Author Question: A client is prescribed cevimeline (Evoxac) for treatment of xerostomia. What potential side effects ... (Read 39 times)

joe · **on:** Jul 23, 2018

A client is prescribed cevimeline (Evoxac) for treatment of xerostomia. What potential side effects should the nurse discuss with the client?

Standard Text: Select all that apply.
1. Excessive sweating
2. Diarrhea
3. Rhinorrhea
4. Muscle pain
5. Respiratory infections

Question 2

Caution should be used in administering cholinergic drugs to clients with a history of which condition?

1. Leg cramps
2. Glaucoma
3. Benign prostatic hypertrophy
4. Heartburn

leahchrapun · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Excessive sweating is the most common adverse effect of this medication.
Rationale 2: Diarrhea is a possible adverse effect of this medication.
Rationale 3: Rhinorrhea, or runny nose, is a possible adverse effect of this medication.
Rationale 4: Muscle pain is not an adverse effect of this medication.
Rationale 5: Respiratory infections are not an adverse effect of this medication.
Global Rationale: Excessive sweating, diarrhea, and rhinorrhea (runny nose) are adverse effects of this medication. Muscle pain and respiratory infections are not adverse effects of this medication.

Answer to Question 2

Correct Answer: 3
Rationale 1: Leg cramps are not a common adverse effect.
Rationale 2: Cholinergic drugs would improve glaucoma symptoms by constriction.
Rationale 3: Cholinergic drugs might increase bladder tone, which would cause the client to have difficulty with urination.
Rationale 4: The nurse should use caution when administering a cholinergic drug to a client with a GI obstruction, but not one with heartburn.
Global Rationale: Cholinergic drugs might increase bladder tone, which would cause the client to have difficulty with urination. Leg cramps are not a common adverse effect. Cholinergic drugs would improve glaucoma symptoms by constriction. The nurse should use caution when administering a cholinergic drug to a client with a GI obstruction, but not one with heartburn.