« previous next »

Author Question: A nurse can anticipate anticholinergic side effects will be likely when a patient is taking: a. ... (Read 192 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?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Did you know?

Many of the drugs used by neuroscientists are derived from toxic plants and venomous animals (such as snakes, spiders, snails, and puffer fish).

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

The effects of beak depth on song among different species of Galapagos finches. The effects of beak depth on song among different species of Galapagos finches.
Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm
Patient teaching: vascular assessment Patient teaching: vascular assessment
Toxoplasma gondii in the heart of an HIV patient. Toxoplasma gondii in the heart of an HIV patient.
Mobilize the rib cage. Redrape to cover the chest, and stand to one side of the table. Place your ... Mobilize the rib cage. Redrape to cover the chest, and stand to one side of the table. Place your ...
Effects of Common Herbs in Spa Treatments Effects of Common Herbs in Spa Treatments
Video: Fractures Animation

For a complete list of videos, visit our video library