence of absence of a comorbidity does not increase the likelihood of use. These drugs are used when blood pressure is extremely high and needs to be reduced quickly.

Answer to Question 2

D
Feedback:
Ipratropium is indicated for the treatment of bronchospasm associated with COPD. Atropine is indicated for use to decrease secretions, bradycardia, pylorospasm, ureteral colic, relaxing of bladder, emotional liability with head injuries, antidote for cholinergic drugs, and pupil dilation. Flavoxate is used for the symptomatic relief of dysuria, urgency, nocturia, suprapubic pain, frequency, and incontinence associated with cystitis, prostatitis, urethritis, urethrocystitis, and urethrotrigonitis. Glycopyrrolate is indicated to decrease secretions before anesthesia or intubation, used orally as an adjunct for treatment of ulcers, to protect the patient from the peripheral effects of cholinergic drugs and to reverse neuromuscular blockade