The nurse administers cholinergic (muscarinic agonist) medication, Bethanechol to a patient. The nurse should assess the patient for which intended effect?
Reduced esophageal motility
Improved bladder emptying
Dilation of the pupils
Decreased gastric secretions
The Correct Answer is B
Choice A rationale: Cholinergic agonists like bethanechol would typically increase esophageal motility, not reduce it.
Choice B rationale: Bethanechol is used to stimulate the bladder, promoting improved emptying in patients with urinary retention.
Choice C rationale: Cholinergic agonists can cause pupillary constriction, not dilation.
Choice D rationale: Cholinergic agonists generally increase, rather than decrease, gastric secretions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Atropine is not primarily used to prevent anxiety. Its main use is to increase heart rate by blocking vagal effects on the heart.
Choice B rationale: Atropine is commonly used to prevent or treat bradycardia, particularly during anesthesia induction, when vagal stimulation can lead to significant slowing of the heart rate.
Choice C rationale: Dry mouth is a common side effect of atropine, not its primary use. Atropine is not given to prevent dry mouth.
Choice D rationale: Atropine is not used to prevent hypertension. Its primary cardiovascular effect is to increase heart rate.
Correct Answer is D
Explanation
Choice A rationale: Managing dry-mouth symptoms is not the greatest teaching priority for a patient prescribed varenicline.
Choice B rationale: Increasing fiber in the diet to reduce constipation is not the greatest teaching priority for a patient prescribed varenicline.
Choice C rationale: The greatest teaching priority for a patient prescribed varenicline is to report thoughts of self-harm. Varenicline is a medication used for smoking cessation, and there have been reports of neuropsychiatric symptoms, including suicidal ideation.
Choice D rationale: Teaching about the decreased pleasurable effect of nicotine is important but not the greatest priority compared to ensuring the patient's safety.

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