The nurse is preparing the discharge for a client being prescribed scopolamine (Scopace) for motion sickness. Which potential side effects would the nurse inform the client regarding this particular medication class? Select All that Apply.

Excessive sweating

Bradycardia

Diarrhea

Urinary retention

Constipation

Dry Mouth

Answer and Explanation

Correct Answer : D,E,F

A. Excessive sweating is not typically associated with anticholinergic medications like scopolamine; in fact, these medications can lead to decreased sweating.
B. Bradycardia can occur with certain medications but is more commonly associated with other drug classes rather than scopolamine, which typically causes tachycardia.
C. Diarrhea is not a common side effect of scopolamine; instead, anticholinergics often cause constipation.
D. Urinary retention is a known side effect of scopolamine due to its anticholinergic properties, which can affect bladder function.
E. Constipation is a common side effect of anticholinergic medications, including scopolamine.
F. Dry mouth is another common side effect due to decreased salivary secretions resulting from anticholinergic activity.

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Correct Answer is D

Explanation

A. Paroxetine is an SSRI antidepressant used for depression and anxiety disorders, not for Parkinson's Disease.
B. Lisinopril is an ACE inhibitor primarily used for hypertension and heart failure, and it does not address symptoms of Parkinson's Disease.
C. Risperidone is an atypical antipsychotic that may be used in some cases for behavioral symptoms but is not a primary treatment for Parkinson's Disease.
D. Levodopa (Inbrija) is a medication specifically indicated for the management of Parkinson's Disease, as it helps to replenish dopamine levels, alleviating motor symptoms associated with the disease.

A. Morphine 2mg IV (Intravenously) B. Diphenhydramine (Benadryl) 25mg Tablet C. Famotidine 10mg Tablet D. Nitroglycerin 4mg Sublingual Tablet E. Nitroglycerin 10mg Sublingual Tablet F. Acetaminophen 325mg Capsule

Correct Answer is ["B","C","F"]

Explanation

A. Morphine administered intravenously bypasses the gastrointestinal tract and liver, avoiding the first-pass effect entirely.
B. Diphenhydramine in tablet form is absorbed through the gastrointestinal tract and undergoes significant first-pass metabolism in the liver, affecting its bioavailability.
C. Famotidine in tablet form is also subject to first-pass metabolism, which can reduce its effectiveness.
D. Nitroglycerin sublingual tablets are designed to bypass the first-pass metabolism by being absorbed directly into the bloodstream through the mucous membranes.
E. The same applies to nitroglycerin 10mg sublingual tablets; they also avoid the first-pass effect due to sublingual administration.
F. Acetaminophen is taken orally and undergoes first-pass metabolism in the liver, which can significantly affect its overall bioavailability.

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The nurse is preparing the discharge for a client being prescribed scopolamine (Scopace) for motion sickness. Which potential side effects would the nurse inform the client regarding this particular medication class? Select All that Apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client recently diagnosed with Parkinson's Disease is having education reinforced by the nurse. Which of the following medications would the nurse include in the client's education?

Correct Answer is D

Explanation

The nurse is preparing to administer medications to a 54-year-old client. Which medications taken would be affected by the first-pass effect? (Select All that Apply.)

Correct Answer is ["B","C","F"]

Explanation

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