Question 1

Which response can the nurse expect to see in the client who has parkinsonism and is being treated with anticholinergics?

Accepted Answer

A)   Decreased cognition
B)   Increased muscle tone
C)   Diuresis
D)   Decreased tremors and rigidityE) A) and D)
F) B) and C)

Question 2

The nurse notes that Artane has been ordered as a preoperative medication for the client. What is the highest priority action on the part of the nurse?

Accepted Answer

A)   Administer the medication; this is an expected preoperative medication for the client.
B)   Administer the drug cautiously; anaphylaxis can occur quickly with this drug.
C)   Call the physician to question the order based on the client's allergy history.
D)   Call the physician to question the order; this is not a usual preoperation medication.E) B) and C)
F) All of the above

Question 3

Reversible cholinesterase inhibitors can be an effective treatment for glaucoma because of which action of the drug?

Accepted Answer

A)   It causes the eyeball to decrease in size.
B)   It causes the aqueous humor of the eye to expand.
C)   It produces pupillary constriction.
D)   It produces pupillary dilation.E) B) and C)
F) A) and D)

Question 4

The client that would be a poor candidate for treatment with an atropine-like drug is the client who has:

Accepted Answer

A)   parkinsonism.
B)   a peptic ulcer.
C)   cirrhosis.
D)   glaucoma.E) A) and D)
F) None of the above

Question 5

A client is ordered bethanechol chloride (Urecholine)  for urinary retention. A nurse is adding up the client's intake and output for the 8-hour shift. The client's I = 850 mL, O = 350 mL. What should the nurse do?

Accepted Answer

A)   Administer an extra dose of bethanechol.
B)   Palpate the client's bladder.
C)   Increase the client's fluid intake.
D)   Continue the plan of care.E) A) and D)
F) B) and C) B

Question 6

The client has been started on Detrol LA. She is also being treated with a tricyclic antidepressant. What effect should the nurse anticipate from the interaction of the medications?

Accepted Answer

A)   Increased action of the Detrol LA
B)   Decreased action of the Detrol LA
C)   Increased action of the tricyclic medication
D)   Decreased action of the tricyclic medicationE) B) and D)
F) All of the above A

Question 7

A client with nausea and vomiting has been prescribed an antihistamine and an anticholinergic. The nurse anticipates that which expected side effect of these medications will be observed in the client?

Accepted Answer

A)   Drowsiness and dry mouth
B)   Bradycardia and fatigue
C)   Tachycardia and dyspnea
D)   Abdominal cramps and nauseaE) B) and D)
F) A) and C)

Question 8

The nurse is reviewing the history of a client who has been prescribed tolterodine tartrate (Detrol, Detrol LA)  for treatment of incontinence. The nurse plans to contact the health care provider if the client has:

Accepted Answer

A)   cataracts.
B)   hyperthyroidism.
C)   narrow-angle glaucoma.
D)   parkinsonism.E) B) and D)
F) A) and B)

Question 9

The client has been started on Detrol LA and tells the nurse that he is experiencing constipation. What is the highest priority action on the part of the nurse?

Accepted Answer

A)   Hold the next dose of the medication; this is an adverse reaction.
B)   Administer the drug: this is an expected response to the drug.
C)   Notify the physician; this is a side effect of the medication.
D)   Call the pharmacist; this is evidence of toxicity of the drug.E) B) and D)
F) B) and C)

Question 10

A client is receiving bethanechol chloride (Urecholine)  as part of his treatment regimen. He is experiencing swallowing difficulties. The highest priority action on the part of the nurse is to contact the physician to administer the drug by _____ injection.

Accepted Answer

A)   intramuscular
B)   intravenous
C)   subcutaneous
D)   intradermalE) B) and C)
F) A) and C)

Question 11

The client is being treated with a large dose of an anticholinergic medication. She complains of feeling disoriented. What should be the nurse's highest priority action based on the client's complaint?

Accepted Answer

A)   Call the pharmacist; the dose of the medication may be incorrect.
B)   Call the physician; the medication is causing an adverse reaction.
C)   Call the pharmacist; the medication may be reaching a toxic level.
D)   Call the physician; the medication is causing an expected side effect.E) B) and D)
F) C) and D)

Question 12

The client has been diagnosed with early-stage Alzheimer's dementia. What cholinesterase inhibitor is most likely to be ordered for this client?

Accepted Answer

A)   Ambenonium chloride (Mytelase) 
B)   Bethanechol chloride (Urecholine) 
C)   Atropine sulfate
D)   Donepezil (Aricept) E) A) and D)
F) All of the above

Question 13

The client who is being treated with an anticholinergic medication should receive which instruction?

