Nokea
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.
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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.
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.
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 assigned to care for a client with biliary colic in a health care facility. The client has been prescribed atropine. The nurse reviews the client's medical record and determines that the client should not receive this drug because the client has a history of which of the following?
- A. Hepatic disease
- B. Benign prostatic hypertrophy
- C. Myocardial infarction
- D. Urinary retention
Correct Answer: C
Rationale: The nurse should know that the use of atropine is contraindicated in clients with myocardial infarction. Other contraindications include myasthenia gravis, tachyarrhythmia, and congestive heart failure (unless bradycardia is present).
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.