Question 1

The nurse has completed medication education about edrophonium (Tensilon), an indirect cholinergic drug, for the client with myasthenia gravis. The nurse determines that learning has occurred when the client makes which statement?

Accepted Answer

The statement "It is really important to take my medication on time" demonstrates an understanding of the importance of adherence to the medication regimen for the management of myasthenia gravis. The other options are not directly relevant to the use of edrophonium. Although blood pressure monitoring may be necessary with other medications used to treat myasthenia gravis, it is not a concern with edrophonium. Taking medication with meals or increasing fluid intake may not be necessary for edrophonium administration.

Question 2

The physician has ordered bethanechol (PMS -Bethanechol), a cholinergic drug, for the client with urinary retention. The client also has an enlarged prostate gland. What is the priority action by the nurse?

Accepted Answer

Bethanechol is a cholinergic drug that stimulates bladder contraction, but in clients with an enlarged prostate, it can exacerbate urinary retention by increasing resistance to urine flow. Therefore, the nurse should hold the drug and contact the physician for further instructions.

Question 3

The client receives nadolol (Corgard), a nonselective beta -adrenergic blocker. What will be the priority assessment of the nurse?

Accepted Answer

The priority assessment of the nurse when a client receives nadolol, a nonselective beta-adrenergic blocker, is bronchoconstriction. Nonselective beta-adrenergic blockers may cause bronchoconstriction in clients with asthma or chronic obstructive pulmonary disease (COPD), leading to respiratory distress. Therefore, the nurse should monitor for signs and symptoms of bronchoconstriction, such as wheezing, shortness of breath, and chest tightness. Hypertension, seizures, and atrial fibrillation are also possible conditions that may require assessment and monitoring, but they are not the priority in this situation.

Question 4

The physician ordered clonidine (Catapres), an alpha -adrenergic blocker, for the client. The nurse plans to do medication education. What will the best plan of the nurse include?

Accepted Answer

Clonidine can cause orthostatic hypotension, and hot baths or showers can exacerbate this effect, increasing the risk of dizziness or fainting.

Question 5

The nurse is preparing to administer medications to a group of clients. One of the medications is ipratropium (Atrovent), an anticholinergic drug. This drug is contraindicated in which client?

Accepted Answer

Ipratropium (Atrovent) is contraindicated in clients with tachycardia because it can cause or worsen this condition. The drug is not contraindicated in clients with diarrhea, fractured femur, or irritable colon.

Question 6

The nursing instructor teaches the student nurses about the nervous system. The instructor determines that learning has occurred when the students make which statement(s)? Select all that apply.

Accepted Answer

A) The somatic nervous system indeed controls voluntary movements of skeletal muscles, aligning with the statement.C) The nervous system, as a whole, enables organisms to perceive, adapt to, and interact with their environment, which includes reacting to environmental changes.E) The central nervous system (CNS) is accurately described as comprising the brain and spinal cord, which are its primary components.

Question 7

The nurse is preparing to administer medications to a group of clients. One of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which client?

Accepted Answer

Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure and lead to vision damage. Clients with hiatal hernia, hyperthyroidism, or lung cancer can still receive atropine, as long as it is prescribed by a healthcare provider and the medication's benefits outweigh any potential risks or adverse effects.

Question 8

The client receives Metaproterenol , an adrenergic drug. A consulting physician orders carteolol (Ocupress), a beta -blocker. What best describes the nurse's assessment?

Accepted Answer

Since carteolol is a beta-blocker, it will block the stimulatory effects of Metaproterenol, leading to decreased effectiveness. There is no evidence to suggest that the combination will lead to adverse effects or hypertensive crisis, so choices A and C are incorrect. The effects of Metaproterenol will not be increased, so choice D is also incorrect.

Question 9

The student nurse asks the nursing instructor "Do the medications we are studying actually make more neurotransmitters"? What is the best response by the nursing instructor?

Accepted Answer

Medications cannot create more neurotransmitters, but they can either increase or decrease the activity of neurotransmitters.

Question 10

The client receives pseudoephedrine (Sudafed), an adrenergic drug. The nurse determines that the client is having side effects when the client makes which statement? Select all that apply.

Accepted Answer

The answer of The client receives pseudoephedrine (Sudafed), an adrenergic...

