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A client is experiencing a cholinergic crisis after being administered pyridostigmine IV. The nurse should administer which of the following reversal agents?

A.

Galantamine

B.

Physostigmine

C.

Flumazenil

D.

Atropine

Answer and Explanation

The Correct Answer is D

A. Galantamine is a reversible acetylcholinesterase inhibitor and would not be effective in treating a cholinergic crisis.  

 

B. Physostigmine is also a reversible acetylcholinesterase inhibitor and would not be suitable for reversing a cholinergic crisis. 

 

C. Flumazenil is a benzodiazepine antagonist used to reverse benzodiazepine effects, not cholinergic crises.  

 

D. Atropine is an anticholinergic medication that is effective in reversing the effects of excessive acetylcholine during a cholinergic crisis, making it the appropriate choice in this situation.


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Correct Answer is B

Explanation

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C. Thromboembolic events are not specifically associated with ciprofloxacin; thus, this warning is not applicable.

D. Thrombocytopenia is a potential side effect of various medications but is not the primary concern associated with ciprofloxacin use.

Correct Answer is C

Explanation

A. Risperidone is an atypical antipsychotic primarily used to treat schizophrenia and bipolar disorder, not first-line treatment for depression.

B. Haloperidol is a typical antipsychotic used mainly for acute psychosis and agitation, not for treating depression.

C. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that is widely recognized as a first-line treatment for depression due to its efficacy and relatively favorable side effect profile.

D. Clozapine is an atypical antipsychotic reserved for treatment-resistant schizophrenia and is not indicated for the treatment of depression.

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