Cholinergic blocking Drugs Flashcards
The nurse is about to administer an anticholinergic medication. Which of the following conditions should the nurse be aware of from the patients health history prior to administration? select all
a) glaucoma
b) osteoporisis
c) acute asthma
d) thyroid disease
e) diabetes
f) benign prostatic hyperplasia
a, c, f
Which of the following adverse effects should the nurse expect with the administration of anticholinergic medications? select all
a) dilated pupils
b) constricted pupils
c) dry mouth
d) urinary retention
e) urinary frequency
f) diarrhea
a, c, d
When reviewing the current medication orders for a newly admitted patient, the nurse recognizes atropine sulphate has been ordered. Which of the following conditions would the nurse anticipate the administration of atropine?
a) MG
b) reduction of secretions postoperatively
c) tachycardia due to sinoatrial node defects
d) narrow angle glaucoma
b) reduction of secretions postoperatively
The nurse is providing patient teaching to a patient who has been prescribed an anticholinergic drug. Which of the following adverse effects should the nurse include in the teaching for the patient?
a) angina
b) fluid overload
c) heat stroke
d) hypothermia
c) heat stroke
A patient is preparing to take a cruise and has asked for medication to prevent motion sickness. The HC provider has prescribed scopolamine patches. Which of the following is most appropriate for the nurse to say to the patient when providing teaching about the proper use of the pathes?
a) the patch can be applied anywhere on the upper body
b) apply the patch 4-5 hours before travel
c) apply the patch just before boarding the ship
d) be sure to change the patch daily
b) apply the patch 4-5 hours before travel
A patient has a new prescription for tolterodine (Detrol). Which of the following conditions would require a reduced dose of Detrol prior to administration?
a) coronary artery disease
b) diabetes
c) hypertension
d) cirrhosis of the liver
d) cirrhosis of the liver
The nurse is providing education about cholinergic blocking drug therapy to an older adult patient. Which would be an important point to emphasize for this patient during teaching?
a) avoid exposure to high temperatures
b) limit liquid intake to avoid fluid overload
c) begin an exercise program to avoid adverse effects
d) stop the medication if excessive mouth dryness occurs
a) avoid exposure to high temperatures
A patient has been prescribed a cholinergic blocking drug. Prior to administration, what contraindications would be most concerning to the nurse?
a) chronic bronchitis
b) peptic ulcer disease
c) irritable bowel syndrome
d) benign prostatic hypertrophy
d) benign prostatic hypertrophy
When assessing for adverse effects of cholinergic blocking drugs, the nurse would expect to find that the patient reports which drug effect?
a) diaphoresis
b) dry mouth
c) diarrhea
d) urinary frequency
b) dry mouth
Which of the following therapeutic effects caused by drug induced extrapyramidal effects would the nurse monitor in a patient receiving a cholinergic blocking drug?
a) decreased muscle rigidity
b) increased heart rate
c) decreased bronchial secretions
d) decreased GI motility and peristalsis
a) decreased muscle rigidity
The nurse is to administer cholinergic blocking drug to a patient. The nurse will determine whether the patient is taking any drugs that may potentially interact with the anticholinergic, including which of the following:
a) opioids, such as morphine
b) antibiotics, such as penicillin
c) tricyclic antidepressants, such an amitriptyline
d) anticonvulsants, such as phenobarbital
c) tricyclic antidepressants, such as amitriptyline
A patient has been given a prescription for transdermal scopolamine patches for motion sickness to use during a cruise vacation. What teaching. select all
a) apply as soon as you board the ship
b) apply the patch 12 hrs before boarding the ship
c) the patch needs to be placed on a non hairy area on your upper chest or arm
d) the patch needs to be placed on a non hairy area behind your ear
e) change the patch every 3 days
f) rotate the application site
b, d, e, f
The nurse is assessing a patient who has a prescription for dicyclomine (Bentylol). Which condition is contraindicated for this medication?
a) GI atony
b) irritable bowel syndrome
c) overactive bladder
d) diabetes
a) GI atony
