Chapter 22: Cholinergic-Blocking Drugs

Question 1

The nurse is about to administer a STAT dose of atropine sulphate to a patient who is
experiencing a symptomatic cardiac dysrhythmia. During administration of this drug, the
nurse monitors the patient closely for which adverse effect?
a. Tachycardia
b. Bradycardia
c. Ectopic beats
d. Cardiac standstill

Answer 1

a. Tachycardia

Question 2

How long can a scopolamine patch prevent motion sickness?

a. 1 day
b. 2 days
c. 3 days
d. 4 days

Answer 2

c. 3 days

Question 3

Which condition is appropriate for treatment with a cholinergic-blocking drug?

a. Glaucoma
b. Myasthenia gravis
c. Irritable bowel disease
d. Genitourinary obstruction

Answer 3

c. Irritable bowel disease

Question 4

Which medication is the antidote to severe cases of atropine overdose?

a. atenolol (Tenormin®)
b. bethanechol
c. scopolamine patch
d. physostigmine

Answer 4

d. physostigmine

Question 5

A 72-year-old male has a new prescription for an anticholinergic. He is an active man and
enjoys outdoor activities such as hiking, golfing, and doing yard work. During a teaching
session about his drug therapy, the nurse should emphasize that
a. drowsiness may interfere with his outdoor activities.
b. increased salivation may occur during exercise and outdoor activities.
c. fluid volume deficits may occur as a result of an increased incidence of diarrhea.
d. he should take measures to reduce the occurrence of heat stroke during his
activities.

Answer 5

d. he should take measures to reduce the occurrence of heat stroke during his
activities.

Question 6

When administering an anticholinergic drug, the nurse expects the patient will experience
which adverse effect?
a. Excessive urination
b. Diaphoresis
c. Dry mouth
d. Pupil constriction

Answer 6

c. Dry mouth

Question 7

For what is oxybutynin (Ditropan®) used?

a. To treat symptoms associated with irritable bowel disease
b. For induction of mydriasis
c. As an antispasmodic for neurogenic bladder
d. For reduction of secretions preoperatively

Answer 7

c. As an antispasmodic for neurogenic bladder

Question 8

What is the advantage of using tolterodine (Detrol®) for urinary incontinence as compared
with other drugs?
a. Drowsiness is not usually a problem.
b. Tolterodine may also be used for urinary retention.

c. Tolterodine can be used in patients with narrow-angle glaucoma.
d. The incidence of dry mouth is much lower with tolterodine.

Answer 8

d. The incidence of dry mouth is much lower with tolterodine.

Question 9

The nurse working in a preoperative holding unit anticipates an order to give which
anticholinergic medication to a newly admitted patient?
a. dicyclomine (Bentylol®)
b. tolterodine (Detrol)
c. donepezil
d. glycopyrrolate

Answer 9

d. glycopyrrolate

Question 10

Solifenacin succinate (Vesicare®) is contraindicated for patients with which condition?

a. Glaucoma and severe constipation
b. Urinary retention and diarrhea
c. Genitourinary tract problems and dry mouth
d. Gastrointestinal problems and blurred vision

Answer 10

a. Glaucoma and severe constipation

Question 11

Atropine is appropriate for which patients? (Select all that apply.)
a. A patient who has suddenly developed symptomatic bradycardia, with a heart rate
of 32 beats per minute
b. A patient who has suddenly developed symptomatic tachycardia, with a heart rate
of 180 beats per minute
c. A patient with severe narrow-angle glaucoma
d. A patient who requires preoperative reduction of salivary and gastrointestinal
secretions myasthenia gravis
e. A patient newly diagnosed with myasthenia gravis
f. A patient with severe diarrhea

Answer 11

a. A patient who has suddenly developed symptomatic bradycardia, with a heart rate
of 32 beats per minute

d. A patient who requires preoperative reduction of salivary and gastrointestinal
secretions myasthenia gravis

f. A patient with severe diarrhea