Nokea
The nurse should monitor clients taking which of the following medications closely for decreased efficacy if a cholinergic blocking drug is initiated.
- A. Fluconazole (Diflucan)
- B. Meperidine (Demerol)
- C. Haloperidol (Haldol)
- D. Amitriptyline (Elavil)
- E. Digoxin (Lanoxin)
Correct Answer: A,C
Rationale: The nurse should monitor clients taking fluconazole (Diflucan) and haloperidol (Haldol) closely for decreased efficacy if a cholinergic blocking drug is initiated.
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A nurse is teaching a client about the increased risk of heat prostration during the hot summer months related to his prescribed scopolamine therapy. The nurse determines that the teaching was successful when the client identifies which of the following as a sign of this condition?
- A. Dry mouth
- B. Fever
- C. Skin rash
- D. Urinary retention
Correct Answer: B
Rationale: Signs of heat prostration include fever, tachycardia, flushing, warm, dry skin, and mental confusion.
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 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.
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 client has a nursing diagnosis of Impaired Comfort related to xerostomia from the daily administration of a cholinergic blocking drug. When assessing the client, the nurse would be alert for which of the following?
- A. Dysphagia
- B. Tooth decay
- C. Gingivitis
- D. Impeded speech
- E. Gingival hyperplasia
Correct Answer: A,D
Rationale: Dry mouth caused by daily use of cholinergic blocking drugs can result in dysphagia and impeded, difficult-to-understand speech. Tooth decay, gingivitis, and gingival hyperplasia are not associated with dry mouth.