A client is admitted with an exacerbation of chronic obstructive ...

[Sufayan.ah]

A client is admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). Which medications would help with this client's symptoms?
 
  Standard Text: Select all that apply.
  1. Ipratropium (Atrovent)
  2. Tiotropium (Spiriva)
  3. Oxybutynin (Ditropan)
  4. Benztropine (Cogentin)
  5. Glycopyrrolate (Robinul)

Question 2

Which assessment findings does the nurse expect in a client who received a medication that is a muscarinic antagonist?
 
  Standard Text: Select all that apply.
  1. Dilated pupils
  2. Increased heart rate
  3. Hypoactive bowel sounds
  4. Deep rapid respirations
  5. Excessive salivation

[Liamb2179]

Answer to Question 1

Correct Answer: 1,2
Rationale 1: The muscarinic antagonist ipratropium (Atrovent) is useful in treating chronic obstructive pulmonary disease because it will dilate the bronchi.
Rationale 2: The muscarinic antagonist tiotropium (Spiriva) is useful in treating chronic obstructive pulmonary disease because it will dilate the bronchi.
Rationale 3: The muscarinic antagonist oxybutynin (Ditropan) affects the smooth muscle of the bladder and detrusor muscle.
Rationale 4: The muscarinic antagonist benztropine (Cogentin) has mild effects on the central nervous system and helps treat mild symptoms of Parkinson disease.
Rationale 5: The muscarinic antagonist glycopyrrolate (Robinul) is used for peptic ulcer disease and to control excessive drooling.
Global Rationale: The muscarinic antagonist ipratropium (Atrovent) and tiotropium (Spiriva) are useful in treating chronic obstructive pulmonary disease because they will dilate the bronchi. The muscarinic antagonist oxybutynin (Ditropan) affects the smooth muscle of the bladder and detrusor muscle. The muscarinic antagonist benztropine (Cogentin) has mild effects on the central nervous system and helps treat mild symptoms of Parkinson disease. The muscarinic antagonist glycopyrrolate (Robinul) is used for peptic ulcer disease and to control excessive drooling.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Dilated pupils are an expected response from a muscarinic antagonist.
Rationale 2: Increased heart rate is an expected response from a muscarinic antagonist.
Rationale 3: Hypoactive bowel sounds are an expected response from a muscarinic antagonist.
Rationale 4: Deep rapid respirations are an expected response from a muscarinic antagonist.
Rationale 5: Excessive salivation is not an expected response from a muscarinic antagonist.
Global Rationale: Dilated pupils, increased heart rate, hypoactive bowel sounds, and deep respirations are all expected responses from a muscarinic antagonist. Excessive salivation is not an expected response from a muscarinic antagonist.

[Sufayan.ah]

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[Liamb2179]

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