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Author Question: A patient has been newly diagnosed with irritable bowel syndrome (IBS). The nurse knows that the ... (Read 81 times)

bobthebuilder

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on: Jul 23, 2018
A patient has been newly diagnosed with irritable bowel syndrome (IBS). The nurse knows that the most likely choice of anticholinergic drug to be prescribed for this patient is what?
 
  A) Atropine (generic)
  B) Dicyclomine (generic)
  C) Glycopyrrolate (Robinul)
  D) Methscopolamine (Pamine)

Question 2

A patient taking diltiazem (Cardizem) for hypertension has come to the clinic for a follow-up appointment. What adverse effects would the nurse assess the patient for?
 
  A) Chest pain and pale skin
  B) Shortness of breath and wheezing
  C) Peripheral edema and bradycardia
  D) Tachycardia and increased energy level


Expo

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Feedback:
Dicyclomine is the most likely choice of anticholinergic drug for IBS. It relaxes the GI tract and is a frequent choice in the treatment of hyperactive bowel and IBS. Atropine is used to decrease secretions, for bradycardia, pylorospasm, ureteral colic, relaxing the bladder, pupil dilation, and as an antidote for cholinergic drugs. Glycopyrrolate is used to decrease secretions and as an antidote for neuromuscular blockers. Methscopolamine is used as adjunctive therapy for ulcers.

Answer to Question 2

C
Feedback:
Cardiovascular adverse effects of diltiazem include bradycardia, peripheral edema, and hypotension. Skin flushing and rash may occur. There should be no effect on the lungs and usually this drug causes fatigue rather than increased energy levels.


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bobthebuilder

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Reply #2 on: Jul 23, 2018
TY


Expo

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Reply #3 on: Jul 23, 2018
You're welcome


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