Chap 21 (exam 2) Flashcards

1
Q
Before giving an anticholinergic drug, the nurse will check the patient's history for which condition? Select all that apply:
Glaucoma
Osteoporosis
Acute Asthma
Thyroid disease
Diabetes mellitus
Benign prostatic hyperplasia
A

Glaucoma
Acute asthma
Benign prostatic hyperplasia

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2
Q
The nurse will monitor for which adverse effects of anticholinergic drugs? Select all that apply:
Dilated pupils
Constricted pupils
Dry mouth
Urinary retention
Urinary frequency
Diarrhea
A

Dilated pupils
Dry mouth
Urinary retention

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3
Q

In reviewing the medication orders for a newly admitted patient, the nurse recognizes that which is an indication for atropine sulfate?
Myasthenia gravis
Reduction of secretions preoperatively
Tachycardia due to sinoatrial node defects
Narrow-angle glaucoma

A

Reduction of secretions preoperatively

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4
Q
During patient teaching for a 70 yr old man who will be taking an anticholinergic drug, the nurse will reinforce that this medication places the patient at higher risk for which problem?
Angina
Fluid overload
Heatstroke
Hypothermia
A

Heatstroke

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5
Q

A 28 yr old woman is preparing to take a cruise and has asked for a prescription drug to prevent motion sickness. The physician orders scopolamine trasndermal patches (Transderm-Scop). The nurse will include which statement when teaching the patient about this drug?
“The patch can be applied anywhere on the upper body”
“Apply the patch 4-5 hours before travel”
“Apply the patch just before boarding the ship”
“Be sure to change the patch daily”

A

“Apply the patch 4-5 hours before travel”

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6
Q
A patient has a new prescription for tolterodine (Detrol). Which condition, if present, would make it necessary to reduce the usual dosage of this drug?
Coronary artery disease
Diabetes mellitus
Hypertension
Cirrhosis of the liver
A

Cirrhosis of the liver

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