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?
Do slow position changes to avoid falls from lowering blood pressure."
if you feel short of breath, use a rescue inhaler.
"If possible, try to avoid rooms that are cold."
"Make sure to seek care immediately if you're not able to urinate."
The Correct Answer is D
A. Do slow position changes to avoid falls from lowering blood pressure: This is not the priority teaching point for an anticholinergic medication. While some anticholinergics can cause orthostatic hypotension, the risk of urinary retention is a more significant concern.
B. If you feel short of breath, use a rescue inhaler: This instruction is unrelated to the use of anticholinergic medication and may be more relevant for patients with emphysema.
C. "If possible, try to avoid rooms that are cold.": Avoiding cold rooms is not directly related to the use of anticholinergic medication. The priority teaching point should address potential adverse effects specific to the medication.
D. "Make sure to seek care immediately if you're not able to urinate.": Anticholinergic medications can exacerbate urinary retention, particularly in older adults with benign prostatic hyperplasia. It's crucial for the patient to understand the importance of seeking medical attention if they experience difficulty urinating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Given:
Dose required = 35 mg
Concentration of medication = 75 mg/mL Formula:
Volume (mL) = Dose required (mg) / Concentration of medication (mg/mL) Calculation:
Volume (mL) = 35 mg / 75 mg/mL Result:
Volume (mL) = 0.4666667 mL Rounded to the nearest tenth:
Volume (mL) ≈ 0.5 mL
Correct Answer is B
Explanation
A. Constricted pupils: Adrenergic agonist drugs typically cause pupil dilation (mydriasis), not constriction.
B. Increased heart rate: Adrenergic agonists stimulate the sympathetic nervous system, leading to increased heart rate (positive chronotropic effect) and increased cardiac contractility (positive
inotropic effect).
C. Bronchial constriction: Adrenergic agonists typically cause bronchodilation, not constriction.
D. Increased GI peristalsis: Adrenergic agonists usually inhibit GI motility, leading to decreased GI peristalsis and potentially constipation
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