Nokea
A nurse suspects that a client who has received scopolamine is experiencing an idiosyncratic reaction to the drug based on assessment of which of the following?
- A. Drowsiness
- B. Restlessness
- C. Hypotension
- D. Insomnia
- E. Dry mouth
Correct Answer: B,D
Rationale: Excitement, delirium, restlessness, and insomnia represent idiosyncratic reactions to scopolamine.
You may also like to solve these questions
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 client with a peptic ulcer visits a health care facility. The physician has prescribed belladonna as part of the treatment. Before administering this drug, the nurse would assess which of the following?
- A. Saliva
- B. Stools
- C. Urine pH
- D. Blood glucose level
Correct Answer: B
Rationale: Before administering belladonna, the nurse should check the stools of the client who has a peptic ulcer along with performing additional assessments such as color and signs of occult blood.
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 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.
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.