Author Question: The preop patient will be receiving glycopyrrolate (Robinul), an anticholinergic drug, and asks the ... (Read 105 times)

darbym82 · **on:** Jul 23, 2018

The preop patient will be receiving glycopyrrolate (Robinul), an anticholinergic drug, and asks the nurse, Why do I need to have that shot? What is the best response by the nurse?

1. It will decrease your respiratory secretions during surgery.
2. It will increase your urinary output during surgery.
3. It will help you breathe better during surgery.
4. It will help maintain your blood pressure during surgery.

Question 2

The nurse is preparing to administer medications to a group of patients. One of the medications is benztropine (Cogentin), an anticholinergic drug. This drug is contraindicated in which patient?

1. The patient with a fractured femur
2. The patient with tachycardia
3. The patient with an irritable colon
4. The patient with diarrhea

frogdreck123456 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale: Anticholinergics dry secretions; a decrease in respiratory secretions is indicated prior to surgery. Anticholinergic drugs do not maintain blood pressure. Anticholinergic drugs do not facilitate respirations. Anticholinergic drugs do not increase urinary output.

Answer to Question 2

Correct Answer: 2
Rationale: Anticholinergic drugs increase the heart rate; a patient with tachycardia should not receive benztropine (Cogentin). Anticholinergic drugs slow gastrointestinal (GI) motility; this would help with an irritable colon. Anticholinergic drugs slow gastrointestinal (GI) motility; this would help with diarrhea. There is no contraindication with a fractured femur and anticholinergic drugs.