Ch 32 prepu Flashcards
The pharmacology instructor is discussing age-related susceptibility to adverse effects of cholinergic drugs. Which statement could the instructor make to accurately describe the influence of age?
“Older adults are at higher risk for adverse effects because they receive higher doses.”
“Physiologic changes resulting from the normal aging process place older adults at higher risk for adverse effects.”
“Children are more susceptible to adverse effects because they receive more potent drugs than adults.”
“All age groups are equally susceptible to adverse effects.”
“Physiologic changes resulting from the normal aging process place older adults at higher risk for adverse effects.”
The nurse is caring for a client who is receiving neostigmine for the treatment of myasthenia gravis. The nurse is aware that a potential complication of the treatment is cholinergic crisis, which is characterized by which event?
hypertension and respiratory failure
excessive stimulation of the sympathetic nervous system
stronger skeletal muscle contractions
excessive stimulation of the parasympathetic nervous system
excessive stimulation of the parasympathetic nervous system
The nursing instructor is teaching students about Alzheimer’s disease. The instructor informs the students that clients with this illness experience problems with memory and thinking. The reason that this happens is which?
Regeneration of cholinergic pathways
Lack of neural destruction
Increased level of acetylcholine
Degeneration of cholinergic pathways
Degeneration of cholinergic pathways
Which agent would be used to counteract a severe reaction occurring with the use of neostigmine?
Phentolamine
Atropine
Edrophonium
Naloxone
Atropine
Jack Thomas is a 45-year-old automobile mechanic with a history of throat cancer. Jack has just undergone radical neck resection. As a result of the surgery, Jack suffers from xerostomia, a dry mouth condition. He is prescribed pilocarpine therapy. What advice should you give Jack regarding the drug therapy?
Jack should be encouraged to consume more caffeine-containing beverages because that cuts the craving for smoking.
Jack should be instructed about the Ocusert system.
Jack should be near a urinal at all times.
Jack should be cautioned about blurred vision and its hazards.
Jack should be cautioned about blurred vision and its hazards.
A nurse is caring for a 49-year-old client who has been taking bethanechol for treatment of neurogenic bladder. After one week, the client develops sweating, heavy salivation, and bronchospasm. What would the nurse suspect is happening with this client?
Anaphylactic reaction
Cholinergic crisis
Pulmonary edema
Myasthenic crisis
Cholinergic crisis
The nurse is caring for a client who has been diagnosed with myasthenia gravis. To ensure client safety, the nurse reviews treatment for myasthenic crisis, which requires what intervention?
withdrawal of anticholinesterase drugs
additional anticholinesterase inhibitors
withdrawal of immunoglobulin drugs
a decrease in glucocorticoid therapy
additional anticholinesterase inhibitors
The client is receiving Bethanechol for bladder atony. What assessment findings indicate the effect of this medication?
Increased hemoglobin
Increased red blood cell (RBC) count
Increased blood pressure
Increased urinary output
Increased urinary output
A nurse caring for a client receiving bethanechol for urinary retention should advise the client that voiding usually occurs how long after oral administration?
30 to 90 minutes
2 to 4 hours
12 to 24 hours
5 to 15 minutes
30 to 90 minutes
A 78-year-old man is admitted to the emergency department (ED) with bradycardia resulting from overdose of donepezil. The nurse knows that the ED is likely to order which medication?
propranolol
atropine
bethanechol
pseudoephedrine
atropine
A patient with dementia of Alzheimer’s disease is prescribed rivastigmine by the primary health care provider. Which is the correct method of administering rivastigmine to the patient?
Intravenously
Orally
Subcutaneously
Intramuscularly
Orally
A client experiences an overdose of a cholinergic drug. Which medication would the nurse anticipate that the client will receive as a reversal agent?
Epinephrine
Atropine
Dopamine
Norepinephrine
Atropine
A client with Alzheimer’s disease is being treated with the medication Exelon. The nurse knows that this drug is also used to treat which disorder?
hepatic disease
Parkinson’s disease
seizures
asthma
Parkinson’s disease
Which medication would the nurse expect to administer orally once a day to a client with Alzheimer disease (AD)?
Donepezil
Memantine
Rivastigmine
Galantamine
Donepezil
A 70-year-old female patient has just been diagnosed with Alzheimer’s disease. What cholinergic drug is used for the treatment of Alzheimer’s disease?
Bethanechol (Duvoid)
Edrophonium (Tensilon)
Donepezil (Aricept)
Neostigmine (Prostigmine)
Donepezil (Aricept)
