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,A 19-year-old male client who has sustained a severe head injury is intubated
and placed on assisted mechanical ventilation. To facilitate optimal ventilation
and prevent the client from "fighting" the ventilator, the health care provider
administers pancuronium bromide IV, with adjunctive opioid analgesia. What
medication should be immediatelyaccessible fora potential complication with
this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine
B. Neostigmine bromide
Neostigmine bromide and atropine sulfate, both anticholinergic drugs,
reverse the respiratory muscle paralysis caused by pancuronium bromide.
Options A, C, and D are not antagonists to pancuronium bromide and would
not be helpful in reversing the
,effects of the drug compared with the use of anticholinergics.
A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and
acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse calls the
health care provider to report that the client has developed diarrhea. Which
change in prescriptions should the nurse anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
C. Decrease the dose of vitamin C.
, When providing nursing care fora client receiving pyridostigmine bromide for
myasthenia gravis, which nursing intervention has the highest priority?
A. Monitor the client frequently for urinary retention.
B. Assess respiratory status and breath sounds often.
C. Monitor blood pressure each shift to screen for hypertension.
D. Administer most medications after meals to decrease gastrointestinal
irritation.
B. Assess respiratory status and breath sounds often.