Author Question: The client in the preoperative holding area has been given a dose of scopolamine. The nurse assesses ... (Read 31 times)

Collmarie · **on:** Jul 22, 2018

The client in the preoperative holding area has been given a dose of scopolamine. The nurse assesses the client for which of the following side effects of the medication?

1. Dry mouth
2. Diaphoresis
3. Excessive urination
4. Pupillary constriction

Question 2

The clinic nurse is assessing a child suspected of having juvenile rheumatoid arthritis (JRA). Which of the following assessment items would the nurse expect to find in a child who has been diagnosed with JRA? Select all that apply.

1. Hematuria
2. Morning stiffness
3. Painful, stiff, and swollen joints
4. Limited range of motion of the joints
5. Stiffness that develops later in the day
6. History of late afternoon temperature, with temperature spiking up to 105 F

234sdffa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Scopolamine is an anticholinergic medication that can be used preoperatively. It causes frequent side effects, such as dry mouth, urinary retention, decreased sweating, and dilation of the pupils. The other options are incorrect.

Answer to Question 2

2, 3, 4, 6

Rationale: Clinical manifestations associated with JRA include intermittent joint pain that lasts longer than 6 weeks and painful, stiff, and swollen joints that are warm to the touch, with limited range of motion. The child will complain of morning stiffness and may protect the affected joint or refuse to walk. Systemic symptoms include malaise, fatigue, lethargy, anorexia, weight loss, and growth problems. A history of a late afternoon fever with temperature spiking up to 105 F will also be part of the clinical manifestations.