Nokea
A client with an overactive bladder has been prescribed solifenacin by the physician. The client is also taking digoxin for the treatment of a cardiac condition. The nurse should monitor the client for an increase in which of the following resulting from the interaction of these two drugs?
- A. Increased neuromuscular blocking effect
- B. Increased effectiveness of digoxin
- C. Increased serum levels of digoxin
- D. Increased effectiveness of solifenacin
Correct Answer: C
Rationale: The nurse should monitor for increased serum levels of digoxin that occur due to the interaction of solifenacin and digoxin.
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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 nurse is teaching a client about the increased risk of heat prostration during the hot summer months related to his prescribed scopolamine therapy. The nurse determines that the teaching was successful when the client identifies which of the following as a sign of this condition?
- A. Dry mouth
- B. Fever
- C. Skin rash
- D. Urinary retention
Correct Answer: B
Rationale: Signs of heat prostration include fever, tachycardia, flushing, warm, dry skin, and mental confusion.
A nurse is administering glycopyrrolate to a client with a peptic ulcer. The nurse would assess the client for which of the following as a possible GI system adverse reaction?
- A. Diarrhea
- B. Dry mouth
- C. Constipation
- D. Nausea
- E. Dysphagia
Correct Answer: B,C,D,E
Rationale: A nurse administering glycopyrrolate to a client with a peptic ulcer should monitor the client for dry mouth, nausea, vomiting, constipation, and dysphagia.
A nurse is caring for a client receiving cholinergic blocking drug therapy. The client complains of a cotton-mouth feeling. Which of the following would be most appropriate?
- A. Inspect the throat for signs of an infection.
- B. Suggest the client avoid ingesting water before taking the drug.
- C. Check the oral cavity daily for soreness or ulcerations.
- D. Suggest the client avoid the use of ice or cold beverages.
Correct Answer: C
Rationale: The nurse should check the oral cavity daily for soreness or ulcerations when caring for a client with severe mouth dryness.
A nurse would monitor a client receiving a cholinergic blocking drug for an increased effect when the drug is administered with which of the following?
- A. Fluconazole (Diflucan)
- B. Meperidine (Demerol)
- C. Haloperidol (Haldol)
- D. Amitriptyline (Elavil)
- E. Digoxin (Lanoxin)
Correct Answer: B,D
Rationale: A nurse may notice an increased effect of the cholinergic blocking drug when it is administered with meperidine (Demerol) and amitriptyline (Elavil) because meperidine and tricyclic antidepressants increase the effect of the cholinergic blockers.