BMS 620 Drugs Affecting Cholinergic Function Grade APlus

1. A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the ...

1. A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to 2. A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication 3. A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? 4. A nurse is working in a women's hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following? 5. A patient who is going on a cruise is concerned about motion sickness and sees his physician, who prescribes scopolamine. The nurse informs the patient that using scopolamine may cause him to experience 6. An anticholinergic drug is given to a 73-year-old man to treat his Parkinson disease. The man also has benign prostatic hyperplasia (BPH). The most important instruction the nurse can give to the patient with regard to his medication and medical diagnosis is to 7. Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency? 8. A 4-year-old child is brought to the emergency department by her mother. The mother reports that the child has been vomiting, and the nurse notes that the child's face is flushed and she is diaphoretic. The mother thinks that the child may have swallowed carbachol drops. A diagnosis of cholinergic poisoning is made. Which of the following drugs would be administered? 9. A nurse is conducting a medication resolution of a new resident of a care facility and notes that the woman has been taking neostigmine. The nurse should recognize that the woman may have a history of what health problem? 10. A nurse has administered a drug that will have a therapeutic effect on a patient's parasympathetic nervous system. The nurse should be aware that the drug will primarily affect the function of what neurotransmitter? 11. A 59-year-old woman has long-standing diagnoses of type 1 diabetes and hypertension and has recently been diagnosed with glaucoma. Her ophthalmologist has prescribed pilocarpine (Akarpine), which will achieve its intended therapeutic effect by which of the following means? 12. A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated? 13. A 58-year-old woman was diagnosed with myasthenia gravis many years ago and has been on a regimen of neostigmine (Prostigmin), a reversible cholinesterase inhibitor. In light of the patient's drug regimen, a nurse can conclude that the pathophysiology of myasthenia gravis involves 14. A patient has been admitted to the emergency department with complaints of sudden nausea, diaphoresis, and shortness of breath. A thorough history has revealed that the patient's signs and symptoms are attributable to an accidental overdose of neostigmine (Prostigmin). The nurse who is providing care for the patient should anticipate that the patient is likely to require what drug? 15. A patient with asthma will soon begin treatment with atropine as an adjunct to his normal drug regimen. What teaching point should the nurse include in patient education related to this new aspect of drug treatment?