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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.
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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.
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.
After administering a cholinergic blocking drug to a client, assessment of which of the following would lead the nurse to suspect that the client is experiencing a visual adverse reaction to the drug?
- A. Miosis
- B. Photophobia
- C. Mydriasis
- D. Diplopia
- E. Cycloplegia
Correct Answer: B,C,E
Rationale: Possible adverse effects include blurred vision, mydriasis, photophobia, cycloplegia, and increased ocular tension.
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.
If a cholinergic blocking drug is administered prior to surgery, which of the following would be most appropriate?
- A. Encourage the client to void after the drug is given.
- B. Tell the client that his mouth may feel dry.
- C. Allow the client to take sips of fluids.
- D. Have the client remain in bed after drug administration.
- E. Encourage the client to sit in the chair for about 30 minutes.
Correct Answer: B,D
Rationale: If a cholinergic blocking drug is administered prior to surgery, the nurse instructs the client to void before the drug is given, that an extremely dry mouth is normal but that no fluid should be ingested, and that the client should remain in bed, not sit in a chair.