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Chapter 33 After teaching a female client who is prescribed a scopolamine patch, the nurse determines that the teaching was successful when the client states that she will change the patch in which ... time frame? You Selected:  Every 3 days Which patient statement indicates to the nurse that the patient is experiencing an adverse effect of hyoscyamine? You Selected:  "I feel like my heart is going to jump out of my chest." The nurse is preparing a client for pacemaker surgery. The health care provider orders atropine to be given 30 minutes before the client is taken to the operating room. The nurse knows this medication is ordered for what reason? You Selected:  To dry up respiratory secretions to prevent aspiration during surgery A client with symptomatic bradycardia has been receiving atropine for the past 4 days and the client reports constipation. What is the most important suggestion the nurse could give the client? You Selected:  Increase bulk in the diet. The pharmacology instructor is discussing the adverse effects of anticholinergic drugs. What drug would the instructor indicate is administered to counteract the effects of atropine poisoning? You Selected:  Physostigmine Which is an effect of moderate to large doses of atropine? You Selected:  Decreased vagal stimulation The nurse is caring for a client with glaucoma and is aware that which category of preanesthetic medication is contraindicated in this client? You Selected:  Cholinergic blocking Administration of which classes of medications can decrease secretions of the upper respiratory tract? You Selected:  Cholinergic blocking drug A client is prescribed propantheline. The nurse would administer this drug by which route? You Selected:  Oral A client is using a scopolamine patch for treatment of motion sickness. The nurse would instruct the client to change the patch at which frequency? You Selected:  Every 3 days If a cholinergic-blocking drug is administered prior to surgery, what should the nurse instruct the client to do? (Select all that apply.) You Selected:  Dry mouth is to be expected.  Remain in bed after drug administration. A 78-year-old client is about to begin home care and has been prescribed an anticholinergic. What should the home care nurse explain to the client and her family about this medication? You Selected:  All the above Correct response:  All the above Explanation: The effects of anticholinergic drugs include decreased gastrointestinal motility, decreased sweat production, and blurred vision. These effects put the older adult at increased risk of constipation, heat stroke, and falls. The risk of constipation can be reduced by increasing fiber and fluids in the diet. The risk of falls can be reduced by assisting the client during ambulation. A 75-year-old male client is experiencing extrapyramidal symptoms secondary to an antipsychotic drug. Which drug would the nurse expect the health care provider to order to relieve these symptoms? You Selected:  Anticholinergics  A 75-year-old male client is started on flavoxate, an anticholinergic drug used in the treatment of overactive bladder. When teaching the client about the medication, the nurse should explain that the client may be at increased risk of falls related to visual effects. A client has been prescribed an anticholinergic medication. What instructions should the nurse provide related to safety when outside in hot weather? You Selected:  Keep well hydrated  A 70-year-old client is taking a cholinergic blocking drug. The family has noticed the client is a confused, excited, and not voiding normally. What would be the appropriate action by the nurse in this situation? Instruct the client's family to withhold the next dose and the nurse will contact the prescribing provider. The nurse is educating a client who has been prescribed atropine, an anticholinergic drug. Which instructions should the nurse provide to the client? You Selected:  "Do not drive or operate machinery."  Effects of anticholinergic drugs such as atropine include blurred vision and impaired ability to sweat. Anticholinergic drugs are used in ophthalmology to You Selected:  dilate the pupils.  Some anticholinergic drugs have the same clinical indications in the pediatric population as in the adult population. Which statement accurately describes a difference between the populations related to the use of anticholinergics?  Adverse effects tend to be more severe in children. An older client is taking an anticholinergic agent. After teaching the client about the drug, which client statement indicates the need for additional teaching? You Selected:  “I need to exercise frequently outside in the warm weather.” Clients with what disorder should not be given anticholinergic drugs? You Selected:  Glaucoma A client is prescribed glycopyrrolate preoperatively. The nurse integrates understanding of the drug’s action, explaining that this drug will help achieve which effect? You Selected:  Reduction of oral secretions A client is receiving propantheline as adjunctive therapy for peptic ulcers. The nurse instructs the client to take the medication at which time? You Selected:  30 minutes before meals [Show More]

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