Nokea
A nurse is providing care to a client with COPD. The nurse anticipates that which of the following would be appropriate to be prescribed for this client?
- A. Darifenacin (Enablex)
- B. Ipratropium (Atrovent)
- C. Benztropine (Cogentin)
- D. Biperiden (Akineton)
- E. Tiotropium (Spiriva)
Correct Answer: B,E
Rationale: Ipratropium (Atrovent) and tiotropium (Spiriva) are inhaled cholinergic blocking drugs used in the treatment of chronic obstructive pulmonary disease (COPD).
You may also like to solve these questions
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 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 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 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 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.