Author Question: A patient calls the clinic and talks to the nurse. The patient tells the nurse he or she is going on ... (Read 78 times)

leo leo

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A patient calls the clinic and talks to the nurse. The patient tells the nurse he or she is going on a cruise and is concerned about motion sickness.
 
  The patient says that a friend has recommended that he or she see his or her primary care physician to get a prescription for scopolamine. What adverse effect would the nurse inform the patient that using scopolamine may result in? A) Pupil constriction
  B) Tachycardia
  C) Diarrhea
  D) Urinary incontinence

Question 2

A 39-year-old teacher with bronchitis has been up all night with intense coughing spasms and asks the nurse How is all this coughing related to my bronchitis? The nurse tells the patient that a cough is initiated by what?
 
  A) Irritation to receptors in the nasal cavity
  B) Irritation to receptors in the bronchi
  C) Irritation to receptors in the pharynx
  D) Irritation to receptors in the sinus cavities



ririgirl15

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Answer to Question 1

B
Feedback:
Scopolamine blocks the parasympathetic nervous system, which may result in dilated pupils and increased heart rate (i.e., tachycardia). Blocking the parasympathetic system also results in decreased GI activity and urinary bladder tone causing constipation and urinary retention.

Answer to Question 2

B
Feedback:
Irritation to bronchial receptors will initiate a cough, which causes air to be pushed through the bronchial tree. Irritation to receptors in the nasal cavity, pharynx, and sinuses are more likely to initiate the sneeze reflex.



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