A nurse withholds a cholinergic blocking drug prescribed for an ...

[ENagel]

A nurse withholds a cholinergic blocking drug prescribed for an older adult client based on which assessment finding? Select all that apply.
 
  A) Excitement
  B) Mental confusion
  C) Urinary retention
  D) Drowsiness
  E) Agitation

Question 2

A nurse would monitor a client receiving a cholinergic blocking drug for an increased effect when the drug is administered with which of the following? Select all that apply.
 
  A) Fluconazole (Diflucan)
  B) Meperidine (Demerol)
  C) Haloperidol (Haldol)
  D) Amitriptyline (Elavil)
  E) Digoxin (Lanoxin)

[jasonq]

Answer to Question 1

Ans: A, B, C, D, E
Feedback:
A nurse should withhold a cholinergic blocking drug from an older adult client who is excited, agitated, mentally confused, drowsy, or experiencing urinary retention or other adverse effects.

Answer to Question 2

Ans: B, D
Feedback:
A nurse may notice an increased effect of the cholinergic blocking drug when it is administered with meperidine (Demerol) and amitriptyline (Elavil) because meperidine and tricyclic antidepressants increase the effect of the cholinergic blockers. If given with fluconazole, an antifungal agent, the effectiveness of the antifungal agent decreases. If given with haloperidol, haloperidol's effectiveness is decreased. If given with digoxin, the risk for digoxin toxicity increases.

[ENagel]

Thanks for the timely response, appreciate it

[kusterl]

TYSM