Which side effects limit the usefulness of anticholinergic ...

[ENagel]

Which side effects limit the usefulness of anticholinergic agents? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  1. Urinary retention
  2. Hypotension
  3. Increased salivation
  4. Tachycardia
  5. Bradycardia

Question 2

Following a chemical explosion, a client presents to the Emergency Department with muscle twitching, loss of bowel and bladder control, and confusion. The nurse recognizes that the client has been in contact with what nerve agent?
 
  1. Ethosuximide (Zarontin)
  2. Atropine (Atropine)
  3. Ritodrine (Yutopar)
  4. Pridostigmine (Mestinon)

[kardosa007]

Answer to Question 1

Correct Answer: 1, 4

Rationale 1: Urinary retention is a side effect of anticholinergics.
Rationale 2: Hypotension is incorrect because it is a side effect of parasympathomimetic s.
Rationale 3: Increased salivation is incorrect because it is a side effect of parasympathomimetic s.
Rationale 4: Tachycardia is a side effect of anticholinergics.
Rationale 5: Bradycardia is not a side effect of anticholinergics.

Global Rationale: Urinary retention and tachycardia are side effects of anticholinergics. Hypotension is incorrect because it is a side effect of parasympathomimetic s. Increased salivation is incorrect because it is a side effect of parasympathomimetic s. Bradycardia is not a side effect of anticholinergics.

Answer to Question 2

Correct Answer: 2

Rationale 1: Ethosuximide (Zarontin) is an anticonvulsant.
Rationale 2: Nerve agents are chemicals that inhibit acetylcholinesteras e in the synaptic space and can cause toxic parasympathomimetic effects. Atropine or related anticholinergic medications block the attachment of acetylcholine to receptor sites, causing symptoms of the fight-or-flight response, preventing overstimulation caused by harmful nerve agents.
Rationale 3: Ritodrine (Yutopar) is a sympathomimetic commonly used to slow uterine contractions.
Rationale 4: Pridostigmine (Mestinon) is a parasympathomimetic commonly used for myasthenia gravis.

Global Rationale: Nerve agents are chemicals that inhibit acetylcholinesteras e in the synaptic space and can cause toxic parasympathomimetic effects. Atropine or related anticholinergic medications block the attachment of acetylcholine to receptor sites, causing symptoms of the fight-or-flight response, preventing overstimulation caused by harmful nerve agents. Ethosuximide (Zarontin) is an anticonvulsant. Ritodrine (Yutopar) is a sympathomimetic commonly used to slow uterine contractions. Pridostigmine (Mestinon) is a parasympathomimetic commonly used for myasthenia gravis.

[ENagel]

Both answers were spot on, thank you once again

[kardosa007]

Great! Please up vote