Nokea
A client is experiencing photophobia secondary to the administration of a cholinergic blocking drug. Which of the following would be most appropriate?
- A. Keeping the client's room brightly lit
- B. Limiting the use of overhead lights
- C. Encouraging the client to use sunscreen
- D. Suggesting the client avoid watching television
Correct Answer: B
Rationale: If photophobia is a problem, the patient may need to wear shaded glasses when going outside, even on cloudy days. Rooms are kept dimly lit to reduce discomfort.
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A client with motion sickness is prescribed transdermal scopolamine. The nurse would instruct the client to apply the patch at which frequency?
- A. Every 8 hours
- B. Every 24 hours
- C. Every 48 hours
- D. Every 72 hours
Correct Answer: D
Rationale: A scopolamine patch is applied 4 hours before travel every 3 days or every 72 hours.
A nurse is reviewing the medical record of a client who is to receive a cholinergic blocking drug. Which of the following would the nurse identify, if found, as contraindicating the use of the drug?
- A. Pancreatitis
- B. Diabetes
- C. Asthma
- D. Glaucoma
- E. Myocardial infarction
Correct Answer: D,E
Rationale: The use of a cholinergic blocking drug is contraindicated in clients with known hypersensitivity to the drugs, glaucoma, myasthenia gravis, tachyarrhythmias, myocardial infarction, and congestive heart failure (unless bradycardia is present).
A client with a peptic ulcer visits a health care facility. The physician has prescribed belladonna as part of the treatment. Before administering this drug, the nurse would assess which of the following?
- A. Saliva
- B. Stools
- C. Urine pH
- D. Blood glucose level
Correct Answer: B
Rationale: Before administering belladonna, the nurse should check the stools of the client who has a peptic ulcer along with performing additional assessments such as color and signs of occult blood.
A nurse is caring for a client admitted to the health care facility. The client is receiving a cholinergic blocking drug as treatment for bladder overactivity. Which intervention would be most appropriate for the nurse to include as part of the client's ongoing assessment?
- A. Assessment of the client's medical history
- B. Evaluation of symptoms related to the client's diagnosis
- C. Monitoring of the client's vital signs every 24 hours
- D. Observation for behavioral changes in the client
Correct Answer: B
Rationale: The nurse should evaluate the symptoms and complaints related to the client's diagnosis during the ongoing assessment of the treatment.
The nurse should monitor clients taking which of the following medications closely for decreased efficacy if a cholinergic blocking drug is initiated.
- A. Fluconazole (Diflucan)
- B. Meperidine (Demerol)
- C. Haloperidol (Haldol)
- D. Amitriptyline (Elavil)
- E. Digoxin (Lanoxin)
Correct Answer: A,C
Rationale: The nurse should monitor clients taking fluconazole (Diflucan) and haloperidol (Haldol) closely for decreased efficacy if a cholinergic blocking drug is initiated.