Questions 47

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ATI Pharmocology Exam Fletcher NRSG 106 Questions

Extract:


Question 1 of 5

A nurse is teaching a patient who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the patient to minimize anticholinergic effects?

Correct Answer: C

Rationale: The correct answer is C: Chew sugarless gum to moisten the mouth. Anticholinergic effects of fluphenazine can cause dry mouth, which can be alleviated by chewing sugarless gum to stimulate saliva production. This helps maintain oral hygiene and prevents complications such as dental issues.
Choice A is incorrect as it does not directly address anticholinergic effects.
Choice B is incorrect as it focuses on fever, which is not a common anticholinergic effect.
Choice D is incorrect as antacids do not specifically target anticholinergic side effects. The correct answer, C, directly addresses the dry mouth symptom associated with anticholinergic effects of fluphenazine.

Question 2 of 5

A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because 'Mother has not improved one bit!' Which response by the nurse is appropriate?

Correct Answer: D

Rationale: The correct answer is D. Donepezil is a medication used to manage symptoms of Alzheimer's disease, but it takes time to see improvement. The typical timeframe for noticeable effects is around 4-6 weeks. Increasing the dosage or taking it on an empty stomach won't speed up the process or guarantee improvement.
Choice A could lead to adverse effects, and B is not relevant.
Choice C is incorrect as there is no cure for Alzheimer's disease.
Therefore, the most appropriate response is to educate the daughter that it may take up to 6 weeks to see an improvement.

Question 3 of 5

The nurse is caring for a 64-year-old male client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?

Correct Answer: A

Rationale: The correct answer is A. Nonselective beta-blockers can mask hypoglycemia symptoms in diabetic clients, making it crucial for the client to eat frequent small meals to prevent drops in blood sugar levels. This education is prioritized as it directly impacts the client's safety and management of diabetes.
Choice B is incorrect as frequent blood glucose checks are important but not specific to the effects of beta-blockers.
Choice C is incorrect as weekly weight checks do not directly address the potential hypoglycemia masking.
Choice D is incorrect as taking the apical pulse is not directly related to the client's diabetes management.

Question 4 of 5

When a patient is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?

Correct Answer: D

Rationale: The correct answer is D, to use artificial saliva, sugarless gum, or hard candy to counteract dry mouth when taking an anticholinergic like benztropine for Parkinson's disease. Anticholinergics can cause dry mouth by blocking the action of acetylcholine at muscarinic receptors. Providing options like artificial saliva, sugarless gum, or hard candy can help alleviate dry mouth symptoms.

Other choices are incorrect:
A: Minimizing fluid intake is not necessary with benztropine and can lead to dehydration.
B: Discontinuing the medication without healthcare provider guidance can be dangerous and may worsen Parkinson's symptoms.
C: Taking the medication on an empty stomach is not necessary for absorption and may increase gastrointestinal side effects.

Question 5 of 5

A 73-year-old male with Parkinson's disease, emphysema, and benign prostatic hyperplasia presents to the clinic for routine care. Following detailed assessment, the provider has prescribed an anticholinergic drug for the client. What is the nurse's priority teaching point to the client in regard to his new medication?

Correct Answer: D

Rationale: The correct answer is D: Make sure to seek care immediately if you're not able to urinate. This teaching point is crucial because anticholinergic drugs can worsen urinary retention in patients with benign prostatic hyperplasia. This population is already at risk for urinary issues due to their existing condition, and the anticholinergic medication can exacerbate this problem. Failure to urinate can lead to serious complications such as urinary tract infections or bladder distention. It is essential for the nurse to emphasize the importance of seeking immediate medical attention if the client experiences difficulty urinating.

Incorrect choices:
A: While falls are a concern with anticholinergic drugs due to potential dizziness, the client's risk of urinary retention takes precedence.
B: Emphysema may cause shortness of breath, but this is not directly related to the anticholinergic drug and is not the priority teaching point.
C: Room temperature preferences are not directly related to the client's new medication and

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