Accepted Answer

A)   Encourage the use of alcohol before bedtime for sleep disorders.
B)   Suggest hard candy, chewing gum, and oral hygiene for dry mouth.
C)   Instruct the client to report dizziness and a slow pulse rate immediately.
D)   Instruct the client to avoid lifting heavy objects.E) None of the above
F) B) and C)

Question 14

The nurse notes that a client with glaucoma has been ordered an anticholinergic medication. What is the highest priority action on the part of the nurse?

Accepted Answer

A)   Administer the medication; this is appropriate for this client.
B)   Check the client's allergy history since it can cause anaphylaxis.
C)   Call the pharmacist; the drug interacts with many other medications.
D)   Call the physician; this is an inappropriate drug for this client.E) A) and B)
F) A) and C)

Question 15

The client has been started on Artane. The nurse notes that the client's bowel sounds are decreasing. What is the highest priority action on the part of the nurse?

Accepted Answer

A)   Administer the drug; this is an expected reaction.
B)   Administer the drug; this is an expected side effect.
C)   Hold the drug; this is an adverse reaction to the drug.
D)   Hold the drug; this is a life-threatening response.E) A) and D)
F) B) and D)

Question 16

The client that would be a poor candidate for treatment with bethanechol chloride (Urecholine)  is the client who is experiencing:

Accepted Answer

A)   severe bradycardia and hypotension.
B)   tachycardia and hypertension.
C)   urinary retention and abdominal distention.
D)   hypertension and urinary retention.E) B) and C)
F) A) and C)

Question 17

A nurse is teaching a client about bethanechol hydrochloride (Urecholine) . The nurse informs the client that this drug warrants which precaution?

Accepted Answer

A)   Rising slowly from lying positions
B)   Counting pulse rate frequently to assess for bradycardia
C)   Avoiding diarrhea by eating binding foods
D)   Maintaining aspiration precautions because of excess salivaE) B) and C)
F) A) and B)

Question 18

A client experiences bradycardia as a result of vagal stimulation. What will the nurse expect to administer?

Accepted Answer

A)   Bethanechol chloride (Urecholine) 
B)   Benztropine (Cogentin) 
C)   Metoclopramide (Reglan) 
D)   Atropine sulfate (atropine) E) A) and D)
F) A) and C)

Question 19

The client has myasthenia gravis. The highest priority client teaching is:

Accepted Answer

A)   instructing the client to take the drug on a strict schedule to avoid respiratory muscle weakness.
B)   informing the client if a dose of the drug is missed to double the drug dose when the next dose is scheduled.
C)   instructing the client that if muscle weakness occurs, to rest, and if it persists to call the healthcare provider the next day.
D)   informing the client that if respiratory distress occurs, rest, double the drug dose, and call the healthcare provider.E) None of the above
F) A) and B) A

Exam 19: Cholinergic Agonists and Anticholinergics

Which response can the nurse expect to see in the client who has parkinsonism and is being treated with anticholinergics?

Correct Answer
verified

The nurse notes that Artane has been ordered as a preoperative medication for the client. What is the highest priority action on the part of the nurse?

Correct Answer
verified

Reversible cholinesterase inhibitors can be an effective treatment for glaucoma because of which action of the drug?

Correct Answer
verified

The client that would be a poor candidate for treatment with an atropine-like drug is the client who has:

Correct Answer
verified

A client is ordered bethanechol chloride (Urecholine) for urinary retention. A nurse is adding up the client's intake and output for the 8-hour shift. The client's I = 850 mL, O = 350 mL. What should the nurse do?

Correct Answer
verified
B

The client has been started on Detrol LA. She is also being treated with a tricyclic antidepressant. What effect should the nurse anticipate from the interaction of the medications?

Correct Answer
verified
A

A client with nausea and vomiting has been prescribed an antihistamine and an anticholinergic. The nurse anticipates that which expected side effect of these medications will be observed in the client?

Correct Answer
verified

The nurse is reviewing the history of a client who has been prescribed tolterodine tartrate (Detrol, Detrol LA) for treatment of incontinence. The nurse plans to contact the health care provider if the client has:

Correct Answer
verified

The client has been started on Detrol LA and tells the nurse that he is experiencing constipation. What is the highest priority action on the part of the nurse?

Correct Answer
verified

A client is receiving bethanechol chloride (Urecholine) as part of his treatment regimen. He is experiencing swallowing difficulties. The highest priority action on the part of the nurse is to contact the physician to administer the drug by _____ injection.

