Ch 33 prepu Flashcards
A 70-year-old client is taking a cholinergic blocking drug. The family has noticed the client is a confused, excited, and not voiding normally. What would be the appropriate action by the nurse in this situation?
Instruct the client’s family to withhold the next dose and the nurse will contact the prescribing provider.
Instruct the client’s family to continue the medication and ignore the symptoms.
Instruct the client’s family to increase the dose of the medication to combat these symptoms.
Instruct the client’s family to take the client to the emergency department immediately.
Instruct the client’s family to withhold the next dose and the nurse will contact the prescribing provider.
Clients with what disorder should not be given anticholinergic drugs?
Severe anxiety or hyperactivity
Epilepsy
Attention deficit disorder
Glaucoma
Glaucoma
A client is using a scopolamine patch for treatment of motion sickness. The nurse would instruct the client to change the patch at which frequency?
Every day
Every 7 days
Every 3 days
Every 5 days
Every 3 days
The nurse is preparing a client for pacemaker surgery. The health care provider orders atropine to be given 30 minutes before the client is taken to the operating room. The nurse knows this medication is ordered for what reason?
To increase the heart rate to prevent complication prior to the pacemaker being inserted
To cause bladder relaxation during surgery so that the client will not have the urge to void during surgery
To dry up respiratory secretions to prevent aspiration during surgery
To relax the bowel to prevent the client from having a bowel movement during surgery
To dry up respiratory secretions to prevent aspiration during surgery
The nurse is preparing to administer eye drops containing an anticholinergic preparation to a client prior to an eye examination. Before administration, the nurse explains that the eye drops will cause what pupil reaction?
dilatation
temporary fixation
brisk response
constriction
dilatation
Which would the nurse anticipate to be used for the prevention of nausea from motion sickness?
Scopolamine (Transderm Scop)
Dronabinol (Marinol)
Benzodiazepines
Phosphorated carbohydrate solution (Emetrol)
Scopolamine (Transderm Scop)
A 75-year-old male client is experiencing extrapyramidal symptoms secondary to an antipsychotic drug. Which drug would the nurse expect the health care provider to order to relieve these symptoms?
Beta-blockers
Physostigmine salicylate
ACE inhibitors
Anticholinergics
Anticholinergics
A client who is going on a cruise is concerned about motion sickness and sees the health care provider, who prescribes scopolamine. The nurse informs the client that using scopolamine may cause the client to experience:
urinary incontinence.
diarrhea.
drowsiness.
pupil constriction.
drowsiness.
A female client is going on a cruise to Nova Scotia with her husband to celebrate their 15th wedding anniversary. She is concerned because she has experienced severe, debilitating seasickness in the past. What would the nurse expect the health care provider to order?
Dexamethasone
Scopolamine
Ondansetron
Palonosetron
Scopolamine
A client is treated in the emergency department for suspected atropine toxicity. Which nursing assessment data support the suspicion that the client’s signs and symptoms are suggestive of a 2.0 mg atropine dose? Select all that apply.
Marked speech disturbances
Blurred vision
Difficulty swallowing
Dilated pupils
Tachycardia
Tachycardia
Dilated pupils
Blurred vision
The nurse is aware that cholinergic blocking agents will be used preoperatively for what type of anesthesia?
General
Local
Regional
Topical
General
A client is prescribed glycopyrrolate preoperatively. The nurse integrates understanding of the drug’s action, explaining that this drug will help achieve which effect?
Increase muscle rigidity
Prolongation of anesthesia
Relaxation
Reduction of oral secretions
Reduction of oral secretions
The client is taking digitalis and has not been monitoring pulse rate. The client presents to the emergency department via ambulance experiencing digitalis toxicity and symptomatic bradycardia. The nurse knows that which medication may be administered to treat bradycardia?
Milrinone
Atropine
Lasix
Norvasc
Atropine
A 78-year-old client is about to begin home care and has been prescribed an anticholinergic. What should the home care nurse explain to the client and her family about this medication?
The client may benefit from additional fiber and fluids in her diet.
The client may need assistance with ambulation.
The client may be at increased risk of heat stroke.
All the above
All the above
Some anticholinergic drugs have the same clinical indications in the pediatric population as in the adult population. Which statement accurately describes a difference between the populations related to the use of anticholinergics?
Anticholinergic drugs create different adverse effects in children.
Anticholinergic drugs are more effective in the pediatric population.
Adverse effects tend to be more severe in children.
Adverse effects tend to be less severe in children.
Adverse effects tend to be more severe in children.
