Deck 21: Cholinergic-Blocking Drugs

Question 1

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

A)Drowsiness is not usually a problem.
B)It may also be used for urinary retention.
C)It 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.Which of the following statements should the nurse emphasize during a teaching session about his drug therapy?

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

Atropine is appropriate for which of the following patients? Select all that apply.

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

Answer 3

A patient who has suddenly developed symptomatic bradycardia,with a heart rate 32 per minute
Preoperatively to reduce salivary and gastrointestinal secretions
A patient with severe diarrhea

Question 4

Which of the following conditions is appropriate for treatment with a cholinergic-blocking drug?

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

Question 5

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

A)atenolol (Tenormin)
B)bethanechol (Duvoid)
C)scopolamine (Transderm-V)
D)physostigmine salicylate

Question 6

The nurse working in a preoperative holding unit anticipates an order to give which of the following anticholinergic medications to a newly admitted patient?

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

Question 7

Indications for the use of oxybutynin (Ditropan)include which of the following?

A)Irritable bowel disease
B)Induction of mydriasis
C)Antispasmodic for neurogenic bladder
D)Reduction of secretions preoperatively

Question 8

How long can a scopolamine patch prevent motion sickness?

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

Question 9

The nurse is about to administer a STAT dose of atropine sulfate 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

Question 10

When administering an anticholinergic drug,the nurse expects the patient will experience which of the following adverse effects?

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

Question 11

Solifenacin succinate (Vesicare)is contraindicated in patients with which of the following conditions?

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