NU 272: Mobility Study Guide Exam Questions with
Detailed Correct Verified Answers 2024 Update.
Common side effects of anticholinergics include:
A. Dry mouth, urinary retention, constipation, and increased pulse rate.
B. Blurred vision, decreased liver enzymes, increased B/P, and papillary
constriction.
C. Decreased GI absorption, nausea, heartburn, and hypotension.
D. Skin rashes, decreased urinary output, constipation, and increased WBCs.
- Correct answer- dry mouth, urinary retention, constipation, and increased
pulse rate.
Anticholinergic drugs may cause blurred vision, dry mouth, tachycardia, and
urinary retention. They also decrease sweating and may cause fever or
heatstroke. Fever may occur in any age group, but heatstroke is more likely to
occur in older adults, especially with cardiovascular disease, strenuous activity,
and high environmental temperatures. When centrally active anticholinergics are
given for Parkinson's disease, agitation, mental confusion, hallucinations, and
psychosis may occur.
A client's dose of Sinemet has recently been increased due to an exacerbation of
the client's parkinsonian symptoms. What assessment finding would suggest that
the client is experiencing adverse effects?
A. The client is retaining urine and has required a urinary catheter
B. The client's blood pressure is 152/93 mm Hg and the client has no history of
hypertension
C. The client is diaphoretic despite being afebrile
D. The client has had diarrhea twice in the past two days
- Correct answer- The client is retaining urine and has required a urinary
catheter
, NU 272: Mobility Study Guide Exam Questions with
Detailed Correct Verified Answers 2024 Update.
Adverse effects of levodopa include urinary retention. Diarrhea, increased blood
pressure and diaphoresis would likely be attributable to other factors.
A nurse is educating a client who has Parkinson's disease and family regarding
possible adverse effects of carbidopa-levodopa. The nurse emphasizes which
should be a closely monitored effect?
A. Involuntary movements.
B. Perspiration.
C. Appetite or thirst.
D. Mobility.
- Correct answer- involuntary movements
Abnormal and involuntary movements are among the most common and serious
adverse effects of carbidopa-levodopa therapy. Increased appetite, thirst, and
perspiration are not common adverse effects, and increased mobility is a desired
outcome of treatment.
A client who sustained a complete C6 spinal cord injury 6 months ago has been
admitted to the hospital for pneumonia. The nurse observes the client with
diaphoresis above the level of C6 and the blood pressure is 260/140 mm Hg. What
is the first intervention the nurse should provide?
A. Elevate the head of the bed.
B. Disimpact the stool from the anal vault.
C. Insert an indwelling catheter.
D. Give the client some orange juice and sugar.
- Correct answer- Elevate the head of the bed.
Autonomic dysreflexia is a clinical emergency, and without prompt and adequate
treatment, convulsions, loss of consciousness, and even death can occur. The
, NU 272: Mobility Study Guide Exam Questions with
Detailed Correct Verified Answers 2024 Update.
major components of treatment include monitoring blood pressure while
removing or correcting the initiating cause or stimulus. The person should be
placed in an upright position, and all support hose or binders should be removed
to promote venous pooling of blood and reduce venous return.
Indications for use of anticholinergic drugs in the treatment for Parkinsonism
include to:
A. Decrease headaches.
B. Improve blurred vision.
C. Decrease salivation, spasticity, and tremors.
D. Decrease motor movement.
- Correct answer- decrease salivation, spasticity, and tremors.
Anticholinergic drugs are used in idiopathic parkinsonism to decrease salivation,
spasticity, and tremors. They are used primarily in people who have minimal
symptoms or who cannot tolerate levodopa, or in combination with other
antiparkinson drugs.
A nurse is caring for 70-year-old patient who is undergoing anticholinergic drug
therapy. The nurse should assess for which condition when caring for this elderly
patient?
A. Confusion and disorientation
B. Choreiform movements
C. Suicidal tendencies
D. Psychotic episodes
- Correct answer- Confusion and disorientation
The nurse should assess for confusion and disorientation when caring for this
elderly patient undergoing anticholinergic drug therapy. Individuals older than 60
, NU 272: Mobility Study Guide Exam Questions with
Detailed Correct Verified Answers 2024 Update.
years frequently develop increased sensitivity to anticholinergic drugs and require
careful monitoring. Lower doses may also be required in such cases. Choreiform
movements, suicidal tendencies, and psychotic episodes are serious adverse
reactions associated with the use of levodopa, which is a dopaminergic drug.
A client diagnosed with Parkinson's disease has been prescribed rasagiline. When
educating this client on this medication, which herbal supplement should be
identified as having the potential to produce hyperpyrexia and death?
A. ginger
B. dextromethorphan
C. garlic
D. St. John's wort
- Correct answer- St. John's wort
Rasagiline administered with the herbal supplement St. John's wort will enhance
the stimulation of serotonergic receptors to cause hyperpyrexia and death.
Dextromethorphan can produce the same reaction but is not an herbal
supplement. Ginger and garlic are herbal supplements but will not produce
hyperpyrexia and death.
Which of the following is the earliest sign of increasing intracranial pressure (ICP)?
A. Change in level of consciousness (LOC)
B. Seizures
C. Restlessness
D. Pupil changes
- Correct answer- Change in level of consciousness (LOC)
Detailed Correct Verified Answers 2024 Update.
