The Nervous System Cholinergic Drugs Affecting the Autonomic Nervous System Flashcards
Which Muscarinic antagonist should the nurse expect to be prescribed?
a) oxybutynin
b) benztropine
c) ipratropium
d) donepezil
a) oxybutynin
An older patient taking a cholinergic antagonist asks why fiber needs to be increased in the diet.
Which response should the nurse make?
a) “These drugs interfere with absorption of nutrients.”
b) “These drugs cause a dry mouth and increased thirst.”
c) “These drugs slow peristalsis, causing constipation.”
d) “These drugs can cause malnutrition and lower protein stores.”
c) “These drugs slow peristalsis, causing constipation.”
The nurse is preparing to administer a cholinergic antagonist to an older patient with decreased mobility.
Which nursing intervention should the nurse include to prevent complications from this drug?
a) enforce fluid restriction
b) increase dietary fiber
c) keep the room warm
d) maintain a well-lit room
b) increase dietary fiber
The nurse is preparing to administer bethanechol (Urecholine) to a patient with urinary retention.
For which finding should the nurse realize this medication is contraindicated?
a) xerostomia
b) open-angle glaucoma
c) atrial fibrillation
d) epilepsy
d) epilepsy
A patient with an apical pulse of 44 beats/min reports dizziness.
Which cholinergic antagonist should the nurse expect the healthcare provider to prescribe?
a) atropine
b) tolterodine
c) tiotropium
d) dicyclomine
a) atropine
A patient with urinary retention is prescribed bethanechol (Urecholine).
For which side effect should the nurse monitor the patient?
a) changes in respiratory rate and pattern
b) seizures
c) orthostatic blood pressure changes
d) urinary incontinence
c) orthostatic blood pressure changes
A patient with Parkinson’s disease who is prescribed benztropine asks about the purpose of the drug.
Which response should the nurse make?
a) “Benztropine will manage the excessive drooling.”
b) “Benztropine is used to decrease the muscle tremors and rigidity.”
c) “Benztropine is a medication to manage gastrointestinal symptoms.”
d) “Benztropine is used to manage sedation and confusion.”
b) “Benztropine is used to decrease the muscle tremors and rigidity.”
A patient is diagnosed with glaucoma.
Which medication should the nurse anticipate being prescribed for this patient?
a) neostigmine
b) physostigmine
c) cevimeline
d) pilocarpine
d) pilocarpine
The nurse is reviewing the medication profile for a patient in the hospital.
Which medication classification should the nurse identify that dries secretions?
a) muscarinic antagonist
b) nicotinic antagonist
c) muscarinic agonist
d) nicotinic agonist
a) muscarinic antagonist
A patient is prescribed ipratropium.
Which information should the nurse include when teaching the patient about this medication?
a) It decreases the heart rate and cardiac workload.
b) It causes pupillary constriction and decreases photophobia.
c) It causes bronchodilation and opens airways.
d) It increases the amount and consistency of secretions.
c) It causes bronchodilation and opens airways.
The nurse notes that a patient with bradycardia is prescribed atropine.
For which finding in the medical record should the nurse withhold the medication and contact the healthcare provider?
a) irritable bowel syndrome
b) glaucoma
c) urinary incontinence
d) peptic ulcer disease
b) glaucoma
The nurse notes that a patient is prescribed pilocarpine in the right eye three times a day.
Which medical diagnosis should the nurse expect for this patient?
a) eye infection
b) dry eye syndrome
c) cataract
d) glaucoma
d) glaucoma
A patient with pneumonia has increased dyspnea, crackles in the lung bases, and an oxygen saturation level of 89%.
Which finding should the nurse expect to assess after administering ipratropium to this patient?
a) increased oxygen saturation
b) decreased pulmonary congestion
c) increased nasal congestion
d) decreased physical endurance
a) increased oxygen saturation
A patient is prescribed atropine.
For which additional medication should the nurse question be giving this medication?
a) lisinopril
b) melatonin
c) quinidine
d) guaifenesin
c) quinidine
The nurse assesses a patient receiving a muscarinic agonist.
For which finding should the nurse administer atropine?
a) dry mouth and mucous membranes
b) hallucinations and confusion
c) inability to urinate for 8 hours
d) blurred vision
b) hallucinations and confusion