Nokea
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.
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A nurse is caring for a 60-year-old client with a peptic ulcer. The client is prescribed belladonna. The nurse would closely monitor this client for which of the following?
- A. Disorientation
- B. Lightheadedness
- C. Blurred vision
- D. Mydriasis
Correct Answer: C
Rationale: The nurse should monitor for blurred vision in the client after administration of the belladonna alkaloid drug.
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 providing care to a client with COPD. The nurse anticipates that which of the following would be appropriate to be prescribed for this client?
- A. Darifenacin (Enablex)
- B. Ipratropium (Atrovent)
- C. Benztropine (Cogentin)
- D. Biperiden (Akineton)
- E. Tiotropium (Spiriva)
Correct Answer: B,E
Rationale: Ipratropium (Atrovent) and tiotropium (Spiriva) are inhaled cholinergic blocking drugs used in the treatment of chronic obstructive pulmonary disease (COPD).
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.
A nurse is caring for a client who has been prescribed belladonna for the treatment of prolonged diarrhea. Which of the following nursing interventions should the nurse perform before administering the drug?
- A. Check stools of the client.
- B. Monitor for abdominal pain.
- C. Assess weight of the client.
- D. Monitor vital signs every 2 hours.
Correct Answer: C
Rationale: The nurse should assess the client's weight when caring for this client with prolonged diarrhea.