Common side effects of anticholinergics include:
A. Dry mouth, urinary retention, constipation, and increased pulse rate.
B. Blurred vision, decreased liver enzymes, increased B/P, and papillary
constriction.
C. Decreased GI absorption, nausea, heartburn, and hypotension.
D. Skin rashes, decreased urinary output, constipation, and increased WBCs.
- Correct answer- dry mouth, urinary retention, constipation, and increased
pulse rate.
Anticholinergic drugs may cause blurred vision, dry mouth, tachycardia, and
urinary retention. They also decrease sweating and may cause fever or
heatstroke. Fever may occur in any age group, but heatstroke is more likely to
occur in older adults, especially with cardiovascular disease, strenuous activity,
and high environmental temperatures. When centrally active anticholinergics are
given for Parkinson's disease, agitation, mental confusion, hallucinations, and
psychosis may occur.
A client's dose of Sinemet has recently been increased due to an exacerbation of
the client's parkinsonian symptoms. What assessment finding would suggest that
the client is experiencing adverse effects?
A. The client is retaining urine and has required a urinary catheter
B. The client's blood pressure is 152/93 mm Hg and the client has no history of
hypertension
C. The client is diaphoretic despite being afebrile
D. The client has had diarrhea twice in the past two days
- Correct answer- The client is retaining urine and has required a urinary
catheter
, NU 272: Mobility Study Guide Exam Questions with
Detailed Correct Verified Answers 2024 Update.
Adverse effects of levodopa include urinary retention. Diarrhea, increased blood
pressure and diaphoresis would likely be attributable to other factors.
A nurse is educating a client who has Parkinson's disease and family regarding
possible adverse effects of carbidopa-levodopa. The nurse emphasizes which
should be a closely monitored effect?
A. Involuntary movements.
B. Perspiration.
C. Appetite or thirst.
D. Mobility.
- Correct answer- involuntary movements
Abnormal and involuntary movements are among the most common and serious
adverse effects of carbidopa-levodopa therapy. Increased appetite, thirst, and
perspiration are not common adverse effects, and increased mobility is a desired
outcome of treatment.
A client who sustained a complete C6 spinal cord injury 6 months ago has been
admitted to the hospital for pneumonia. The nurse observes the client with
diaphoresis above the level of C6 and the blood pressure is 260/140 mm Hg. What
is the first intervention the nurse should provide?
A. Elevate the head of the bed.
B. Disimpact the stool from the anal vault.
C. Insert an indwelling catheter.
D. Give the client some orange juice and sugar.
- Correct answer- Elevate the head of the bed.
Autonomic dysreflexia is a clinical emergency, and without prompt and adequate
treatment, convulsions, loss of consciousness, and even death can occur. The
, NU 272: Mobility Study Guide Exam Questions with
Detailed Correct Verified Answers 2024 Update.
major components of treatment include monitoring blood pressure while
removing or correcting the initiating cause or stimulus. The person should be
placed in an upright position, and all support hose or binders should be removed
to promote venous pooling of blood and reduce venous return.
Indications for use of anticholinergic drugs in the treatment for Parkinsonism
include to:
A. Decrease headaches.
B. Improve blurred vision.
C. Decrease salivation, spasticity, and tremors.
D. Decrease motor movement.
- Correct answer- decrease salivation, spasticity, and tremors.
Anticholinergic drugs are used in idiopathic parkinsonism to decrease salivation,
spasticity, and tremors. They are used primarily in people who have minimal
symptoms or who cannot tolerate levodopa, or in combination with other
antiparkinson drugs.
A nurse is caring for 70-year-old patient who is undergoing anticholinergic drug
therapy. The nurse should assess for which condition when caring for this elderly
patient?
A. Confusion and disorientation
B. Choreiform movements
C. Suicidal tendencies
D. Psychotic episodes
- Correct answer- Confusion and disorientation
The nurse should assess for confusion and disorientation when caring for this
elderly patient undergoing anticholinergic drug therapy. Individuals older than 60
, NU 272: Mobility Study Guide Exam Questions with
Detailed Correct Verified Answers 2024 Update.
years frequently develop increased sensitivity to anticholinergic drugs and require
careful monitoring. Lower doses may also be required in such cases. Choreiform
movements, suicidal tendencies, and psychotic episodes are serious adverse
reactions associated with the use of levodopa, which is a dopaminergic drug.
A client diagnosed with Parkinson's disease has been prescribed rasagiline. When
educating this client on this medication, which herbal supplement should be
identified as having the potential to produce hyperpyrexia and death?
A. ginger
B. dextromethorphan
C. garlic
D. St. John's wort
- Correct answer- St. John's wort
Rasagiline administered with the herbal supplement St. John's wort will enhance
the stimulation of serotonergic receptors to cause hyperpyrexia and death.
Dextromethorphan can produce the same reaction but is not an herbal
supplement. Ginger and garlic are herbal supplements but will not produce
hyperpyrexia and death.
Which of the following is the earliest sign of increasing intracranial pressure (ICP)?
A. Change in level of consciousness (LOC)
B. Seizures
C. Restlessness
D. Pupil changes
- Correct answer- Change in level of consciousness (LOC)
