Cholinergic Agonist Flashcards
1
Q
- The nurse is reviewing the use of bethanechol (Duvoid) in a patient who is experiencing postoperative urinary retention. Which statement best describes the mechanism of action of bethanechol?
a. It causes decreased bladder tone and motility.
b. It causes increased bladder tone and motility.
c. It increases the sensation of a full bladder.
d. It causes the sphincters in the bladder to become tighter.
A
B
2
Q
- The family of a patient who has recently been diagnosed with Alzheimer’s disease asks about the new drug prescribed to treat this disease. The patient’s wife says, “I’m so excited that there are drugs that can cure this disease! I can’t wait for him to start treatment.” Which reply from the nurse is appropriate?
a. “The sooner he starts on the medicine, the sooner it can have this effect.”
b. “These effects won’t be seen for a few months.”
c. “These drugs do not cure Alzheimer’s disease. Let’s talk about what the HCP said to expect with this drug therapy.”
d. “His response to this drug therapy will depend on how far along he is in the disease process.”
A
C
3
Q
- The nurse is giving a dose of bethanechol (Urecholine) to a postoperative patient. The nurse is aware that contraindications to bethanechol include:
a. Bladder atony
b. Peptic ulcer
c. Urinary retention
d. Hypothyroidism
A
B
4
Q
- The nurse is reviewing the orders for a newly admitted patient and sees an order for edrophonium chloride (Tensilon). The nurse expects that this drug is ordered for which reason?
a. To reduce symptoms and delay the onset of Alzheimer’s disease
b. To treat the symptoms of myasthenia gravis
c. To aid in the diagnosis of myasthenia gravis
d. To reverse the effects of nondepolarizing neuromuscular blocking drugs after surgery
A
C
5
Q
- When giving intravenous cholinergic drugs, the nurse must watch for symptoms of a cholinergic crisis, such as: (Select all that apply.)
a. Peripheral tingling
b. Hypotension
c. Dry mouth
d. Syncope
e. Dyspnea
f. Tinnitus
A
B,D,E
