A nurse is teaching a patient who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the patient to minimize anticholinergic effects?

Take the medication in the morning to prevent insomnia.

Use cooling measures to decrease fever.

Chew sugarless gum to moisten the mouth.

Take an antacid to relieve nausea.

Answer and Explanation

The Correct Answer is C

A. Take the medication in the morning to prevent insomnia: This instruction is not directly

related to minimizing anticholinergic effects; it's more about managing the timing of medication administration.
B.   Use cooling measures to decrease fever: Anticholinergic effects do not typically cause fever, so this instruction is not relevant.
C.   Chew sugarless gum to moisten the mouth: Anticholinergic medications can cause dry mouth (xerostomia), and chewing gum can stimulate saliva production, alleviating this side effect.
D.   Take an antacid to relieve nausea: Anticholinergic effects can include nausea, but taking an antacid is not a specific strategy for managing this side effect.

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Correct Answer is A

Explanation

A. Decreased weight: Orlistat is a medication used for weight management by inhibiting the absorption of dietary fats. Its intended therapeutic effect is to promote weight loss by reducing the amount of fat absorbed from the diet.
B. Increased appetite: Orlistat does not increase appetite; rather, it may help control appetite by promoting satiety through its mechanism of action.
C. Decreased hyperactivity: Orlistat is not indicated for the treatment of hyperactivity.

D. Increased wakefulness: Orlistat does not affect wakefulness; it primarily acts in the gastrointestinal tract to inhibit fat absorption.

A. CT of the brain B. Electroencephalogram C. Brain stem reflexes D. Pupil response

Correct Answer is C

Explanation

A. CT of the brain can proceed regardless of atropine administration, as it does not directly affect the assessment of brain stem reflexes.
B. Electroencephalogram (EEG) can also proceed regardless of atropine administration, as it evaluates brain electrical activity rather than brain stem reflexes.
C. Assessment of brain stem reflexes should be postponed until all atropine is excreted and no

longer exerting its effects. Atropine can mask or alter the pupillary response and other brain stem reflexes, such as gag reflex and cough reflex, which are important indicators of neurological function.
D. Pupil response assessment should be postponed until atropine effects have dissipated, as

atropine can cause pupillary dilation, which may interfere with accurate assessment of pupil size and reactivity

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A nurse is teaching a patient who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the patient to minimize anticholinergic effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating a patient who is taking orlistat, which is an intended therapeutic effect?

Correct Answer is A

Explanation

While being intubated, a client with a head injury experienced bradycardia. Atropine was consequently administered. What assessment should be postponed until all atropine is excreted and no longer exerting an effect?

Correct Answer is C

Explanation

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