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Author Question: Before the initiation of anticholinergic medications, it is important for the nurse to screen ... (Read 52 times)

mp14

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on: Jul 24, 2018
Before the initiation of anticholinergic medications, it is important for the nurse to screen patients for which condition?
 
  a. Hypertension
  b. Infectious diseases
  c. Diabetes
  d. Closed-angle glaucoma

Question 2

A patient with Parkinson's disease asks the nurse why anticholinergics are used in the treatment. Which response by the nurse is most accurate?
 
  a. These drugs help you urinate.
  b. These drugs will decrease your eye pressure.
  c. These drugs inhibit the action of acetylcholine.
  d. These drugs will assist in lowering your heart rate.


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mathjasmine

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Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: D
The inhibition of cholinergic activity (anticholinergic effects) causes pupil dilation, which increases intraocular pressure in patients with glaucoma. In patients with closed-angle glaucoma, anticholinergic medications can precipitate an acute attack. Anticholinergic agents may produce increased heart rate but not hypertension. Anticholinergic agents do not affect infections or diabetes.

Answer to Question 2

ANS: C
Anticholinergic agents inhibit the action of acetylcholine in the parasympathetic nervous system. These drugs occupy receptor sites at the parasympathetic nerve endings, preventing the action of acetylcholine. Inhibition of acetylcholine facilitates stimulation of the dopaminergic receptors, which relieves the symptoms associated with Parkinson's disease. Anticholinergic agents cause urinary retention, increase intraocular pressure, and increase the heart rate.


mp14

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


mathjasmine

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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