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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.
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When describing the different cholinergic blockers, which of the following would a nursing instructor include as affecting only the muscarinic receptors?
- A. Darifenacin (Enablex)
- B. Oxybutynin (Ditropan)
- C. Benztropine (Cogentin)
- D. Biperiden (Akineton)
- E. Tolterodine (Detrol)
Correct Answer: A,B,E
Rationale: Antispasmodic cholinergic blocking drugs, like darifenacin (Enablex), oxybutynin (Ditropan), and tolterodine (Detrol), only affect muscarinic receptors in the parasympathetic nervous system and have no effect on nicotinic receptors.
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 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 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 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.