« previous next »

Author Question: A nurse can anticipate anticholinergic side effects will be likely when a patient is taking: a. ... (Read 133 times)

jc611

  • Hero Member
  • *****
  • Posts: 552
on: Jul 19, 2018
A nurse can anticipate anticholinergic side effects will be likely when a patient is taking:
 
  a. lithium (Lithobid)
  b. buspirone (BuSpar)
  c. risperidone (Risperdal)
  d. fluphenazine (Prolixin)

Question 2

A patient begins therapy with a phenothiazine medication. What teaching should a nurse provide related to the drug's strong dopaminergic effect?
 
  a. Chew sugarless gum.
  b. Increase dietary fiber.
  c. Arise slowly from bed.
  d. Report muscle stiffness.


Andromeda18

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: D
Fluphenazine, a first-generation antipsychotic medication, exerts muscarinic blockade, resulting in dry mouth, blurred vision, constipation, and urinary retention. Lithium therapy is more often associated with fluid balance problems, including polydipsia, polyuria, and edema. Risperidone therapy is more often associated with movement disorders, orthostatic hypotension, and sedation. Buspirone is associated with anxiety reduction without major side effects.

Answer to Question 2

ANS: D
Phenothiazines block dopamine receptors in both the limbic system and basal ganglia. Dystonia is likely to occur early in the course of treatment and is often heralded by sensations of muscle stiffness. Early intervention with an antiparkinsonian medication can increase the patient's comfort and prevent dystonic reactions.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Approximately 500,000 babies are born each year in the United States to teenage mothers.

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

The three stages we go through to develop the ability of taking the role of the other. The three stages we go through to develop the ability of taking the role of the other.
EHR systems enable providers to view patient records across organizations. EHR systems enable providers to view patient records across organizations.
Left-side and right-side heart failure. Left-side and right-side heart failure.
A typical module-controlled high-side driver (HSD) where the module itself supplies the electrical ... A typical module-controlled high-side driver (HSD) where the module itself supplies the electrical ...
Effects of the Autonomic Nervous System Effects of the Autonomic Nervous System
Creating a tent for turning from prone to supine or vice versa. Pin one side of the sheet against ... Creating a tent for turning from prone to supine or vice versa. Pin one side of the sheet against ...
Video: Optic Nerve and Optic Disk Animation (Part 2 of 2)

For a complete list of videos, visit our video library