A client is taking cyclobenzaprine (Flexeril) for acute muscle spasms of the back. The nurse educates the client on which possible anticholinergic side effects associated with this medication? (Select all that apply)

Decreased Urination

Diarrhea

Dry Mouth

Tachycardia

Excessive Lacrimation

Excessive Sweating

Answer and Explanation

Correct Answer : A,C,D

A. Decreased urination is an anticholinergic side effect due to the medication's action on the bladder.
B. Diarrhea is not an anticholinergic side effect; in fact, anticholinergics typically cause constipation.
C. Dry mouth is a common anticholinergic side effect, resulting from reduced saliva production.
D. Tachycardia can occur as an anticholinergic effect due to decreased vagal tone.
E. Excessive lacrimation is not associated with anticholinergic effects; it is the opposite, as anticholinergics usually lead to dry eyes.
F. Excessive sweating is contrary to anticholinergic effects, which often result in decreased sweating.

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Correct Answer is D

Explanation

A. Diabetes Mellitus is not a contraindication for promethazine, although caution may be needed regarding metabolic control.
B. Chronic Kidney Disease does not specifically contraindicate the use of promethazine, but dosage adjustments may be necessary due to altered drug metabolism.
C. Iron Deficiency Anemia does not contraindicate the use of promethazine and would not raise significant concerns for its administration.
D. Narrow-Angle Glaucoma is a contraindication for promethazine due to its anticholinergic properties, which can increase intraocular pressure and worsen glaucoma.

A. Folic acid is known to lower blood glucose in diabetic patients B. Folic acid prevents neural tube defects in the developing fetus C. Folic acid in the gastrointestinal system prevents celiac disease D. Folic acid will prevent migraine headaches in pregnant women

Correct Answer is B

Explanation

A. Folic acid does not specifically lower blood glucose; rather, it is primarily involved in DNA synthesis and cell division.
B. Folic acid is essential during pregnancy as it significantly reduces the risk of neural tube defects, such as spina bifida and anencephaly, in the developing fetus, making it a critical nutrient for pregnant women.
C. Folic acid does not prevent celiac disease; rather, celiac disease is an autoimmune disorder related to gluten intake.
D. While some studies suggest that folic acid may have a role in reducing the frequency of migraines, it is not a primary indication during pregnancy.

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A client is taking cyclobenzaprine (Flexeril) for acute muscle spasms of the back. The nurse educates the client on which possible anticholinergic side effects associated with this medication? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer promethazine (Phenergan) to a client who presents with acute vomiting. What information in the client's past medical history would alert the nurse to hold the medication?

Correct Answer is D

Explanation

A nurse is doing prenatal counseling with a client and is asked about the importance of folic acid (B9) during pregnancy. Based on the nurse's knowledge, what should be the nurse's response?

Correct Answer is B

Explanation

A nurse is caring for a client who is diagnosed with a deep vein thrombosis (DVT) and is receiving heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

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