Question 11

The pre -op client will be receiving Glycopyrrolate , an anticholinergic drug, and asks the nurse "Why do I need to have that shot?" What is the best response by the nurse?

Accepted Answer

Glycopyrrolate is an anticholinergic drug that is given preoperatively to decrease respiratory secretions, which can decrease the risk of aspiration during surgery. It does not affect urinary output, breathing, or blood pressure.

Question 12

The physician orders dicyclomine (Bentylol), an anticholinergic drug, for a client. What is the nurse's priority assessment prior to administering this drug?

Accepted Answer

Dicyclomine can cause urinary retention, so the nurse's priority assessment should be whether the client is able to urinate before administering the drug. Option B is also a possible side effect of the drug, but it is not the priority assessment. Option C and D are not related to the drug.

Question 13

The nursing instructor teaches the student nurses about the autonomic nervous system. The instructor determines that learning has occurred when the students make which statement(s)? Select all that apply.

Accepted Answer

- The sympathetic and parasympathetic systems can have complementary or synergistic effects in some cases, not always opposite.- The sympathetic nervous system is indeed activated under stress, leading to the "fight or flight" response.- The parasympathetic nervous system causes bronchial constriction, which is opposite to the sympathetic system that causes bronchial dilation.

Question 14

The nurse has been doing medication education for the client receiving atenolol (Tenormin), a beta -blocker. The nurse determines that learning has occurred when the client makes which statement?

Accepted Answer

Atenolol is a beta-blocker medication that can slow down the heart rate, so it is important for the client to monitor their pulse regularly. Option B is correct as well, as caffeine can interfere with the effectiveness of beta-blockers. Option C is incorrect as the client should not stop taking the medication without consulting with their healthcare provider. Option D is incorrect because atenolol can be used to treat glaucoma.

Question 15

The client is quadriplegic and receives oxybutynin (Ditropan), an anticholinergic drug, to increase his bladder capacity. What is an important assessment of this client by the nurse?

Accepted Answer

Oxybutynin is known to cause constipation as a side effect, therefore it is important for the nurse to assess whether the client is experiencing this issue. The other options are not directly related to the medication or the client's condition.

Quiz 13: Drugs Affecting the Autonomic Nervous System

The nurse has completed medication education about edrophonium (Tensilon) , an indirect cholinergic drug, for the client with myasthenia gravis. The nurse determines that learning has occurred when the client makes which statement?

The physician has ordered bethanechol (PMS -Bethanechol) , a cholinergic drug, for the client with urinary retention. The client also has an enlarged prostate gland. What is the priority action by the nurse?

The client receives nadolol (Corgard) , a nonselective beta -adrenergic blocker. What will be the priority assessment of the nurse?

The physician ordered clonidine (Catapres) , an alpha -adrenergic blocker, for the client. The nurse plans to do medication education. What will the best plan of the nurse include?

The nurse is preparing to administer medications to a group of clients. One of the medications is ipratropium (Atrovent) , an anticholinergic drug. This drug is contraindicated in which client?

The nursing instructor teaches the student nurses about the nervous system. The instructor determines that learning has occurred when the students make which statement(s) ? Select all that apply.

The nurse is preparing to administer medications to a group of clients. One of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which client?

The client receives Metaproterenol , an adrenergic drug. A consulting physician orders carteolol (Ocupress) , a beta -blocker. What best describes the nurse's assessment?

The student nurse asks the nursing instructor "Do the medications we are studying actually make more neurotransmitters"? What is the best response by the nursing instructor?

The client receives pseudoephedrine (Sudafed) , an adrenergic drug. The nurse determines that the client is having side effects when the client makes which statement? Select all that apply.

The pre -op client will be receiving Glycopyrrolate , an anticholinergic drug, and asks the nurse "Why do I need to have that shot?" What is the best response by the nurse?

The physician orders dicyclomine (Bentylol) , an anticholinergic drug, for a client. What is the nurse's priority assessment prior to administering this drug?

The nursing instructor teaches the student nurses about the autonomic nervous system. The instructor determines that learning has occurred when the students make which statement(s) ? Select all that apply.

The nurse has been doing medication education for the client receiving atenolol (Tenormin) , a beta -blocker. The nurse determines that learning has occurred when the client makes which statement?

The client is quadriplegic and receives oxybutynin (Ditropan) , an anticholinergic drug, to increase his bladder capacity. What is an important assessment of this client by the nurse?