TEST BANK INTRODUCTORY CLINICAL
PHARMACOLOGY 12TH EDITION By Susan M Ford
Chapter: 26, Cholinergic Blocking Drugs
1. A client with biliary colic has been prescribed atropine. The nurse should question
this order after discovering which disorder in the client's past history?
A) Hepatic disease
B) Benign prostatic hypertrophy
C) Myocardial infarction
D) Urinary retention
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). Hepatic disease, benign prostatic hypertrophy, and urinary retention
are conditions requiring cautious administration and are not contraindications for
use.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 1
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 317, Contraindications
2. The nurse is preparing to administer solifenacin to a client with an overactive
bladder. Which potential reaction should the nurse prioritize after noting the
client is also prescribed digoxin?
A) Increased neuromuscular blocking effect
B) Increased effectiveness of digoxin
C) Increased serum levels of digoxin
D) Increased effectiveness of solifenacin
Answer: C
Rationale: The nurse should monitor for increased serum levels of digoxin that
occur due to the interaction of anticholinergics and digoxin. Increased
neuromuscular blocking is an effect of the interaction of aminoglycoside
antibiotics with cholinergic drugs. Increased effectiveness of digoxin and
solifenacin are not the effects associated with the interaction of anticholinergics
and digoxin.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 1
Cognitive Level: Apply
, Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 317, Interactions
3. A nurse is caring for a client who is prescribed darifenacin. Which activity should
the nurse prioritize in the 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
Answer: B
Rationale: The nurse should evaluate the symptoms and reports related to the
client's diagnosis during the ongoing assessment of the treatment. The nurse
should assess the medical history of the client before administration of the drug
as part of the preadministration assessment. The vital signs of the client should be
monitored every shift. The nurse need not observe for behavioral changes in the
client based on the client's diagnosis and condition.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 318, Ongoing Assessment
4. The nurse has administered dicyclomine to an elderly client. Which finding on the
ongoing assessment should the nurse prioritize?
A) Disorientation
B) Lightheadedness
C) Blurred vision
D) Mydriasis
Answer: C
Rationale: The nurse should monitor for blurred vision in the client after
administration of dicyclomine. The other conditions observed are drowsiness,
tachycardia, dry mouth, and urinary hesitancy. Disorientation, lightheadedness,
and mydriasis are adverse reactions associated with the administration of
trihexyphenidyl.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 321, Summary Drug Table
PHARMACOLOGY 12TH EDITION By Susan M Ford
Chapter: 26, Cholinergic Blocking Drugs
1. A client with biliary colic has been prescribed atropine. The nurse should question
this order after discovering which disorder in the client's past history?
A) Hepatic disease
B) Benign prostatic hypertrophy
C) Myocardial infarction
D) Urinary retention
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). Hepatic disease, benign prostatic hypertrophy, and urinary retention
are conditions requiring cautious administration and are not contraindications for
use.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 1
Cognitive Level: Apply
Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 317, Contraindications
2. The nurse is preparing to administer solifenacin to a client with an overactive
bladder. Which potential reaction should the nurse prioritize after noting the
client is also prescribed digoxin?
A) Increased neuromuscular blocking effect
B) Increased effectiveness of digoxin
C) Increased serum levels of digoxin
D) Increased effectiveness of solifenacin
Answer: C
Rationale: The nurse should monitor for increased serum levels of digoxin that
occur due to the interaction of anticholinergics and digoxin. Increased
neuromuscular blocking is an effect of the interaction of aminoglycoside
antibiotics with cholinergic drugs. Increased effectiveness of digoxin and
solifenacin are not the effects associated with the interaction of anticholinergics
and digoxin.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 1
Cognitive Level: Apply
, Client Needs: Physiological Integrity: Pharmacological Therapies
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 317, Interactions
3. A nurse is caring for a client who is prescribed darifenacin. Which activity should
the nurse prioritize in the 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
Answer: B
Rationale: The nurse should evaluate the symptoms and reports related to the
client's diagnosis during the ongoing assessment of the treatment. The nurse
should assess the medical history of the client before administration of the drug
as part of the preadministration assessment. The vital signs of the client should be
monitored every shift. The nurse need not observe for behavioral changes in the
client based on the client's diagnosis and condition.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 318, Ongoing Assessment
4. The nurse has administered dicyclomine to an elderly client. Which finding on the
ongoing assessment should the nurse prioritize?
A) Disorientation
B) Lightheadedness
C) Blurred vision
D) Mydriasis
Answer: C
Rationale: The nurse should monitor for blurred vision in the client after
administration of dicyclomine. The other conditions observed are drowsiness,
tachycardia, dry mouth, and urinary hesitancy. Disorientation, lightheadedness,
and mydriasis are adverse reactions associated with the administration of
trihexyphenidyl.
Question format: Multiple Choice
Chapter: 26
Learning Objective: 2
Cognitive Level: Apply
Client Needs: Physiological Integrity: Reduction of Risk Potential
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Reference: p. 321, Summary Drug Table
