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Pharm Exam
The nurse has completed medication education about pyridostigmine (Mestinon),
an indirect cholinergic drug, for the patient with myasthenia gravis. The nurse
determines that learning has occurred when the patient makes which statement?
1. "My heart may beat slower while I am on this drug."
2. "I will need to increase my fluid intake with this medication."
3. "I must take this medication immediately before eating a full meal."
4. "It is really important to take my medication on time."
Correct Answer: 4
Rationale 4: Maintaining an optimum blood level of the drug is crucial in
promoting muscle functioning, so it is important for the patient to take his
medication on time and as directed.
Question
Type:
NURSING 1140 Pharm Exam QUESTION AND ANSWERS
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MCSA
The physician has ordered bethanechol (Urecholine), a cholinergic drug, for the
patient with urinary retention. The patient also has an enlarged prostate gland.
What is the priority action by the nurse?
1. Hold the drug and prepare to catheterize the patient.
2. Administer the drug and measure urinary output.
3. Administer the drug and push fluids.
4. Hold the drug and contact the physician.
Correct Answer: 4.
Rationale 4: Bethanechol (Urecholine) relaxes the urinary sphincter and increases
voiding pressure. It is contraindicated with any physical obstruction of the urinary
tract, such as an enlarged prostate gland.
Question
Type:
MCSA
NURSING 1140 Pharm Exam QUESTION AND ANSWERS
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The preop patient will be receiving glycopyrrolate (Robinul), an anticholinergic
drug, and asks the nurse, "Why do I need to have that shot?" What is the best
response by the nurse?
1. "It will decrease your respiratory secretions during surgery."
2. "It will increase your urinary output during surgery."
3. "It will help you breathe better during surgery."
4. "It will help maintain your blood pressure during surgery."
Correct Answer: 1
Rationale 1: Anticholinergics dry secretions; a decrease in respiratory secretions
is indicated prior to surgery.
Question
Type:
MCSA
The nurse is preparing to administer medications to a group of patients. One of the
NURSING 1140 Pharm Exam QUESTION AND ANSWERS
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, NURSING 1140 Pharm Exam QUESTION AND ANSWERS
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medications is benztropine (Cogentin), an anticholinergic drug. This drug is
contraindicated in which patient?
1. The patient with a fractured femur
2. The patient with tachycardia
3. The patient with an irritable colon
4. The patient with diarrhea
Correct Answer: 2
Rationale 2: Anticholinergic drugs increase the heart rate; a patient with
tachycardia should not receive benztropine (Cogentin).
A patient’s heart rate is found to be 72 beats per minute and regular. The nurse
evaluates which situation in the patient’s peripheral nervous system?
NURSING 1140 Pharm Exam QUESTION AND ANSWERS
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