NURS 3365 Exam 1 questions with answers

NURS 3365 Exam 1 questions with answers
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A patient is prescribed an anticholinergic medication. What
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information in the pmhx would be of most concern to the nurse?
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- CORRECT ANSWERS ✔✔Glaucoma
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A patient is prescribed scopolamine transdermal patch to help
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with motion sickness while on a cruise. What education should
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the nurse provide the patient to alleviate the common adverse
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effects of the medication? - CORRECT ANSWERS ✔✔Wear
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sunglasses


Chew sugar free gum |\ |\ |\




Increase fluid and fiber intake |\ |\ |\ |\




A patient is prescribed carbidopa-levodopa and the nurse is
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providing education on this new medication. What information
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should the nurse provide to help prevent injury? - CORRECT
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ANSWERS ✔✔Rise slowly, in stages |\ |\ |\ |\




A patient was brought into the emergency department with
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symptomatic bradycardia and has received multiple doses of |\ |\ |\ |\ |\ |\ |\ |\


atropine. What clinical manifestations would the nurse identify as
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being potential symptoms of atropine toxicity? - CORRECT
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ANSWERS ✔✔Flushing of the face and neck |\ |\ |\ |\ |\ |\

,Confusion


A patient has been placed on high-dose therapy of selegiline.
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What foods should the nurse educate the patient to avoid or limit
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while on this treatment regimen? - CORRECT ANSWERS ✔✔Sharp
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cheddar cheese
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Red wine |\




Summer sausage |\




Beer


The family of a patient diagnosed with Alzheimer's disease asks
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how the newly prescribed donepezil works. What is the best
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response by the nurse? - CORRECT ANSWERS ✔✔"It prevents the
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breakdown of neurotransmitter responsible for memory recall"
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A patient is prescribed a cholinergic medication. What
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assessment finding would be of most concern to the nurse? -
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CORRECT ANSWERS ✔✔HR of 50 bpm |\ |\ |\ |\ |\




What are the classic symptoms of Parkinson's Disease? -
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CORRECT ANSWERS ✔✔Tremors |\ |\




Rigidity

,Akinesia


Postural instability
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Bradykinesia


Cholinergic-blockers Drug Effects Respiratory System - CORRECT
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ANSWERS ✔✔Decrease bronchial secretions
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Dilate bronchial airways
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Cholinergic-blockers Drug Effects Glandular System - CORRECT
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ANSWERS ✔✔Decrease bronchial secretions
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Decrease salivation |\




Decrease sweating |\




Cholinergic-blockers Drug Effects Genitourinary System -
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CORRECT ANSWERS ✔✔Relax detrusor muscle of bladder
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Increase constriction of internal sphincter
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These 2 effects may result in urinary retention
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, Cholinergic-blockers Drug Effects GI - CORRECT ANSWERS
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✔✔Relax smooth muscle tone of gastrointestinal tract
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Decrease intestinal and gastric secretions
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Decrease motility and peristalsis
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Cholinergic-blockers Drug Effects Eyes - CORRECT ANSWERS
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✔✔Dilate pupils
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Decrease accommodation by paralyzing ciliary muscles
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Cholinergic-blockers Drug Effects CNS - CORRECT ANSWERS
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✔✔Small doses:
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Decrease muscle rigidity and tremors
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Large doses:
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Drowsiness
Disorientation
Hallucinations


Cholinergic-blockers Drug Effects Cardiovascular System -
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CORRECT ANSWERS ✔✔Small doses:
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Decreased HR |\