Author Question: A nurse is providing patient education prior to a procedure. The nurse explains to the patient the ... (Read 72 times)

rachel9 · **on:** Jul 23, 2018

A nurse is providing patient education prior to a procedure. The nurse explains to the patient the side effects of the ganglionic-blocking agent mecamylamine (Inversine), which the patient will be receiving.

The patient demonstrates understanding of the teaching when she selects which of the following as side effects of mecamylamine? (Select all that apply.)
a. Diarrhea
b. Sweating
c. Blurred vision
d. Urinary retention
e. Dry mouth

Question 2

A nurse prepares a patient for a diagnostic procedure. Succinylcholine (Anectine) will be administered. What patient education should the nurse provide to the patient before the diagnostic test?

a. There is a high risk of arrhythmias with the use of this agent.
b. Nerve damage may occur and will likely be permanent.
c. Transient muscle pain is common after the use of this agent.
d. This agent is not associated with any side effects.

af · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C, D, E
The patient will experience antimuscarinic effects when taking mecamylamine; these include dry mouth, blurred vision, photophobia, urinary retention, constipation, and tachycardia.
Diarrhea and sweating are not antimuscarinic effects and therefore would not be appropriate selections.

Answer to Question 2

ANS: C
Patients receiving succinylcholine may experience postprocedural muscle pain, most commonly in the neck, shoulders, and back; it may persist for several hours to several days but is not permanent.
Arrhythmias are not associated with the administration of succinylcholine.
Nerve damage is not associated with the administration of succinylcholine.
All medications are associated with side effects, even if minimal and rare, including succinylcholine.