The nurse is managing the care of a group of patients with ...

[BrownTown3]

The nurse is managing the care of a group of patients with schizophrenia. The patients are receiving conventional antipsychotic medications. When assessing for anticholinergic side effects, which would the nurse immediately report to the physician?
 
  1. Acute dystonia
  2. Complaint of a severe headache
  3. Hypertension
  4. Urinary retention

Question 2

The nurse is concerned that a patient receiving dobutamine (Dobutrex) is experiencing adverse effects from the medication. What did the nurse assess in the patient?
 
  1. Palpitations
  2. Drop in blood pressure
  3. Cold extremities
  4. Headache
  5. Blurred vision

[JCABRERA33]

Answer to Question 1

4
Rationale 1: Acute dystonia must be reported immediately to the physician, but this is not an anticholinergic side effect.
Rationale 2: Headaches are not anticholinergic side effects.
Rationale 3: Hypotension, not hypertension, is a cardiac side effect, not an anticholinergic side effect.
Rationale 4: Urinary retention is an anticholinergic side effect of conventional antipsychotics. This must be reported immediately to the physician.
Global Rationale: Urinary retention is an anticholinergic side effect of conventional antipsychotics. This must be reported immediately to the physician. Hypotension, not hypertension, is a cardiac side effect, not an anticholinergic side effect. Headaches are not anticholinergic side effects. Acute dystonia must be reported immediately to the physician, but this is not an anticholinergic side effect.

Answer to Question 2

1,2,3
Rationale 1: Palpitations are an adverse effect of dobutamine (Dobutrex).
Rationale 2: Hypotension is an adverse effect of dobutamine (Dobutrex).
Rationale 3: Cold extremities are an adverse effect of dobutamine (Dobutrex).
Rationale 4: Headache is an adverse effect of digoxin (Lanoxin).
Rationale 5: Blurred vision is an adverse effect of digoxin (Lanoxin.)
Global Rationale: Palpitations, hypertension, and cold extremities are adverse effects of dobutamine (Dobutrex).
Headache and blurred vision are not.

[BrownTown3]

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[JCABRERA33]

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