« previous next »

Author Question: A nurse can anticipate anticholinergic side effects will be likely when a patient is taking: a. ... (Read 164 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?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

A parish nurse checks the blood pressure of a church member A parish nurse checks the blood pressure of a church member
The ear. Lateral view of the ear region on one side of the head. The ear. Lateral view of the ear region on one side of the head.
Photograph of the flea that transmits Yersinia pestis to cause bubonic plague, called the oriental r Photograph of the flea that transmits Yersinia pestis to cause bubonic plague, called the oriental r
Effects of Cloud Cover and Wind Effects of Cloud Cover and Wind
Alternating one-hand kneading to the upper arm. Squeeze the biceps side, then the triceps side, ... Alternating one-hand kneading to the upper arm. Squeeze the biceps side, then the triceps side, ...
X chromosome inactivation and its effects X chromosome inactivation and its effects
Video: Pressure Flow Model Animation

For a complete list of videos, visit our video library