About to begin anticholinergic medication therapy

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Reference no: EM133851940

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1. A patient is wheezing and short of breath with a heart rate of 88 beats/ minute, a respiratory rate of 24 breaths/minute, and a blood pressure of 124/78 mm Hg. The primary health care prescriber orders a nonselective B agonist medication besides actions, adverse effects, and the ongoing blood tests necessary with this drug. what additional statement should the provider include during the teaching?

A. Xerostomia and orthostatic hypotension are serious side effects and indications for withdrawing the medication

B. Methyldopa can be used for its analgesic effects and for its hypertensive effects.

C. you will need to contact the office immediately and stop taking the medication if your eyes look yellow.

D. If you have a positive Coombs test result, you will need to discontinue the medication, because this means you have hemolytic anemia.

2. The provider is assessing an older adult male patient prior to beginning a prescribed anticholinergic drug. Which question concerning preexisting conditions demonstrates the provider's understanding of possible contraindications to this therapy?

A. Have you ever been treated for prostate cancer?

B. Do you have problems with urinary incontinence?

C. Do you have any vision problems that require a prescribed medication?

D. Would say that diarrhea is a problem you deal with regularly?

3. A client is about to begin anticholinergic medication therapy. What instructions will the provider give to best minimize common side effects?

A. Hydrate well before engaging in outdoor exercise

B. Void just prior to taking the medication

C. Wear dark glasses both indoors and outdoors

D. Minimize fiber intake to avoid diarrhea.

4. A prescriber has ordered methyldopa for a female patient diagnosed with hypertension. The nurse understands that which laboratory tests are important before beginning therapy with this drug? (Select all that apply.)

A. Urinalysis

B. Liver function tests

C. Hemoglobin and hematocrit (H &H)

D. Pregnancy Test

E. Coombs test

5. A patient will begin taking propranolol for hypertension. Which statement made by the prescriber is important when teaching this patient about the medication?

A. Take your pulse and do not take the medication if your heart rate is fast

B. Notify the clinic if you start waking at night with shortness of breath or have difficulty lying flat.

C. It is safe to take this medication with your calcium channel blocker

D. Stop taking the drug if you become short of breath.

Reference no: EM133851940

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