NURS 3100 - Exam 3
The nurse is preparing to administer a cholinergic antagonist to an older patient with decreased
mobility.
Which nursing intervention should the nurse include to prevent complications from this drug? -
ANS-increase dietary fiber
An older patient is receiving atropine.
For which side effect should the nurse add interventions to prevent injury in this patient? -
ANS-blurred vision
A patient with Parkinson's disease who is prescribed benztropine asks about the purpose of the
drug.
Which response should the nurse make? - ANS-decrease muscle tremors and rigidity
A patient reports long-term use of bethanechol (Urecholine).
Which finding should indicate to the nurse that the medication is no longer effective? -
ANS-distended bladder
A patient is prescribed atropine.
Which intervention should the nurse include in the plan of care for this patient? - ANS-monitor
heart rate and rhythm
A patient with urinary retention is prescribed bethanechol (Urecholine).
For which side effect should the nurse monitor the patient? - ANS-orthostatic blood pressure
changes
A patient with bradycardia has glaucoma.
Which drug should the nurse recall is contraindicated for this patient? - ANS-atropine
The nurse is asked to explain cholinergic drugs.
In which area should the nurse explain these drugs act in the somatic nervous system? -
ANS-in the neuromuscular junction, resulting in skeletal muscle contraction
The nurse reviews the use of neuromuscular blockers and actions with a group of new
colleagues.
Which statement should indicate that teaching was effective? - ANS-neuromusclular blockers
affect skeletal muscles in the somatic nervous system
A patient reports problems with urge urinary incontinence.
Which muscarinic antagonist should the nurse expect to be prescribed? - ANS-oxybutynin
, The nurse teaches about the use of donepezil (Aricept) for Alzheimer's disease.
Which statement should indicate that additional teaching about the medication is required? -
ANS-this medication will cure alzheimer's disease
A patient is prescribed atropine.
For which additional medication should the nurse question giving this medication? -
ANS-quindine
A patient is experiencing cramping and diarrhea related to irritable bowel syndrome.
Which muscarinic antagonist should the nurse expect to be prescribed? - ANS-dicyclomine
The nurse administers a muscarinic antagonist to a patient.
Which response should the nurse expect that demonstrates suppression of acetylcholine at the
receptor sites - ANS-drying of secretions
The nurse assesses a patient receiving a muscarinic agonist.
For which finding should the nurse administer atropine? - ANS-hallucinations and confusion
A patient taking bethanechol (Urecholine) asks when to expect to feel the effects of the
medication.
Which information should the nurse provide the patient? - ANS-30-60 minutes
A patient with a history of chronic obstructive pulmonary disease reports increased dyspnea at
times during the day.
Which muscarinic antagonist should the nurse suspect to be beneficial for this patient? -
ANS-ipratropium
A patient with an apical pulse of 44 beats/min reports dizziness.
Which cholinergic antagonist should the nurse expect the healthcare provider to prescribe? -
ANS-atropine
A patient is prescribed a direct-acting cholinergic agonist.
Which action should the nurse expect to occur from this medication? - ANS-It binds to
acetylcholine receptors, enhancing the action potential on the postsynaptic neuron.
A patient with pneumonia has increased dyspnea, crackles in the lung bases, and an oxygen
saturation level of 89%.
Which should the nurse expect to assess after administering ipratropium to this patient? -
ANS-increased oxygen saturation
The nurse is preparing to administer bethanechol (Urecholine) to a patient with urinary retention.
For which finding should the nurse realize this medication is contraindicated? - ANS-epilepsy
The nurse is preparing to administer a cholinergic antagonist to an older patient with decreased
mobility.
Which nursing intervention should the nurse include to prevent complications from this drug? -
ANS-increase dietary fiber
An older patient is receiving atropine.
For which side effect should the nurse add interventions to prevent injury in this patient? -
ANS-blurred vision
A patient with Parkinson's disease who is prescribed benztropine asks about the purpose of the
drug.
Which response should the nurse make? - ANS-decrease muscle tremors and rigidity
A patient reports long-term use of bethanechol (Urecholine).
Which finding should indicate to the nurse that the medication is no longer effective? -
ANS-distended bladder
A patient is prescribed atropine.
Which intervention should the nurse include in the plan of care for this patient? - ANS-monitor
heart rate and rhythm
A patient with urinary retention is prescribed bethanechol (Urecholine).
For which side effect should the nurse monitor the patient? - ANS-orthostatic blood pressure
changes
A patient with bradycardia has glaucoma.
Which drug should the nurse recall is contraindicated for this patient? - ANS-atropine
The nurse is asked to explain cholinergic drugs.
In which area should the nurse explain these drugs act in the somatic nervous system? -
ANS-in the neuromuscular junction, resulting in skeletal muscle contraction
The nurse reviews the use of neuromuscular blockers and actions with a group of new
colleagues.
Which statement should indicate that teaching was effective? - ANS-neuromusclular blockers
affect skeletal muscles in the somatic nervous system
A patient reports problems with urge urinary incontinence.
Which muscarinic antagonist should the nurse expect to be prescribed? - ANS-oxybutynin
, The nurse teaches about the use of donepezil (Aricept) for Alzheimer's disease.
Which statement should indicate that additional teaching about the medication is required? -
ANS-this medication will cure alzheimer's disease
A patient is prescribed atropine.
For which additional medication should the nurse question giving this medication? -
ANS-quindine
A patient is experiencing cramping and diarrhea related to irritable bowel syndrome.
Which muscarinic antagonist should the nurse expect to be prescribed? - ANS-dicyclomine
The nurse administers a muscarinic antagonist to a patient.
Which response should the nurse expect that demonstrates suppression of acetylcholine at the
receptor sites - ANS-drying of secretions
The nurse assesses a patient receiving a muscarinic agonist.
For which finding should the nurse administer atropine? - ANS-hallucinations and confusion
A patient taking bethanechol (Urecholine) asks when to expect to feel the effects of the
medication.
Which information should the nurse provide the patient? - ANS-30-60 minutes
A patient with a history of chronic obstructive pulmonary disease reports increased dyspnea at
times during the day.
Which muscarinic antagonist should the nurse suspect to be beneficial for this patient? -
ANS-ipratropium
A patient with an apical pulse of 44 beats/min reports dizziness.
Which cholinergic antagonist should the nurse expect the healthcare provider to prescribe? -
ANS-atropine
A patient is prescribed a direct-acting cholinergic agonist.
Which action should the nurse expect to occur from this medication? - ANS-It binds to
acetylcholine receptors, enhancing the action potential on the postsynaptic neuron.
A patient with pneumonia has increased dyspnea, crackles in the lung bases, and an oxygen
saturation level of 89%.
Which should the nurse expect to assess after administering ipratropium to this patient? -
ANS-increased oxygen saturation
The nurse is preparing to administer bethanechol (Urecholine) to a patient with urinary retention.
For which finding should the nurse realize this medication is contraindicated? - ANS-epilepsy
