Deck 21: Drugs Affecting the Parasympathetic Nervous System and the Neurotransmitter Acetylcholine

Question 1

The nurse would consider that a client with which of the following health problems could safely receive atropine,an anticholinergic medication?

A) Glaucoma
B) Irritable bowel syndrome
C) Severe cardiac disease
D) Myasthenia gravis

Answer 1

Irritable bowel syndrome

Question 2

The nurse would observe a client who is receiving a parasympathomimetic drug for assessment data leading to which of the following nursing diagnoses?

A) Constipation
B) Altered urinary patterns (frequency)
C) Altered comfort (flatulence)
D) Impaired physical mobility (weakness)

Answer 2

Altered urinary patterns (frequency)

Question 3

The outpatient surgical nurse would administer with caution a preprocedure eye medication containing atropine if the client reported a history of which of the following eye problems?

A) Angle-closure glaucoma
B) Cataracts
C) Macular degeneration
D) Detached retina

Answer 3

Angle-closure glaucoma

Question 4

Which of the following types of drugs does the nurse expect to be ordered for a client with myasthenia gravis,a condition characterized by weakness of the skeletal muscles?

A) Adrenergic drugs
B) Adrenergic-blocking drugs
C) Cholinergic drugs
D) Cholinergic-blocking drugs

Question 5

The nurse should administer a parasympathomimetic drug cautiously to a client who has a medical history of which of the following?

A) Leg cramps
B) Hemorrhoids
C) Glaucoma
D) Benign prostatic hypertrophy

Question 6

The nurse interprets that which of the following circumstances would be an appropriate use of a cholinergic drug?

A) Treating a postoperative client who has bradycardia
B) Lowering intraocular pressure in clients with glaucoma
C) Inhibiting muscular activity in the bladder
D) Preventing salivation and sweating

Question 7

The nurse evaluates that a client who received a prescription for a scopolamine patch understands its use when the client states to apply the patch how long before beginning to travel?

A) 4 hours
B) 2 hours
C) 1 hour
D) 30 minutes

Question 8

The medical-surgical nurse is working with an orientee whose previous primary work experience was in a labor and delivery unit.The orientee asks why a client would be receiving neostigmine.The nurse responds that this medication is used to treat which of the following health problems?

A) Overactive bladder
B) Myasthenia gravis
C) Cataracts
D) Ulcerative colitis

Question 9

The nurse recalls that which of the following drugs on the client's order sheet is a synthetic antispasmodic?

A) Glycopyrrolate (Robinul)
B) Methocarbamol (Robaxin)
C) Guaifenesin (Robitussin)
D) Ceftriaxone (Rocephin)

Question 10

A nurse is preparing to give a dose of vecuronium (Norcuron)to a client for neuromuscular blockade so that the client can tolerate being mechanically ventilated on a respirator.Knowing that the client does not have pain and thus does not have an order for an opioid analgesic,what other type of medication would the nurse want to administer concurrently?

A) A catecholamine
B) A gastrointestinal stimulant
C) An antianxiety agent
D) A respiratory stimulant

Question 11

The nurse would assess a client for which of the following adverse effects to bethanechol (Urecholine)?

A) Constipation
B) Hypertension
C) Tachycardia
D) Headache

Question 12

The nurse would not include which of the following in a list of symptoms to report during discharge teaching regarding bethanechol (Urecholine)?

A) Severe abdominal cramping
B) Moderate flatus
C) Bloody diarrhea
D) Shortness of breath

Question 13

Which of the following drugs would the nurse select from the emergency cart as an antidote if a client experienced toxic effects or parasympathetic overstimulation from bethanechol (Urecholine)?

A) Atropine sulfate
B) Pilocarpine (Pilocar)
C) Propranolol (Inderal)
D) Neostigmine (Prostigmin)

Question 14

When a client is receiving atropine slowly by the intravenous route,the nurse should monitor the client carefully for which of the following effects?

A) Hypotension
B) Tachycardia
C) Bradycardia
D) Cardiac arrest

Question 15

Discharge teaching for a client who is taking atropine includes which of the following pieces of information given by the nurse?

A) The client can operate machinery while taking this medication
B) Avoid sugarless gum and candy
C) Drink only one small glass of alcohol daily
D) Avoid exposure to high environmental temperatures