lOMoARcPSD| 63525276
Pyridostigmine
Case Study:
A patient with Myasthenia Gravis is prescribed pyridostigmine.
Question:
Which symptoms would indicate the need for follow-up due to potential overdose?
Select all that apply:
• Tachycardia
• Muscle cramps
• Excessive salivation
• Constipation
• Blurred vision
Correct answers: Muscle cramps, Excessive salivation
Rationale: These are signs of cholinergic toxicity due to excessive acetylcholine at
neuromuscular junctions. It’s crucial to monitor for overdose symptoms when treating
Myasthenia Gravis.
Bupropion
Case Study:
A nurse is reviewing the medication list for a patient with a history of seizures who is newly
prescribed bupropion.
Question:
Which of the following actions should the nurse take first?
Options:
• Monitor for bradycardia
• Notify the provider of seizure history
• Educate the patient to avoid aged cheese
, lOMoARcPSD| 63525276
• Schedule a follow-up ECG
Correct answer: Notify the provider of seizure history
Rationale: Bupropion lowers the seizure threshold. It’s contraindicated in patients with a seizure
history, making this a priority concern.
Benztropine
Case Study:
A patient is being treated for extrapyramidal symptoms (EPS).
Question:
What is the intended effect of benztropine?
Options:
• Reduction in involuntary muscle movements
• Relief from hallucinations
• Improvement in mood
• Reduction in blood pressure
Correct answer: Reduction in involuntary muscle movements
Rationale: Benztropine is an anticholinergic used to manage EPS, which are involuntary
movements often caused by antipsychotics.
Anticholinergic
Question:
A patient taking anticholinergics reports constipation and dry mouth. What non-pharmacological
recommendations should the nurse provide?
Select all that apply:
• Increase fluid intake
, lOMoARcPSD| 63525276
• Increase dietary fiber
• Avoid green leafy vegetables
• Lie flat after meals
Correct answers: Increase fluid intake, Increase dietary fiber
Rationale: Anticholinergics can cause constipation and dry mouth. Increasing fiber and fluids
helps counter these side effects.
Diazepam
Case Study:
A patient receiving diazepam for anxiety is found unusually drowsy.
Question:
What is the nurse’s priority action?
Options:
• Assess respiratory rate
• Administer oxygen
• Offer caffeine
• Continue monitoring every 4 hours
Correct answer: Assess respiratory rate
Rationale: Diazepam is a CNS depressant and can cause respiratory depression. Assessing
respirations is the priority.
Beta Blocker
Question:
Why should respiratory status be closely monitored in a patient prescribed beta blockers?
Options:
Pyridostigmine
Case Study:
A patient with Myasthenia Gravis is prescribed pyridostigmine.
Question:
Which symptoms would indicate the need for follow-up due to potential overdose?
Select all that apply:
• Tachycardia
• Muscle cramps
• Excessive salivation
• Constipation
• Blurred vision
Correct answers: Muscle cramps, Excessive salivation
Rationale: These are signs of cholinergic toxicity due to excessive acetylcholine at
neuromuscular junctions. It’s crucial to monitor for overdose symptoms when treating
Myasthenia Gravis.
Bupropion
Case Study:
A nurse is reviewing the medication list for a patient with a history of seizures who is newly
prescribed bupropion.
Question:
Which of the following actions should the nurse take first?
Options:
• Monitor for bradycardia
• Notify the provider of seizure history
• Educate the patient to avoid aged cheese
, lOMoARcPSD| 63525276
• Schedule a follow-up ECG
Correct answer: Notify the provider of seizure history
Rationale: Bupropion lowers the seizure threshold. It’s contraindicated in patients with a seizure
history, making this a priority concern.
Benztropine
Case Study:
A patient is being treated for extrapyramidal symptoms (EPS).
Question:
What is the intended effect of benztropine?
Options:
• Reduction in involuntary muscle movements
• Relief from hallucinations
• Improvement in mood
• Reduction in blood pressure
Correct answer: Reduction in involuntary muscle movements
Rationale: Benztropine is an anticholinergic used to manage EPS, which are involuntary
movements often caused by antipsychotics.
Anticholinergic
Question:
A patient taking anticholinergics reports constipation and dry mouth. What non-pharmacological
recommendations should the nurse provide?
Select all that apply:
• Increase fluid intake
, lOMoARcPSD| 63525276
• Increase dietary fiber
• Avoid green leafy vegetables
• Lie flat after meals
Correct answers: Increase fluid intake, Increase dietary fiber
Rationale: Anticholinergics can cause constipation and dry mouth. Increasing fiber and fluids
helps counter these side effects.
Diazepam
Case Study:
A patient receiving diazepam for anxiety is found unusually drowsy.
Question:
What is the nurse’s priority action?
Options:
• Assess respiratory rate
• Administer oxygen
• Offer caffeine
• Continue monitoring every 4 hours
Correct answer: Assess respiratory rate
Rationale: Diazepam is a CNS depressant and can cause respiratory depression. Assessing
respirations is the priority.
Beta Blocker
Question:
Why should respiratory status be closely monitored in a patient prescribed beta blockers?
Options:
