A patient has been prescribed scopolamine (Transderm-Scop) for ...

[crobinson2013]

A patient has been prescribed scopolamine (Transderm-Scop) for the prevention of motion sickness. The nurse should teach the patient to immediately report which adverse effects? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Slow heart rate
  2. Cardiac palpitations
  3. Decreased urinary output
  4. Development of tremors
  5. Diarrhea

Question 2

A patient who is hyperkalemic reports being constipated. Which advice should the nurse provide?
 
  1. Drinking more water may help.
  2. Prune juice is an effective laxative.
  3. You should add fruits and vegetables to your diet.
  4. Walking may stimulate your bowel function.
  5. Use salt substitutes to reduce your sodium level.

[ghepp]

Answer to Question 1

2,3,4
Rationale 1: Tachycardia is the adverse effect associated with scopolamine (Transderm-Scop).
Rationale 2: Dysrhythmia is an adverse effect of this drug.
Rationale 3: Decreased urinary output is an adverse effect of this drug.
Rationale 4: Tremors are an adverse effect of this drug.
Rationale 5: Diarrhea is not an expected adverse effect of this drug.

Global Rationale: Dysrhythmia, decreased urinary output, and tremors are adverse effects of scopolamine (Transderm-Scop). Tachycardia is the adverse effect associated with scopolamine (Transderm-Scop). Diarrhea is not an expected adverse effect of this drug.

Answer to Question 2

1,4
Rationale 1: Adding fluids may relieve constipation. Water is a safe fluid for this patient.
Rationale 2: Prunes are high in potassium and should be avoided by this patient.
Rationale 3: Many fruits and vegetables are high in potassium. If the nurse wishes to provide this instruction, more specifics are indicated as to which fruits and vegetables are safe.
Rationale 4: Exercise, such as walking, may stimulate the bowels.
Rationale 5: Salt substitutes are often potassium salt based and should be avoided by this patient.

Global Rationale: Adding fluids may relieve constipation. Water is a safe fluid for this patient. Exercise, such as walking, may stimulate the bowels. Many fruits and vegetables are high in potassium. If the nurse wishes to provide this instruction, more specifics are indicated as to which fruits and vegetables are safe. Prunes are high in potassium and should be avoided by this patient. Salt substitutes are often potassium salt based and should be avoided by this patient.

[crobinson2013]

TYSM

[sultansheikh]

Excellent