ATI LPN
Roach's Introductory Clinical Pharmacology 11th Edition
Chapter 26 Questions
Question 1 of 5
When describing the different cholinergic blockers, which of the following would a nursing instructor include as affecting only the muscarinic receptors?
Correct Answer: A,B,E
Rationale: Antispasmodic cholinergic blocking drugs, like darifenacin (Enablex), oxybutynin (Ditropan), and tolterodine (Detrol), only affect muscarinic receptors in the parasympathetic nervous system and have no effect on nicotinic receptors.
Question 2 of 5
A nurse suspects that a client who has received scopolamine is experiencing an idiosyncratic reaction to the drug based on assessment of which of the following?
Correct Answer: B,D
Rationale: Excitement, delirium, restlessness, and insomnia represent idiosyncratic reactions to scopolamine.
Question 3 of 5
A nurse is providing care to a client with COPD. The nurse anticipates that which of the following would be appropriate to be prescribed for this client?
Correct Answer: B,E
Rationale: Ipratropium (Atrovent) and tiotropium (Spiriva) are inhaled cholinergic blocking drugs used in the treatment of chronic obstructive pulmonary disease (COP
D).
Question 4 of 5
A nurse would monitor a client receiving a cholinergic blocking drug for an increased effect when the drug is administered with which of the following?
Correct Answer: B,D
Rationale: A nurse may notice an increased effect of the cholinergic blocking drug when it is administered with meperidine (Demerol) and amitriptyline (Elavil) because meperidine and tricyclic antidepressants increase the effect of the cholinergic blockers.
Question 5 of 5
The nurse should monitor clients taking which of the following medications closely for decreased efficacy if a cholinergic blocking drug is initiated.
Correct Answer: A,C
Rationale: The nurse should monitor clients taking fluconazole (Diflucan) and haloperidol (Haldol) closely for decreased efficacy if a cholinergic blocking drug is initiated.