Author Question: The nurse is preparing discharge teaching for a client prescribed an anticholinergic drug. Which ... (Read 38 times)

dollx · **on:** Jul 23, 2018

The nurse is preparing discharge teaching for a client prescribed an anticholinergic drug. Which teaching topic is most appropriate for the nurse to include?

1. Decrease caffeine intake.
2. Drink warm fluids to assist with symptoms of dry mouth.
3. Increase dietary intake of high-fiber foods.
4. Take a daily laxative.

Question 2

A client receives succinylcholine for paralysis during an endoscopy. During the procedure, the client's muscles become rigid, and the skin feels hot to the touch. Which effect will the nurse document in the medical record once the client is stabilized?

1. Septicemia
2. Esophageal perforation
3. Hyperthyroid storm
4. Malignant hyperthermia

aadams68 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Decreasing caffeine intake would have little effect.
Rationale 2: Cool fluids would improve dry mouth symptoms better than warm fluids would.
Rationale 3: Constipation is common. Clients should increase intake of high-fiber foods.
Rationale 4: A daily laxative is not necessary; increasing fiber is more effective to establish a bowel regimen to prevent constipation.
Global Rationale: Constipation is common. Clients should increase intake of high-fiber foods. Decreasing caffeine intake would have little effect. Cool fluids would improve dry mouth symptoms better than warm fluids would. A daily laxative is not necessary; increasing fiber is more effective to establish a bowel regimen to prevent constipation.

Answer to Question 2

Correct Answer: 4
Rationale 1: Septicemia is not associated with rigid muscle contraction.
Rationale 2: Esophageal perforation would present as bleeding and hypotension.
Rationale 3: It is unlikely for hyperthyroid storm to present during an endoscopy procedure.
Rationale 4: Rigid muscles and hot skin represent a common presentation of malignant hyperthermia, a life-threatening adverse effect of succinylcholine.
Global Rationale: Rigid muscles and hot skin represent a common presentation of malignant hyperthermia, a life-threatening adverse effect of succinylcholine. Septicemia is not associated with rigid muscle contraction. Esophageal perforation would present as bleeding and hypotension. It is unlikely for hyperthyroid storm to present during an endoscopy procedure.