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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.
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A nursing instructor is conducting a class for a group of nursing students about cholinergic blocking drugs. The instructor determines that the teaching was successful when the students identify which of the following as a cholinergic blocking drug used to treat Parkinson's disease?
- A. Fesoterodine
- B. Trospium
- C. Benztropine mesylate
- D. Biperiden
- E. Trihexyphenidyl
Correct Answer: C,D,E
Rationale: Cholinergic blocking drugs used to treat Parkinson's disease include benztropine mesylate, biperiden, and trihexyphenidyl.
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 client is prescribed benztropine. The nurse would administer the drug cautiously and monitor the client closely if the client also had a diagnosis of which of the following?
- A. Hyperthyroidism
- B. Hepatic disease
- C. Renal disease
- D. Epilepsy
- E. Hypertension
Correct Answer: A,B,C,E
Rationale: Cholinergic blocking drugs, like benztropine (Cogentin), are used cautiously in clients with hypertension, GI infection, benign prostatic hypertrophy, urinary retention, hyperthyroidism, and hepatic or renal disease.
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.
A nurse identifies a nursing diagnosis of Constipation related to the effects of the prescribed cholinergic blocking drug. Which of the following would the nurse expect to include in the client's plan of care?
- A. Encuring the intake of a diet high in fiber.
- B. Decreasing the dosage of the cholinergic blocking medication
- C. Increasing client's fluid intake to at least 2000 mL daily
- D. Withholding the drug until the client resumes usual bowel pattern
- E. Encouraging ambulation and exercise as appropriate
Correct Answer: A,C,E
Rationale: Appropriate interventions include encouraging a high-fiber diet, increasing fluid intake, and encouraging ambulation and exercise. It is not the nurse's decision to decrease the dosage. Withholding the drug until the client's bowel patterns return would be inappropriate.