Deck 22: Cholinergic-Blocking Drugs

Question 1

What is the advantage of using tolterodine (Detrol)for urinary incontinence as compared with other drugs?

A)Drowsiness is not usually a problem.
B)Tolterodine may also be used for urinary retention.
C)Tolterodine can be used in patients with narrow-angle glaucoma.
D)The incidence of dry mouth is much lower with tolterodine.

Answer 1

The incidence of dry mouth is much lower with tolterodine.

Question 2

A 72-year-old male has a new prescription for an anticholinergic.He is an active man and enjoys outdoor activities such as hiking,golfing,and doing yard work.During a teaching session about his drug therapy,the nurse should emphasize that

A)drowsiness may interfere with his outdoor activities.
B)increased salivation may occur during exercise and outdoor activities.
C)fluid volume deficits may occur as a result of an increased incidence of diarrhea.
D)he should take measures to reduce the occurrence of heat stroke during his activities.

Answer 2

he should take measures to reduce the occurrence of heat stroke during his activities.

Question 3

For what is oxybutynin (Ditropan)used?

A)To treat symptoms associated with irritable bowel disease
B)For induction of mydriasis
C)As an antispasmodic for neurogenic bladder
D)For reduction of secretions preoperatively

Answer 3

As an antispasmodic for neurogenic bladder

Question 4

Solifenacin succinate (Vesicare)is contraindicated for patients with which condition?

A)Glaucoma and severe constipation
B)Urinary retention and diarrhea
C)Genitourinary tract problems and dry mouth
D)Gastrointestinal problems and blurred vision

Question 5

Atropine is appropriate for which patients? (Select all that apply.)

A)A patient who has suddenly developed symptomatic bradycardia, with a heart rate of 32 beats per minute
B)A patient who has suddenly developed symptomatic tachycardia, with a heart rate of 180 beats per minute
C)A patient with severe narrow-angle glaucoma
D)A patient who requires preoperative reduction of salivary and gastrointestinal secretions myasthenia gravis
E)A patient newly diagnosed with myasthenia gravis
F)A patient with severe diarrhea

Question 6

How long can a scopolamine patch prevent motion sickness?

A)1 day
B)2 days
C)3 days
D)4 days

Question 7

The nurse working in a preoperative holding unit anticipates an order to give which anticholinergic medication to a newly admitted patient?

A)dicyclomine (Bentylol)
B)tolterodine (Detrol)
C)donepezil
D)glycopyrrolate

Question 8

When administering an anticholinergic drug,the nurse expects the patient will experience which adverse effect?

A)Excessive urination
B)Diaphoresis
C)Dry mouth
D)Pupil constriction

Question 9

Which condition is appropriate for treatment with a cholinergic-blocking drug?

A)Glaucoma
B)Myasthenia gravis
C)Irritable bowel disease
D)Genitourinary obstruction

Question 10

Which medication is the antidote to severe cases of atropine overdose?

A)atenolol (Tenormin)
B)bethanechol
C)scopolamine patch
D)physostigmine

Question 11

The nurse is about to administer a STAT dose of atropine sulphate to a patient who is experiencing a symptomatic cardiac dysrhythmia.During administration of this drug,the nurse monitors the patient closely for which adverse effect?

A)Tachycardia
B)Bradycardia
C)Ectopic beats
D)Cardiac standstill