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The nurse is preparing to administer a drug and learns that it is an indirect-acting
cholinergic agonist. The nurse understands that this drug
a. acts on muscarinic receptors.
b. acts on nicotinic receptors.
c. inhibits cholinesterase.
d. inhibits cholinergic receptors. -ANSWERS-Answer C: Inhibits Cholinesterase
Cholinergic drugs have specific effects on the body. What are the actions of cholinergic
medications? (Select all that apply.)
a. Dilate pupils
b. Decrease heart rate
c. Stimulate gastric muscle
d. Dilate blood vessels
e. Dilate bronchioles
f. Increase salivation
g. Constrict pupils -ANSWERS-Answer B, C, D, F, G
Children who experience nightmares have these during which stage of sleep?
a. Early morning sleep
b. Nonrapid eye movement sleep
c. Rapid eye movement sleep
d. Sleep induction -ANSWERS-Answer B: NREM sleep
,The nurse performs a preoperative assessment on a patient and asks about alcohol
use. The patient asks why this information is important. The nurse will explain that
patients who consume increased amounts of alcohol
a. may have a prolonged postoperative recovery time.
b. may not be eligible for surgery.
c. may not receive inhaled gases for anesthesia.
d.may require changes in anesthesia drug doses. -ANSWERS-Answer D
A patient asks the nurse about taking over-the-counter sleeping aids. The nurse will tell
the patient that the active ingredient in these products is often a(n)
a. antiemetic.
b. antihistamine.
c. barbiturate.
d. benzodiazepine. -ANSWERS-Answer B: Antihistamine
The nurse provides teaching for a patient who will begin taking phenytoin. Which
statement by the patient indicates understanding of the teaching?
a. "If I develop a rash, I should take diphenhydramine to control the itching."
b. "If I experience bleeding gums, I should stop taking the medication immediately."
c. "I may develop diabetes while I am taking this medication."
d. "I should not be alarmed if my urine turns reddish-brown." -ANSWERS-Answer d: "I
should not be alarmed if my urine turns reddish-brown."
The nurse is providing teaching for the family of a patient who has been newly
diagnosed with Alzheimer's disease (AD). Which statement by the family member
indicates understanding of the teaching?
a. "Alzheimer's disease is a chronic, progressive condition."
b. "Alzheimer's disease affects memory but not personality."
c. "The onset of Alzheimer's disease is usually between 65 and 75 years."
, d. "With proper treatment, symptoms of this disease can be arrested." -ANSWERS-
Answer a: "Alzheimer's disease is a chronic, progressive condition."
The nurse is teaching a patient who has Parkinson's disease about the side effects of
carbidopa-levodopa. Which statement by the patient indicates a need for further
teaching?
a. "I may experience urinary retention, dry mouth, and constipation."
b. "I may feel dizzy at first, but this side effect will go away with time."
c. "I should report nightmares and mental disturbances to my provider."
d. "I should take the drug with food to increase absorption." -ANSWERS-Answer d: "I
should take the drug with food to increase absorption."
The nurse is preparing to administer bethanechol (Urecholine) to a patient who is
experiencing urinary retention. The nurse notes that the patient has a blood pressure of
90/60 mm Hg and a heart rate of 98 beats per minute. The nurse will perform which
action?
a. Administer the drug and monitor urine output.
b. Administer the medication and monitor vital signs frequently.
c. Give the medication and notify the provider of the increased heart rate.
d. Hold the medication and notify the provider of the decreased blood pressure. -
ANSWERS-Answer D: Hold the medication and notify the provider of the decreased
blood pressure.
The nurse administers bethanechol (Urecholine) to a patient to treat urinary retention.
After 30 minutes, the patient voids 800 mL of urine and reports having a loose stool but
no cramping or gastrointestinal pain. The patient's blood pressure is 110/70 mmHg. The
nurse will perform which action?
a. Notify the provider of bethanechol adverse effects.
b. Record the urine output and the blood pressure and continue to monitor.
c. Request an order for intravenous atropine sulfate.
d. Suggest another dose of bethanechol to the provider. -ANSWERS-Answer B: Record
the urine output and the blood pressure and continue to monitor.