Nokea
A nurse is administering a cholinergic blocking drug preoperatively to a client. What intervention should the nurse perform after administering the drug to the client?
- A. Provide cold milk to the client.
- B. Raise the side rails of the bed.
- C. Tell the client to lie completely flat in bed.
- D. Provide frequent sips of water.
Correct Answer: B
Rationale: The nurse should raise the side rails of the client's bed after administration of the drug.
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A client comes to the clinic for a follow-up visit. It is a hot July afternoon. The client has been prescribed a cholinergic blocking drug. Which of the following would lead the nurse to suspect that the client is experiencing heat prostration?
- A. Chills
- B. Flushing
- C. Bradycardia
- D. Cool, moist skin
- E. Mental confusion
Correct Answer: B,E
Rationale: Cholinergic blocking drugs can cause decreased sweating, increasing a client's risk for heat prostration. The signs of heat prostration include fever, tachycardia, flushing, warm, dry skin, and mental confusion.
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.
The nurse instructs the client and family about possible visual and mental adverse reactions that can occur. Which of the following would the nurse include in the teaching to reduce the client's risk for injury?
- A. Removing throw rugs
- B. Moving furniture against the wall
- C. Making sure floors are dry
- D. Avoiding having the floors waxed
- E. Removing electrical cords from walkways
Correct Answer: A,B,C,D,E
Rationale: Objects or situations that may cause falls, such as throw rugs, electrical cords, footstools, furniture, and wet or newly waxed floors, are removed or avoided whenever possible.
A nurse withholds a cholinergic blocking drug prescribed for an older adult client based on which assessment finding?
- A. Excitement
- B. Mental confusion
- C. Urinary retention
- D. Drowsiness
- E. Agitation
Correct Answer: A,B,C,D,E
Rationale: A nurse should withhold a cholinergic blocking drug from an older adult client who is excited, agitated, mentally confused, drowsy, or experiencing urinary retention or other adverse effects.
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.