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

Answer and Explanation

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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Correct Answer is B

Explanation

A. "Cloudy" is not a medication and does not address any adverse effects related to topotecan.

B. Granisetron is an antiemetic medication used to prevent nausea and vomiting, which are common adverse effects of topotecan.

C. Insulin lispro is a rapid-acting insulin used to control blood sugar levels and does not relate to the adverse effects of topotecan.

D. Docusate sodium is a stool softener used to prevent constipation, but it does not specifically address the nausea and vomiting associated with chemotherapy.

E. Prednisone is a corticosteroid that may be used for other indications but is not primarily indicated for treating the nausea and vomiting caused by topotecan.

A. Furosemide B. Lorazepam C. Bethanechol D. Atropine

Correct Answer is C

Explanation

A. Furosemide is a diuretic that promotes urine production but is not indicated for treating bladder distention or urinary retention post-surgery.

B. Lorazepam is an anxiolytic medication and does not address urinary retention or bladder distention.

C. Bethanechol is a cholinergic agent that stimulates bladder contraction and is used to treat urinary retention. It helps to facilitate voiding in clients who have difficulty.

D. Atropine is an anticholinergic medication that can actually inhibit bladder contraction, making it inappropriate for this situation.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer topotecan IV to a client. Which of the following medications should the nurse expect to administer to treat the adverse effects of topotecan?

Correct Answer is B

Explanation

A nurse is caring for a client who is having difficulty voiding following surgery. The nurse notes palpable bladder distention. Which of the following medications should the nurse anticipate administering to the client?

Correct Answer is C

Explanation

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