Which of his recent symptoms could be caused by his anticholinergic medications? (Select all that apply)
Epigastric distress
Tachycardia
Dry mouth
Frequent loose stools
Blurred vision
0.5 points
QUESTION 15
1. A client is using a prn scopolamine patch for motion sickness. Knowing that the medication has anticholinergic side effects, the client should be taught to anticipate which side effects? (Select all that apply!) |
Urine retention
Blurred vision
Dry mouth
Diarrhea
Wheezes
0.5 points
QUESTION 16
1. A nurse is taking a history on a client admitted for medication related syncope. Which of these comments from the client needs to be reported to the physician? (Select all that apply)
“I just gave you my medication list the last time I was here. Nothing’s changed! Look it up!”
“I’m taking an herbal supplements to help me sleep, but nothing else is changed.”
“I’m taking over-the-counter substitutes for the medicines I can’t afford.”
“I get my medicines over the internet, so I never run out of medicine. It’s cheaper”
“I wish I didn’t have to bother the doctor every time I need a medication refill.
“My cardiologist never orders anything. He just tells my regular doctor what to order.”
0.5 points
QUESTION 17
1. The most common adverse effect associated with antiepileptic medications is CNS depression. Knowing this, which signs and symptoms would the nurse watch for during assessments? (Select all that apply!)
Drooling
Insomnia
Confusion
Hyperventilation
Unsteady gate
0.5 points
QUESTION 18
1. A nurse recognizes that the actions of benzodiazepines include which of the following benefits? (Select all that apply.)
Sleep facilitation
Relief of general anxiety
Suppression of seizures and/or seizure activity
Reversal of Parkinsonism
Improvement of muscle coordination
0.5 points
QUESTION 19
1. What advice should parents of a child taking Ritalin (methylphenidate) receive? (Select all that apply)
Insomnia is a risk. Give the medication in the morning
It should always be given before the meal
It is cheaper (wisest), to order the medication via the internet.
It is a C2 substance. Automatic refills are not allowed.
It is a gateway drug to other stimulants. Teens seek it to lose weight. Keep control of it.
There is no need to worry about addiction in these medications in well-adjusted children.
0.5 points
QUESTION 20
1. A 68 year old male has a history of seizures and has been taking phenytoin (Dilantin) for years. His last seizure occurred 2 years ago, so he has decided that he no longer needs the medication. What would be the best action of the nurse? (Select all that apply.)
Recommend that he start cutting his pills in half, and see how it goes
Affirm his plan to stop taking it, but tell him to restart it if tremors occur
Recommend that he develop a withdrawal plan with his prescriber
Educate the client that suddenly stopping the drug could precipitate seizures.
Tell the client that once a medication for seizures is started it can never be stopped.
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