A client is taking pyridostigmine for muscle weakness associated with myasthenia gravis. The nurse educates the client on which possible cholinergic side effects associated with this medication? (Select all that apply)

Dry Mouth

Diarrhea

Decreased Urination

Excessive Lacrimation

Tachycardia

Excessive sweating

Answer and Explanation

Correct Answer : B,D,F

A. Dry mouth is not a cholinergic side effect; cholinergic effects typically increase secretions.
B. Diarrhea is a common cholinergic side effect due to increased gastrointestinal motility.
C. Decreased urination is not expected; cholinergic agents may increase urination.
D. Excessive lacrimation (tearing) is a common cholinergic effect, as these agents stimulate glandular secretions.
E. Tachycardia is not a cholinergic side effect; bradycardia is more likely due to cholinergic effects.
F. Excessive sweating is a cholinergic effect due to increased glandular activity.

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Correct Answer is D

Explanation

A. Benadryl is an antihistamine used primarily for allergies and has no role in treating glaucoma.
B. Carteolol is a beta-blocker used in the management of glaucoma, but it is not a prostaglandin analogue.
C. Dicyclomine is an anticholinergic agent used to treat irritable bowel syndrome and is not related to glaucoma treatment.
D. Bimatoprost is a prostaglandin analogue specifically indicated for the treatment of glaucoma and is effective in lowering intraocular pressure by increasing aqueous humor outflow.

A. The client's blood pressure is within the expected reference range. B. The client reports a recent weight gain. C. The client reports an increase in mood. D. The client's legs are not swollen.

Correct Answer is C

Explanation

A. While maintaining blood pressure within the expected range is important, it does not specifically indicate the effectiveness of sertraline, which is an antidepressant.
B. Weight gain can occur with some antidepressants, but it is not a direct indicator of their effectiveness.
C. An increase in mood is a primary goal of treatment with sertraline, and reporting this improvement suggests that the medication is having a positive effect.
D. The absence of swollen legs is not a relevant indicator for assessing the effectiveness of sertraline, as it does not relate to mood or depression symptoms.

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A client is taking pyridostigmine for muscle weakness associated with myasthenia gravis. The nurse educates the client on which possible cholinergic side effects associated with this medication? (Select all that apply)

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