Correct Answer
verified

The client is being treated with a large dose of an anticholinergic medication. She complains of feeling disoriented. What should be the nurse's highest priority action based on the client's complaint?

Correct Answer
verified

The client has been diagnosed with early-stage Alzheimer's dementia. What cholinesterase inhibitor is most likely to be ordered for this client?

Correct Answer
verified

The client who is being treated with an anticholinergic medication should receive which instruction?

Correct Answer
verified

The nurse notes that a client with glaucoma has been ordered an anticholinergic medication. What is the highest priority action on the part of the nurse?

Correct Answer
verified

The client has been started on Artane. The nurse notes that the client's bowel sounds are decreasing. What is the highest priority action on the part of the nurse?

Correct Answer
verified

The client that would be a poor candidate for treatment with bethanechol chloride (Urecholine) is the client who is experiencing:

Correct Answer
verified

A nurse is teaching a client about bethanechol hydrochloride (Urecholine) . The nurse informs the client that this drug warrants which precaution?

Correct Answer
verified

A client experiences bradycardia as a result of vagal stimulation. What will the nurse expect to administer?

Correct Answer
verified

The client has myasthenia gravis. The highest priority client teaching is:

Correct Answer
verified
A

Exam 19: Cholinergic Agonists and Anticholinergics

Which response can the nurse expect to see in the client who has parkinsonism and is being treated with anticholinergics?

Correct AnswerverifiedShow Answer

The nurse notes that Artane has been ordered as a preoperative medication for the client. What is the highest priority action on the part of the nurse?

Correct AnswerverifiedShow Answer

Reversible cholinesterase inhibitors can be an effective treatment for glaucoma because of which action of the drug?

Correct AnswerverifiedShow Answer

The client that would be a poor candidate for treatment with an atropine-like drug is the client who has:

Correct AnswerverifiedShow Answer

A client is ordered bethanechol chloride (Urecholine) for urinary retention. A nurse is adding up the client's intake and output for the 8-hour shift. The client's I = 850 mL, O = 350 mL. What should the nurse do?

Correct AnswerverifiedB

The client has been started on Detrol LA. She is also being treated with a tricyclic antidepressant. What effect should the nurse anticipate from the interaction of the medications?

Correct AnswerverifiedA

A client with nausea and vomiting has been prescribed an antihistamine and an anticholinergic. The nurse anticipates that which expected side effect of these medications will be observed in the client?

Correct AnswerverifiedShow Answer

The nurse is reviewing the history of a client who has been prescribed tolterodine tartrate (Detrol, Detrol LA) for treatment of incontinence. The nurse plans to contact the health care provider if the client has:

Correct AnswerverifiedShow Answer

The client has been started on Detrol LA and tells the nurse that he is experiencing constipation. What is the highest priority action on the part of the nurse?

Correct AnswerverifiedShow Answer

A client is receiving bethanechol chloride (Urecholine) as part of his treatment regimen. He is experiencing swallowing difficulties. The highest priority action on the part of the nurse is to contact the physician to administer the drug by _____ injection.

Correct AnswerverifiedShow Answer

The client is being treated with a large dose of an anticholinergic medication. She complains of feeling disoriented. What should be the nurse's highest priority action based on the client's complaint?

Correct AnswerverifiedShow Answer

The client has been diagnosed with early-stage Alzheimer's dementia. What cholinesterase inhibitor is most likely to be ordered for this client?

Correct AnswerverifiedShow Answer

The client who is being treated with an anticholinergic medication should receive which instruction?

Correct AnswerverifiedShow Answer

The nurse notes that a client with glaucoma has been ordered an anticholinergic medication. What is the highest priority action on the part of the nurse?

Correct AnswerverifiedShow Answer

The client has been started on Artane. The nurse notes that the client's bowel sounds are decreasing. What is the highest priority action on the part of the nurse?

Correct AnswerverifiedShow Answer

The client that would be a poor candidate for treatment with bethanechol chloride (Urecholine) is the client who is experiencing:

Correct AnswerverifiedShow Answer

A nurse is teaching a client about bethanechol hydrochloride (Urecholine) . The nurse informs the client that this drug warrants which precaution?

Correct AnswerverifiedShow Answer

A client experiences bradycardia as a result of vagal stimulation. What will the nurse expect to administer?

Correct AnswerverifiedShow Answer

The client has myasthenia gravis. The highest priority client teaching is:

Correct AnswerverifiedA

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A