A nurse can anticipate teaching a patient to expect anticholinergic side effects such as dry mouth, blurred vision, mydriasis, constipation, and urinary retention when they are prescribed which medication?
buspirone
lithium
imipramine
risperidone
The Correct Answer is C
A. Buspirone – This anxiolytic does not typically cause significant anticholinergic effects.
B. Lithium – Common side effects include tremor, polyuria, and mild gastrointestinal upset, not prominent anticholinergic effects.
C. Imipramine, a tricyclic antidepressant, has strong anticholinergic properties, leading to dry mouth, blurred vision, mydriasis, constipation, and urinary retention.
D. Risperidone – An atypical antipsychotic; anticholinergic effects are minimal compared to tricyclic antidepressants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Justice refers to fairness and equality in the distribution of care and resources. The nurse is concerned about whether patients exhibiting similar behaviors (self-mutilation) are being treated consistently and fairly, which directly relates to the principle of justice.
B. Fidelity involves keeping promises and commitments to patients, which is not the primary concern in this scenario.
C. Beneficence involves acting in the patient’s best interest to promote well-being. While relevant to care decisions, the main ethical issue here is fairness between patients.
D. Autonomy involves respecting a patient’s right to make their own decisions, which is not the central issue in comparing the care of two patients.
Correct Answer is A
Explanation
A. Heroin is an opioid, which causes central nervous system depression, leading to drowsiness, miosis (pinpoint pupils), and slurred speech.
B. These are more typical of stimulant use such as cocaine or methamphetamine, not heroin.
C. These are withdrawal symptoms of opioids, not effects immediately following injection.
D. These are associated with stimulant intoxication or withdrawal, not opioid intoxication.
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