Cholinergic and Anticholinergic Review

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Chapter 33 and 32

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Audrey Miller

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Cholinergic and Anticholinergic Review


Froggy Jumps Cholinergic and Anticholinergic ReviewVersión en línea Chapter 33 and 32 por Audrey Miller 1 Which physiologic effect would the nurse expect after administering a cholinergic medication? a Increased gastrointestinal motility b Pupil dilation c Bronchodialation 2 A patient with myasthenia gravis is prescribed pyridostigmine. The nurse understands this medication works by: a Preventing breakdown of acetylcholine b Blocking acetylcholine receptors c Blocking neuromuscular transmission 3 Which assessment finding indicates pyridostigmine toxicity (cholinergic crisis)? a Muscle twitching and weakness b Tachycardia c Dry Mouth 4 Which medication is commonly used to treat postoperative urinary retention? a Bethanechol b Scopolamine c Oxybutynin 5 A nurse is monitoring a patient receiving neostigmine. Which adverse effect should the nurse anticipate? a Bradycardia b Constipation c Urinary Retention 6 Which effect is expected when a patient receives an anticholinergic medication? a Decreased gastrointestinal motility b Miosis c Increased bronchial secretions 7 A patient is prescribed atropine. For which condition is this medication most commonly used? a Symptomatic bradycardia b Peptic ulcer disease c Myasthenia gravis 8 Which side effect should the nurse monitor in a patient taking oxybutynin? a Urinary retention b Bradycardia c Increased Sweating 9 Which patient is most at risk for complications from anticholinergic therapy? a A 72-year-old with glaucoma b A 45-year-old with hypertension c A 30-year-old postpartum patient 10 Which nursing intervention is most appropriate for a patient experiencing anticholinergic dry mouth? a Encourage increased fluid intake b Administer an antidiarrheal c Restrict oral fluids 11 The nurse should question an order for anticholinergic medication in a patient with: a Narrow-angle glaucoma b Overactive bladder c Chronic obstructive pulmonary disease 12 Which medication is an antidote for severe cholinergic toxicity? a Atropine b Bethanechol c Pyridostigmine 13 A patient receiving donepezil should be monitored for which adverse effect? a Bradycardia b Dry Mouth c Urinary Retention 14 Which teaching is appropriate for a patient taking anticholinergic medications? a “Avoid overheating and hot environments.” b “Expect increased sweating.” c “Limit fluids to prevent urinary frequency.” 15 Which assessment finding suggests a patient is experiencing anticholinergic toxicity? a Confusion and flushed skin b Diarrhea and salivation c Bradycardia and Hypotension 16 The nurse remembers anticholinergic effects using the phrase “hot as a hare, blind as a bat, dry as a bone, mad as a hatter.” Which symptom corresponds to “blind as a bat”? a Blurred vision b Photophobia c Excessive Tearing

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Cholinergic and Anticholinergic Review

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Cholinergic and Anticholinergic ReviewVersión en línea

por Audrey Miller

Which physiologic effect would the nurse expect after administering a cholinergic medication?

A patient with myasthenia gravis is prescribed pyridostigmine. The nurse understands this medication works by:

Which assessment finding indicates pyridostigmine toxicity (cholinergic crisis)?

Which medication is commonly used to treat postoperative urinary retention?

A nurse is monitoring a patient receiving neostigmine. Which adverse effect should the nurse anticipate?

Which effect is expected when a patient receives an anticholinergic medication?

A patient is prescribed atropine. For which condition is this medication most commonly used?

Which side effect should the nurse monitor in a patient taking oxybutynin?

Which patient is most at risk for complications from anticholinergic therapy?

Which nursing intervention is most appropriate for a patient experiencing anticholinergic dry mouth?

The nurse should question an order for anticholinergic medication in a patient with:

Which medication is an antidote for severe cholinergic toxicity?

A patient receiving donepezil should be monitored for which adverse effect?

Which teaching is appropriate for a patient taking anticholinergic medications?

Which assessment finding suggests a patient is experiencing anticholinergic toxicity?

The nurse remembers anticholinergic effects using the phrase “hot as a hare, blind as a bat, dry as a bone, mad as a hatter.” Which symptom corresponds to “blind as a bat”?