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 D
Explanation
A. This is transference, where the patient projects feelings about another person onto the nurse.
B. Realistic, appropriate reactions suggest progress in the therapeutic relationship, not countertransference.
C. Developing trust is a goal in the nurse–patient relationship, not a problem.
D. Countertransference occurs when the nurse unconsciously transfers their own feelings to the patient, which can interfere with objectivity. Feeling unusually happy about the patient’s improvement signals the nurse’s personal emotional involvement beyond professional boundaries.
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.
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