A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? (Select all that apply.)
Blurred vision
Polyuria
Productive cough
Tachycardia
Correct Answer : A,D,E
A. Blurred vision is a common side effect of anticholinergic medications due to their effect on the eye muscles and pupil dilation.
B. Polyuria is not typically associated with anticholinergic medications; these medications may actually lead to urinary retention.
C. A productive cough is not an expected adverse effect of anticholinergic medications; instead, they may cause dry mucous membranes and a dry cough.
D. Tachycardia can occur as anticholinergic medications block the effects of acetylcholine on the heart, leading to increased heart rate.
E. Constipation is a well-known side effect of anticholinergic medications because they reduce gastrointestinal motility.
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Related Questions
Correct Answer is D
Explanation
A. Brown-colored urine is an expected harmless side effect of nitrofurantoin and does not need to be reported.
B. Nitrofurantoin is an antibiotic used for urinary tract infections; it does not relieve peripheral nerve pain.
C. Some formulations of nitrofurantoin, especially extended-release capsules, should not be crushed because this can affect absorption and efficacy.
D. Nitrofurantoin can cause pulmonary toxicity, including cough, dyspnea, or chest pain. Clients should notify the provider immediately if respiratory symptoms develop.
Correct Answer is B
Explanation
A. A heart rate of 105/min is slightly elevated, but it does not require immediate intervention unless the client is symptomatic or has other concerning signs.
B. Infiltration of the peripheral IV requires immediate intervention, as it can lead to tissue damage and prevent the medication from being effectively delivered. The nurse should stop the infusion, assess the site, and take appropriate action.
C. Increased blood pressure is a common effect of dopamine administration and does not necessarily require urgent intervention unless it becomes critically high or is associated with other adverse symptoms.
D. Occasional PVCs can occur during dopamine infusion and can be monitored unless they become frequent or symptomatic; they typically do not require immediate intervention.
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