Author Question: A client is receiving titrated doses of mecamylamine (Inversine). Which assessment findings indicate ... (Read 32 times)

joblessjake · **on:** Jul 23, 2018

A client is receiving titrated doses of mecamylamine (Inversine). Which assessment findings indicate this client is experiencing adverse effects from this medication?

Standard Text: Select all that apply.
1. Orthostatic hypotension
2. Nausea
3. Dry mouth
4. Facial flushing
5. Body rash

Question 2

A client admitted with exacerbation of asthma reports using ipratropium (Atrovent) up to 24 inhalations each day. Which assessment findings indicate the client is experiencing anticholinergic syndrome?

Standard Text: Select all that apply.
1. Photophobia
2. Difficulty swallowing
3. Agitation
4. Blurred vision
5. Excessive salivation

jaykayy05 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Orthostatic hypotension is an adverse effect of this medication.
Rationale 2: Nausea is an adverse effect of this medication.
Rationale 3: Dry mouth is an adverse effect of this medication.
Rationale 4: Facial flushing is not an adverse effect of this medication.
Rationale 5: Body rash is not an adverse effect of this medication.
Global Rationale: Orthostatic hypotension, nausea, and dry mouth are all adverse effects of this medication. Facial flushing and a body rash are not adverse effects of this medication.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Photophobia is a symptom of anticholinergic syndrome.
Rationale 2: Difficulty swallowing is a symptom of anticholinergic syndrome.
Rationale 3: Agitation is a symptom of anticholinergic syndrome.
Rationale 4: Blurred vision is a symptom of anticholinergic syndrome.
Rationale 5: Excessive salivation is not a symptom of anticholinergic syndrome.
Global Rationale: Photophobia, difficulty swallowing, agitation, and blurred vision are symptoms of anticholinergic syndrome. Excessive salivation is not a symptom of anticholinergic syndrome.